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Scoring systems for Oral Lichen Planus used by differently experienced raters

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Scoring systems for Oral Lichen Planus used by differently experienced raters

dc.contributor.author	Gobbo,Margherita	es
dc.contributor.author	Rupel,Katia	es
dc.contributor.author	Zoi,Valentina	es
dc.contributor.author	Perinetti,Giuseppe	es
dc.contributor.author	Ottaviani,Giulia	es
dc.contributor.author	Di Lenarda,Roberto	es
dc.contributor.author	Bevilacqua,Lorenzo	es
dc.contributor.author	Woo,Sook-Bin	es
dc.contributor.author	Biasotto,Matteo	es
dc.date.accessioned	2023-06-22T12:12:35Z
dc.date.available	2023-06-22T12:12:35Z
dc.date.issued	2017	es
dc.identifier.citation	Gobbo M, Rupel K, Zoi V, Perinetti G, Ottaviani G, Di Lenarda R, Bevilacqua L, Woo SB, Biasotto M. Scoring systems for Oral Lichen Planus used by differently experienced raters. Med Oral Patol Oral Cir Bucal. 2017 Sep 1;22 (5):e562-71.	es
dc.identifier.uri	https://hdl.handle.net/10550/88442
dc.description.abstract	Background: Scoring systems have been widely used to evaluate the severity and activity of oral lichen planus (OLP). The aim of the present study was to compare two existing (one modified) scoring systems in the evaluation of OLP severity and correlation with pain. Three differently experienced raters were involved. Material and Methods: Consecutive patients with OLP were assessed for pain using the Visual Analogue Scale and examined at 10 intraoral sites before starting (T0) and three weeks after (T1) steroid therapy (Clobetasol). Three differently experienced raters evaluated photographs using two scoring systems designated White-Erosive-Atrophic (WEA) modified from an older WEA system (WEA-MOD) and Reticular-erythematous-Ulcerative (REU) systems. WEA-MOD Kendall’s W and interclass correlation coefficient were calculated and correlation between REU/WEA-MOD and pain was calculated using Spearman coefficient. Results: Most patients showed lesions on buccal mucosa (85-93,5%) and maxillary/mandibular gingivae (31,8-31,2%), predominantly reticular. At T0, Kendall-W coefficients of 0.89 and 0.74 were obtained for the REU and WEA respectively. At T1, Kendall-W coefficients of 0.83 and 0.58 were obtained for the REU and WEA respectively. Interclass correlation coefficient ranged from 0.87 to 0.90 for REU and from 0.58 to 0.87 for WEA. REU and WEA scores significantly decreased after therapy (p<0.000) as well as VAS (p<0.05). REU score showed correlation with VAS. Conclusions: All the raters achieved comparable measures using REU whereas WEA and WEA-MOD seem less reproducible. REU seems to correlate to disease activity and pain. Key words:Oral lichen planus, scoring system, VAS, REU, WEA, rater.	es
dc.title	Scoring systems for Oral Lichen Planus used by differently experienced raters	es
dc.type	journal article	es_ES
dc.subject.unesco	UNESCO:CIENCIAS MÉDICAS	es
dc.identifier.doi	10.4317/medoral.21833	es
dc.type.hasVersion	VoR	es_ES