PMID- 37731087 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231031 IS - 2193-8210 (Print) IS - 2190-9172 (Electronic) VI - 13 IP - 11 DP - 2023 Nov TI - Responsiveness and Minimal Clinically Important Difference of the Infants and Toddlers Dermatology Quality of Life Questionnaire. PG - 2879-2893 LID - 10.1007/s13555-023-01022-x [doi] AB - BACKGROUND: The Infants and Toddlers Dermatology Quality of Life (InToDermQoL) is the dermatology-specific proxy health-related quality of life (HRQoL) instrument for children from birth to 4 years. The aim of the present study was to confirm the responsiveness and establish minimal clinically important difference (MCID) for the InToDermQoL. METHODS: Parents of children with skin diseases were asked to fill in the InToDermQoL at the initial visit (T1) and subsequent consultation (T2). We hypothesized that correlations between change scores of the InToDermQoL and change scores of global assessment of clinical severity by dermatologists and by patients' parents should be above 0.3. The receiver operating characteristic (ROC) curves method was also used for confirmation of responsiveness and determination of MCIDs of the InToDermQoL. The area under the ROC curve (AUC) was used as an indicator of responsiveness. RESULTS: Results of 442 patients were included. Correlations between change scores of age-specific versions of the InToDermQoL and change scores of global assessment of clinical severity by dermatologists and by patients' parents were above 0.3 (0.46-0.74). AUCs for age-specific versions of the InToDermQoL were acceptable (above 0.7) or excellent (above 0.8). Estimated MCIDs for the InToDermQoL were as follows: 3 points of total score change for 0-11 months, 5 for 1-2 years and 3 or 4 for 3-4 years version. Estimated MCIDs for the InToDermQoL version for 1-2-year-old children was higher than MCIDs for the 3-4-year-old version despite the higher number of items in the latter. Therefore a MCID of 5 was recommended for both these versions. CONCLUSIONS: Responsiveness for all age-specific versions of the InToDermQoL questionnaire was confirmed. MCIDs for the InToDermQoL are proposed as follows: 3-point change of the total score for age version 0-11 months and 5-point for the age versions 1-2 years and 3-4 years. CI - (c) 2023. The Author(s). FAU - Chernyshov, Pavel V AU - Chernyshov PV AUID- ORCID: 0000-0001-7275-4651 AD - Department of Dermatology and Venereology, National Medical University, Bulvar Shevchenko, 13, Kiev, 01601, Ukraine. chernyshovpavel@ukr.net. FAU - Marron, Servando E AU - Marron SE AUID- ORCID: 0000-0001-5632-0351 AD - Department of Dermatology, Aragon Psychodermatology Research Group (GAI+PD), University Hospital Miguel Servet, Zaragoza, Spain. FAU - Koumaki, Dimitra AU - Koumaki D AUID- ORCID: 0000-0001-7074-2374 AD - Department of Dermatology and Venereology, University Hospital of Heraklion, Heraklion, Crete, Greece. FAU - Pustisek, Nives AU - Pustisek N AD - Children's Hospital Zagreb, Zagreb, Croatia. FAU - Manolache, Liana AU - Manolache L AUID- ORCID: 0000-0003-2357-4229 AD - Dermatology, Dali Medical, Bucharest, Romania. FAU - Salavastru, Carmen AU - Salavastru C AUID- ORCID: 0000-0002-3160-9826 AD - Department of Paediatric Dermatology, Colentina Clinical Hospital, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. FAU - Suru, Alina AU - Suru A AD - Department of Paediatric Dermatology, Colentina Clinical Hospital, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. FAU - Sendrea, Adelina AU - Sendrea A AD - Department of Paediatric Dermatology, Colentina Clinical Hospital, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. FAU - Svyatenko, Tetiana AU - Svyatenko T AUID- ORCID: 0000-0003-4303-2937 AD - Department of Skin and Venereal Diseases, Dnipro State Medical University, Dnipro, Ukraine. FAU - Statkevych, Olha AU - Statkevych O AD - Department of Skin and Venereal Diseases, Dnipro State Medical University, Dnipro, Ukraine. FAU - Boffa, Michael J AU - Boffa MJ AD - Department of Dermatology, Mater Dei Hospital, Msida, Malta. FAU - Grech, Sara Borg AU - Grech SB AD - Department of Dermatology, Mater Dei Hospital, Msida, Malta. FAU - Zemskov, Sergii AU - Zemskov S AUID- ORCID: 0000-0002-5039-1324 AD - Department of General Surgery, Bogomolets National Medical University, Kiev, Ukraine. FAU - Kuts, Volodymyr V AU - Kuts VV AUID- ORCID: 0000-0002-4434-7298 AD - Department of Information and Computer Technologies, State Organization "National Institute of Phthisiology and Pulmonology Named After F.G. Yanovsky, National Academy of Medical Sciences of Ukraine", Kiev, Ukraine. FAU - Lishchynskyi, Pavlo AU - Lishchynskyi P AUID- ORCID: 0000-0003-3586-0468 AD - Ukrainian Scientific and Practical Center of Endocrine Surgery, Transplantation of Endocrine Organs and Tissues of the Ministry of Health of Ukraine, Kiev, Ukraine. FAU - Chernyshov, Andrii V AU - Chernyshov AV AUID- ORCID: 0000-0002-9564-759X AD - Department of Cellular Radiobiology, State Institution "National Research Center for Radiation Medicine of National Academy of Medical Sciences of Ukraine", Kiev, Ukraine. FAU - Tomas-Aragones, Lucia AU - Tomas-Aragones L AUID- ORCID: 0000-0001-5891-628X AD - Department of Psychology, University of Zaragoza, Zaragoza, Spain. LA - eng PT - Journal Article DEP - 20230920 PL - Switzerland TA - Dermatol Ther (Heidelb) JT - Dermatology and therapy JID - 101590450 PMC - PMC10613170 OTO - NOTNLM OT - Children OT - Dermatology OT - Infants and Toddlers Dermatology Quality of Life OT - Minimal clinically important difference OT - Quality of life OT - Responsiveness COIS- The authors have nothing to disclose. EDAT- 2023/09/21 06:42 MHDA- 2023/09/21 06:43 PMCR- 2023/09/20 CRDT- 2023/09/21 00:18 PHST- 2023/07/19 00:00 [received] PHST- 2023/08/23 00:00 [accepted] PHST- 2023/09/21 06:43 [medline] PHST- 2023/09/21 06:42 [pubmed] PHST- 2023/09/21 00:18 [entrez] PHST- 2023/09/20 00:00 [pmc-release] AID - 10.1007/s13555-023-01022-x [pii] AID - 1022 [pii] AID - 10.1007/s13555-023-01022-x [doi] PST - ppublish SO - Dermatol Ther (Heidelb). 2023 Nov;13(11):2879-2893. doi: 10.1007/s13555-023-01022-x. Epub 2023 Sep 20.