Objective severity does not capture the impact of rosacea, acne scarring and photoaging in patients seeking laser therapy

Thomas, Charlotte L; Kim, B.; Lam, Janine; Richards, S.; See, A.; Kalouche, Sam; Paver, Robert; Fernández‐Peñas, Pablo

doi:10.1111/jdv.13945

Cited by 17 publications

(20 citation statements)

References 36 publications

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“…Studies that only used the PROM as an outcome measurement instrument were excluded, but study details were tabulated, per protocol. We identified 188 studies that reported treatment satisfaction as an outcome: 91 on treatment of acne 68–158 and 97 on treating acne scars (a possible sequela of acne) 159–255 . These numbers show that clinicians and researchers do consider treatment satisfaction as an important outcome.…”

Section: Resultsmentioning

confidence: 99%

Identifying and appraising patient‐reported outcome measures on treatment satisfaction in acne: a systematic review*

Zuuren

Arents²,

Miklas

et al. 2020

Br J Dermatol

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Background After dermatitis, acne is the next skin disease to contribute most to the burden of skin diseases worldwide. Recently, seven core outcome domains have been identified, which together form an Acne Core Outcome Set (ACORN). One of these was satisfaction with acne treatment. Objectives To identify studies that described the development of patient-reported outcome measures (PROMS), evaluated one or more measurement properties of a PROM, or evaluated the interpretability of a PROM in patients with acne regarding treatment satisfaction. Methods The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) search strategy for identifying PROMS on acne treatment satisfaction was used. We searched PubMed, MEDLINE, Embase, LILACS, Web of Science, Cochrane Library, Emcare, PsycINFO and Academic Search premier (June 2020). Study selection, data extraction and assessment of methodological quality according to COSMIN guidance were carried out independently by two authors. Results Only one study could be included, describing the development of a treatment satisfaction measure in patients with acne. The development was assessed as inadequate and data on measurement properties were lacking. Additionally, we found 188 studies reporting treatment satisfaction solely as an outcome, using a wide variety of methods, none of them standardized or validated. Conclusions We could not find a PROM on treatment satisfaction to recommend for a core outcome set in acne. There is an unmet need for a PROM on treatment satisfaction in acne that is robustly developed, designed and validated.What is already known about this topic?• Core outcome sets are consensus-based minimum outcome measures that should be reported in clinical trials of a specific disease or target condition.

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Section: Resultsmentioning

confidence: 99%

Identifying and appraising patient‐reported outcome measures on treatment satisfaction in acne: a systematic review*

Zuuren

Arents²,

Miklas

et al. 2020

Br J Dermatol

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“…The impact of rosacea on the lives of patients has not been fully appreciated and remains inadequately addressed . There is no short, practical, rosacea‐specific tool to assess disease burden across all rosacea phenotypes.…”

Section: Discussionmentioning

confidence: 99%

Recommendations for rosacea diagnosis, classification and management: update from the global ROS acea CO nsensus 2019 panel

et al. 2019

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“…The GAGS in our study may have been more congruent with our patient's self-reported acne severity had our patients been more severe as determined by the GAGS. This seems likely given that prior research has shown that a patient's perception of their acne is directly correlated to the impact it has on their quality of life, and objective severity does not always correlate with the impact of the disease experienced by the patient [19,20]. Future research should include subjects with greater acne severity given the impact acne severity has on quality of life, stress, and mental health [13,[16][17][18].…”

Section: Discussionmentioning

confidence: 99%

Acne Severity and Sleep Quality in Adults

et al. 2019

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Poor sleep quality is extremely prevalent, with about one third of adults in the USA obtaining less than the recommended amount of sleep. In addition, poor sleep quality has been linked to an increased risk of many conditions, including diabetes, hypertension, psychiatric conditions, and overall all-cause mortality. Research has shown that sleep disturbance does impact skin disease, although many details of this relationship are still unclear. The goal of this study is to determine if there is a relationship between acne severity and sleep quality in adults. Forty subjects with acne were recruited from dermatology clinics in Cleveland, OH, to participate in this study. Acne severity was assessed using the Global Acne Grading Scale (GAGS). To assess sleep quality, subjects completed the Pittsburgh Sleep Quality Index (PSQI) and completed a seven-day sleep journal. Subjects also completed the Dermatology Life Quality Index (DLQI), the Patient Health Questionnaire-2 (PHQ-2), and provided information about current and past acne treatments as well as their opinion regarding their own acne severity and exacerbating factors. Our findings support the hypothesis that there is a potential relationship between sleep quality and acne.

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Objective severity does not capture the impact of rosacea, acne scarring and photoaging in patients seeking laser therapy

Abstract: Skin conditions can have a profound impact on patient QOL, which is affected by patients' perception of disease severity and not fully appreciated by dermatologists' own severity assessments. Laser therapy is associated with high patient satisfaction.

Cited by 17 publications

References 36 publications

Identifying and appraising patient‐reported outcome measures on treatment satisfaction in acne: a systematic review*

Identifying and appraising patient‐reported outcome measures on treatment satisfaction in acne: a systematic review*

Recommendations for rosacea diagnosis, classification and management: update from the global ROS acea CO nsensus 2019 panel

Acne Severity and Sleep Quality in Adults

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