Pediatric rheumatology

Translation and validation in Italian of the methotrexate intolerance severity score for children and adults with arthritis

Clin Exp RheumatolPublished Validation study

Authors' conclusion

We developed the Italian version of the MISS and showed its validity and reliability to identify patients intolerant to MTX in clinical practice and in a research setting.

Study context

Population
Patients with Juvenile Idiopathic Arthritis (JIA) followed at the Rheumatology Unit of Bambino Gesù Children Hospital
Participants
125 patients
Outcome
Reliability, validity and diagnostic performance of the Italian MISS
Methodological detailstranslation and cross-cultural adaptation, single-centre
  • Translation and cross-cultural adaptation
  • Single-centre

Performance

As reported in the abstract

Test or modelCronbach αComposite reliabilityCohen's κAUCSensitivity (threshold 6)Specificity (threshold 6)
Italian MTX intolerance severity score (MISS)0.87 (95% CI, 0.84-0.90)0.89 (95% CI, 0.83-0.91)0.81 (95% CI, 0.71-0.91)0.97 (95% CI, 0.93-0.99)98.3%81.2%

Italian MTX intolerance severity score (MISS)

Cronbach α0.87 (95% CI, 0.84-0.90)
Composite reliability0.89 (95% CI, 0.83-0.91)
Cohen's κ0.81 (95% CI, 0.71-0.91)
AUC0.97 (95% CI, 0.93-0.99)
Sensitivity (threshold 6)98.3%
Specificity (threshold 6)81.2%

Original publication

Translation and validation in Italian of the methotrexate intolerance severity score for children and adults with arthritis. Clin Exp Rheumatol. Published 19 October 2023. doi:10.55563/clinexprheumatol/656se0

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