@article{ba01963316f947bea3f96d14a9792ccc,
title = "Development and validation of ibsa photographic scale for the assessment of inner upper arm laxity",
abstract = "Objective: To describe the development and validation of the 5-grade photographic IBSA inner upper arm scale. Methods: From 2 real-life pictures, a scale made up of 5 morphed images showing increasing severity of inner upper arm laxity was created. For validation, a set of 50 images (half of which real and the other morphed) was developed and sent to 5 trained physicians in two rounds 30 days apart. Raters{\textquoteright} task was to make a selection of each image according to the given scale. Inter-rater and intra-rater reliability were evaluated in both rounds. Results: As to intra-rater reliability, single-rater kappa scores between 0.74 and 1.00 and a global kappa score of 0.846 were observed, while inter-rater agreement was calculated with intra-class correlation coefficient reporting scores higher than 0.91, which indicate excellent reliability. Conclusion: IBSA inner upper arm laxity scale proved to be a validated and reliable tool.",
keywords = "Aesthetic medicine, Laxity, Photographic scale, Scale development, Scale validation, Upper inner arm",
author = "Daniel Cassuto and Giovanni Pellacani and Antonello Tateo and Ofir Artzi and Ingallina, \{Fabio Massimo\} and Giovanni Salti and Elena Rossi and Arturo Lanzarotti and Malika Laouedj and Nicolas Dapis and Gilberto Bellia",
note = "Publisher Copyright: {\textcopyright} 2021 Cassuto et al.",
year = "2021",
doi = "10.2147/CCID.S317857",
language = "אנגלית",
volume = "14",
pages = "1465--1471",
journal = "Clinical, Cosmetic and Investigational Dermatology",
issn = "1178-7015",
publisher = "Dove Medical Press Ltd",
}