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J Cutan Med Surg. 2015 Sep-Oct;19(5):464-9. doi: 10.1177/1203475415576464. Epub 2015 Mar 11.

The Relationship Between Dermatologist- and Patient-Reported Acne Severity Measures and Treatment Recommendations.

Author information

1
Department of Medicine, University of Western Ontario, London, ON, Canada jerrytan@bellnet.ca.
2
Department of Psychology, University of Windsor, Windsor, ON, Canada.
3
Department of Medicine, University of Western Ontario, London, ON, Canada.
4
Hôpital Hôtel-Dieu de Québec and Centre de Recherche Dermatologique du Québec métropolitain, Quebec City, QC, Canada.
5
Lynde Dermatology, Markham, ON, Canada.
6
Faculty of Medicine, Memorial University of Newfoundland, St. John's, NF, Canada.
7
Department of Medicine, University of Toronto, Toronto, ON, Canada.
8
Department of Medicine and Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, ON, Canada.
9
Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada.
10
Institute of Cosmetic and Laser Surgery, Oakville, ON, Canada.

Abstract

BACKGROUND:

Acne treatment recommendations for individual patients may be derived from multiple factors including dermatologist- and patient-reported constructs.

OBJECTIVES:

To evaluate the effects of dermatologist- and patient-reported measures on acne treatment recommendations by dermatologists.

METHODS:

An observational cross-sectional survey of acne patients was conducted with patient-reported quality of life and dermatologist-reported measures of primary and secondary (scar) acne severity using 3 assessment approaches: maximal regional grade, total grade, and facial grade.

RESULTS:

The most highly associated factors with acne treatment recommendations were patient emotions, maximal regional acne severity, and total acne scar grade. Better acne-specific quality of life was negatively related to acne treatment recommendation intensity, while all 3 grading approaches were positively related to acne treatment recommendations.

CONCLUSIONS:

For dermatologists, overall acne severity is most highly associated with maximal regional acne grade, total scar grade, and patient's emotional response to acne.

KEYWORDS:

acne; dermatology

PMID:
25775621
DOI:
10.1177/1203475415576464
[Indexed for MEDLINE]

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