Yu Ruixing, Chen Miao, Zhao Huijuan, Yang Jungang, Li Tong, Cui Yong
Department of Dermatology, China-Japan Friendship Hospital, Beijing, People's Republic of China.
Department of Dermatology, Zhuozhou City Hospital, Zhuozhou, Hebei, People's Republic of China.
Clin Cosmet Investig Dermatol. 2023 Jan 23;16:203-210. doi: 10.2147/CCID.S400226. eCollection 2023.
Acne vulgaris is one of the most prevalent skin disorders. The treatment regimen depends on how severe the AV is. The acne grading system is crucial for clinical and research work. The aim of this work was to evaluate intra-grader differences between 5 investigators using Acne Grading System (AGS), the International Improved Grading System (IIGS), the Korean Acne Grading System (KAGS), and the Japanese Acne Grading System (JAGS) to assess acne vulgaris (AV) severity.
AV sufferers from dermatological clinics of five hospitals in China were the subject of a prospective cross-sectional study. AGS, IIGS, KAGS and JAGS were utilized by 5 investigators to verify the severity of AV. The correlation between AGS, IIGS, KAGS and JAGS was examined.
A complete of 1107 AV sufferers were enrolled in the study. There were indications that the AGS, IIGS, KAGS and JAGS had sufficient internal consistency. As for the reliability amongst raters, AGS, IIGS, KAGS and JAGS confirmed gorgeous reliability. There were strong correlations amongst AGS, IIGS, KAGS and JAGS (P≤0.01). The interior reliability of investigator 1 one year ago and later after usage of AGS and IIGS was excellent (P≤0.01).
IIGS and AGS exhibited great correlation with KAGS and JAGS and were highly reliable.
寻常痤疮是最常见的皮肤疾病之一。治疗方案取决于寻常痤疮的严重程度。痤疮分级系统对临床和研究工作至关重要。本研究的目的是评估5名研究者使用痤疮分级系统（AGS）、国际改良分级系统（IIGS）、韩国痤疮分级系统（KAGS）和日本痤疮分级系统（JAGS）评估寻常痤疮（AV）严重程度时分级者之间的差异。
来自中国五家医院皮肤科诊所的寻常痤疮患者参与了一项前瞻性横断面研究。5名研究者使用AGS、IIGS、KAGS和JAGS来评估寻常痤疮的严重程度。研究了AGS、IIGS、KAGS和JAGS之间的相关性。
共有1107名寻常痤疮患者纳入本研究。有迹象表明，AGS、IIGS、KAGS和JAGS具有足够的内部一致性。至于评分者之间的可靠性，AGS、IIGS、KAGS和JAGS显示出极好的可靠性。AGS、IIGS、KAGS和JAGS之间存在强相关性（P≤0.01）。研究者1在一年前以及使用AGS和IIGS之后的内部可靠性极佳（P≤0.01）。
IIGS和AGS与KAGS和JAGS表现出高度相关性，且可靠性高。
