{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T15:16:20Z","timestamp":1759936580651,"version":"3.37.3"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,11,5]],"date-time":"2018-11-05T00:00:00Z","timestamp":1541376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008377","name":"Handok","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008377","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the impact of European Scleroderma Trials and Research (EUSTAR) standardized training on the accuracy of modified Rodnan skin score (mRSS) in patients with systemic sclerosis (SSc).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eight SSc patients (four diffuse, four limited) and 10 physicians (4 fellows, 6 professors) were included. Gold\u2010standard mRSS was performed by a senior instructor. Training comprised a video presentation and a live demonstration. Each physician performed mRSS with no clinical information in all patients: (a) before training; (b) after video session; and (c) after live demonstration. Primary outcome was the change in scoring accuracy, which was defined as the difference from the gold\u2010standard skin score, as analyzed using a linear mixed model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean (standard deviation) difference from the gold\u2010standard score in all measurements by participants before the training was 7.7 (9.5). Completion of training significantly enhanced mRSS accuracy (adjusted <jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22127.61; 95% CI: \u221211.91 to \u22123.32). This was largely attributable to the video presentation (adjusted <jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22125.47; \u22129.16 to \u22121.78), although the live demonstration was associated with numerical reduction in the difference from the gold\u2010standard score (adjusted <jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22122.15; \u22125.84 to 1.55). Effect of training was prominent in fellows whereas professors showed an increase in the difference from gold\u2010standard score after training (<jats:italic>P<\/jats:italic> value for interaction &lt;0.001). The intraclass correlation coefficient for physician skin scores was acceptable. However, no significant change was observed after training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>New EUSTAR standardized mRSS training significantly enhanced mRSS accuracy, especially in participant with less previous experience in skin scoring.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.13433","type":"journal-article","created":{"date-parts":[[2018,11,6]],"date-time":"2018-11-06T06:25:05Z","timestamp":1541485505000},"page":"96-102","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Impact of EUSTAR standardized training on accuracy of modified Rodnan skin score in patients with systemic sclerosis"],"prefix":"10.1111","volume":"22","author":[{"given":"Jun Won","family":"Park","sequence":"first","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine Seoul National University College of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ga Young","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Hanyang University Hospital for Rheumatic Diseases Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji\u2010Won","family":"Kim","sequence":"additional","affiliation":[{"name":"Seoul St. Mary\u2019s Hospital, The Catholic University of Korea Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eun Seong","family":"Park","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine Yonsei University College of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji\u2010Hyoun","family":"Kang","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine Chonnam National University Medical School &amp; Hospital Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung Hae","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine Soonchunhyang University Cheonan Hospital Cheonan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In Ah","family":"Choi","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine Chungbuk National University Hospital, Chungbuk National University College of Medicine Cheongju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su\u2010Jin","family":"Yoo","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine, School of Medicine Chungnam National University, Chungnam National University Hospital Daejeon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin Kyun","family":"Park","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine Seoul National University College of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6749-7598","authenticated-orcid":false,"given":"Kichul","family":"Shin","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine SNU Boramae Medical Center Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong\u2010Beom","family":"Park","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine Yonsei University College of Medicine Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0208-0505","authenticated-orcid":false,"given":"Jae\u2010Bum","family":"Jun","sequence":"additional","affiliation":[{"name":"Department of Rheumatology 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Bong","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine Seoul National University College of Medicine Seoul 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