Correlation study between clinical classification and disability index in a holistic evaluation of acne severity and impact in Turkey.

IF 2 Q3 Medicine

Giornale Italiano Di Dermatologia E Venereologia Pub Date : 2020-11-01 DOI:10.23736/S0392-0488.20.06738-3

E. Ozlu, A. Karadağ, B. Aksoy, Serap Gunes Bilgili, M. Gonul, I. Yavuz, E. Şenel, M. Polat, T. Akbulut, Deniz Aksu, Filiz Topaloğlu, B. Tekin, W. C. Chen

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Abstract

BACKGROUND Comparison between disease severity observed by inspectors and the disease burden assessed by patients is scanty in acne study. METHODS In a multicenter prospective hospital-based study, modified Comprehensive Acne Severity Scale (mCASS) and Cardiff Acne Disability Index (CADI) were employed to grade disease severity and to determine the quality of life, respectively. The average of the mCASS and CADI scores, with range at 0-25, was termed as Acne Severity and Impact Grading System (ASIG). RESULTS In 1331 evaluated patients (mean: 21,51±4,93 years), including 306 men and 1025 women, an overall significant, positive correlation was found between ASIG and mCASS (r:0.862), or CADI (r:0.686), respectively (p=0.001 each). Adult women with back acne and adolescent with décolleté expressed greater concern (higher CADI) than the clinical severity (lower mCASS). The overall prevalence of acne in décolleté area, including neck, was 32.3%. CONCLUSIONS Discrepancies in the acne severity between self-perception and objective evaluation exist in certain subgroups of patients. Décolleté acne deserves special attention in clinical assessment.

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临床分类与残疾指数在土耳其痤疮严重程度和影响的整体评价中的相关性研究。

背景:在痤疮研究中，检查员观察到的疾病严重程度与患者评估的疾病负担之间的比较很少。方法在一项基于医院的多中心前瞻性研究中，采用改良的痤疮严重程度综合量表(mCASS)和卡迪夫痤疮残疾指数(CADI)分别对疾病严重程度进行分级和确定生活质量。mCASS和CADI评分的平均值，范围在0-25之间，被称为痤疮严重程度和影响分级系统(ASIG)。结果1331例患者(平均21,51±4,93岁)，其中男性306例，女性1025例，ASIG与mCASS (r:0.862)、CADI (r:0.686)总体上呈显著正相关(p=0.001)。患有背部痤疮的成年女性和患有背部痤疮的青少年表现出更大的担忧(较高的CADI)，而不是临床严重程度(较低的mCASS)。痤疮的总体患病率为32.3%，包括颈部。结论部分亚组患者痤疮严重程度的自我认知与客观评价存在差异。在临床评估中，应特别注意痤疮。

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来源期刊

Giornale Italiano Di Dermatologia E Venereologia DERMATOLOGY-

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal Giornale Italiano di Dermatologia e Venereologia publishes scientific papers on dermatology and sexually transmitted diseases. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, therapeutical notes, special articles and letters to the Editor. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors (www.icmje.org). Articles not conforming to international standards will not be considered for acceptance.