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A Reproducible Computerized Method for Quantitation of Capillary Density using Nailfold Capillaroscopy
Published on: October 27, 2015
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Development of a core domain set for nailfold capillaroscopy reporting
Yasser El Miedany1, Sherif Ismail2, Mary Wadie3
1Canterbury Christ Church University, England, UK.
Reumatologia Clinica
|August 19, 2024
Summary
A standardized nailfold capillaroscopy (NFC) report template was developed using a Delphi process. This consensus-based template aims to guide and standardize NFC reporting in rheumatology clinical practice and research.
Area of Science:
- Rheumatology
- Dermatology
- Medical Diagnostics
Background:
- Nailfold capillaroscopy (NFC) is a safe, non-invasive technique for evaluating peripheral microangiopathy.
- NFC holds diagnostic and prognostic value in patients with Raynaud's phenomenon.
Purpose of the Study:
- To establish a consensus on essential domains for a capillaroscopy report.
- To create a standardized report template for clinical practice and research in rheumatology.
Main Methods:
- A Delphi methodology involving a literature review and expert consensus was employed.
- Two rounds of questionnaires assessed 14 core areas, 18 domains, and 50 subdomains.
- Evidence levels were determined using the Oxford Centre for Evidence-based Medicine system.
Main Results:
- Eleven international experts participated in the Delphi process.
- Fourteen domains were discussed and evaluated across the two rounds.
- A consensus was reached on the final nailfold capillaroscopy report template for rheumatology.
Conclusions:
- A consensus-driven nailfold capillaroscopy report template was successfully developed.
- The template includes domains that met an 80% voting threshold.
- This standardized template will guide and unify NFC reporting in clinical research and daily practice.
