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Establishing a Vocabulary for Skin Quality: Working Toward Consensus Skin Attribute Definitions From the Patient and
Shannon Humphrey1,2, Derek Jones3, Angeline Yong4
1Humphrey Cosmetic Dermatology, Vancouver, British Columbia, Canada.
Background:
Skin quality attributes are defined inconsistently in clinical and research settings, which can impede communication between patients and health care professionals (HCPs) and hinder optimization of patient outcomes.
Objective:
The authors aimed to develop a skin quality vocabulary/lexicon applicable across multiple stakeholders, including aesthetic HCPs, patients, researchers, and regulatory agencies.
Materials And Methods:
The authors convened advisory boards comprising 15 global aesthetic dermatologists to develop consensus definitions for 15 skin quality attributes based on a previously proposed framework. These definitions were used in qualitative patient focus groups ( n = 54) and quantitative online surveys of aesthetic HCPs ( n = 201) and patients ( n = 1,050) to assess preferred terms for each attribute.
Results:
The advisory board developed definitions with 100% consensus for all 15 attributes after 2 meetings. The quantitative surveys demonstrated substantial agreement in terminology used between HCPs. However, as expected, terminology used by patients and HCPs differed for a number of conditions, including uneven pigmentation, crepiness, and laxity.
Conclusion:
This research identified skin quality attribute terminology/definitions used among HCPs and patients. The authors hope this work will establish a foundation for consistent definitions that will help support patient-HCP communication, optimize outcomes, and bring clarity to the indication for approval by regulators.
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