Western University, London, Ontario, Canada; Windsor Clinical Research Inc, Windsor, Ontario, Canada.
Undergraduate Medicine, Faculty of Medicine, Western University, Windsor Campus, Windsor, Ontario, Canada.
J Am Acad Dermatol. 2013 Nov;69(5):754-761. doi: 10.1016/j.jaad.2013.07.029. Epub 2013 Aug 21.
Acne research is hindered by the absence of a universal, consistently applied standard for severity grading. Acne experts recently identified 4 essential clinical components and 2 features for an ideal acne global grading scale (AGGS).
This study evaluated current AGGSs against consensus criteria previously identified as necessary.
AGGSs were identified by systematic literature search and then evaluated independently by 4 raters against criteria (components and subcomponents; features and subfeatures) identified as essential.
Eighteen AGGSs fulfilled selection criteria. Three scored 1 full SD above the mean for categorical scores. We also identified highest-ranked AGGSs for subcategory scores.
Only English-language scales were selected. Efficiency and acceptance were not evaluable.
Although no singular scale fulfilled all essential criteria, this study did identify highly ranked AGGSs. Incorporation and rationalization of their components and features should facilitate development of an ideal standard.
痤疮研究受到缺乏普遍、一致应用的严重程度分级标准的阻碍。痤疮专家最近确定了 4 个基本的临床组成部分和 2 个理想痤疮全球分级量表 (AGGS) 的特征。
本研究评估了现有的 AGGS 与之前确定为必要的共识标准的一致性。
通过系统文献检索确定 AGGS，然后由 4 名评分者独立根据被确定为必要的标准（组成部分和子成分；特征和子特征）进行评估。
18 种 AGGS 符合选择标准。3 种在分类评分中得分比平均值高出 1 个标准差。我们还确定了子类别评分的排名最高的 AGGS。
仅选择了英语量表。效率和可接受性不可评估。
尽管没有单一的量表完全满足所有的基本标准，但本研究确实确定了排名较高的 AGGS。纳入和合理化其组成部分和特征应有助于制定理想的标准。
