Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2018, Vol. 40 ›› Issue (4): 539-542.doi: 10.3881/j.issn.1000-503X.10320

• Original Articles • Previous Articles     Next Articles

Correlation between Ameliorated Kawashima Itch Scale and Visual Analogue Scale

XIE Zhiqiang1(), FU Junzhou2, CHEN Gan2, GUAN Changjie2, LIU Wenhu3, WANG Liyan3, Sadanobu MORITAKE4, WU Wenting4, Makoto KAWASHIMA5   

  1. 1Department of Dermatology,Peking University Third Hospital,Beijing 100191,China
    2Department of Nephrology,Guangzhou First People’s Hospital,Guangzhou 510180,China;
    3Department of Nephrology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China
    4Toray International(China) Co.,Ltd,Shanghai 200040,China
    5Department of Dermatology,Tokyo Women’s Medical University Hospital,Tokyo 1628666,Japan;
  • Received:2018-01-31 Online:2018-08-30 Published:2018-09-08


Objective To preliminarily validate the clinical usability of the ameliorated Kawashima Itch Scale(Xie-Kawashima Itch Scale) among adult pruritic patients on maintenance hemodialysis. Methods Xie-Kawashima Itch Scale was developed on the basis of Kawashima Itch Scale. Patients were asked to record their pruritus condition according to Xie-Kawashima Itch Scale or visual analogue scale(VAS) during daytime and night for two weeks. The record at the second week was used for analyzing the correlation between Xie-Kawashima Itch Scale and VAS. Results Totally 134 patients were enrolled in this study,among whom 128 entered the final analysis. Xie-Kawashima Itch Scale was positively correlated with VAS(rs=0.832,95% CI=0.810-0.851,P<0.01 for daytime record;and rs=0.848,95% CI=0.828-0.865,P<0.01 for night record). Subgroup analysis also showed similar correlations between different age groups and among different gender groups. Conclusion Xie-Kawashima Itch Scale has good correlation with VAS in patients on hemodialysis,without being affected by age or gender. Thus,it can be a useful tool for the assessment of pruritus in clinical practice and research.

Key words: pruritus, assessment, hemodialysis, uremia

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