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The Relationship Between Dermatologist- and Patient-Reported Acne Severity Measures and Treatment Recommendations
Jerry Tan1, Marc P Frey2, Sanja Knezevic3
1Department of Medicine, University of Western Ontario, London, ON, Canada jerrytan@bellnet.ca.
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.
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