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

AI Article Synopsis

  • This study examines the differences between how disease severity is assessed by dermatologists versus how patients perceive their acne severity and impact on quality of life.
  • A total of 1331 patients were evaluated using the modified Comprehensive Acne Severity Scale (mCASS) and the Cardiff Acne Disability Index (CADI), leading to the creation of an Acne Severity and Impact Grading System (ASIG).
  • Results showed a strong correlation between ASIG and the mCASS/CADI scores, but certain groups, like adult women with back acne and adolescents with décolleté acne, reported higher concerns about their condition than indicated by clinical assessments, highlighting the need for more focused attention on décolleté acne in clinical evaluations.

Article Abstract

Background: This study provides a 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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Source
http://dx.doi.org/10.23736/S2784-8671.20.06738-3DOI Listing

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