Layton Alison M, Alexis Andrew, Baldwin Hilary, Bettoli Vincenzo, Del Rosso James, Dirschka Thomas, Dréno Brigitte, Gold Linda Stein, Harper Julie, Ko Joo Yeon, Al Nuaimi Khaled, Oon Hazel H, Rajagopalan Murlidhar, Rocha Marco, See Jo-Ann, Weiss Jonathan, Tan Jerry
Skin Research Centre, York University, York, UK.
Harrogate and District NHS Foundation Trust, Harrogate, UK.
JAAD Int. 2023 Apr 26;12:60-69. doi: 10.1016/j.jdin.2023.03.013. eCollection 2023 Sep.
Acne, a commonly treated skin disease, requires patient-centered management due to its varying presentations, chronicity, and impact on health-related quality of life. Despite this, evidence-based clinical guidelines focus primarily on clinical severity of facial acne, omitting important patient- and disease-related factors, including ongoing management.
To generate recommendations to support patient-centered acne management, which incorporate priority and prognostic factors beyond conventional clinical severity, traditionally defined by grading the appearance and extent of visible lesions.
The Personalizing Acne: Consensus of Experts consisted of 17 dermatologists who used a modified Delphi approach to reach consensus on statements regarding patient- and treatment-related factors pertaining to patient-centered acne management. Consensus was defined as ≥75% voting "agree" or "strongly agree."
Recommendations based on factors such as acne sequelae, location of acne, high burden of disease, and individual patient features were generated and incorporated into the Personalized Acne Treatment Tool.
Recommendations are based on expert opinion, which may differ from patients' perspectives. Regional variations in healthcare systems may not be represented.
The Personalizing Acne: Consensus of Experts panel provided practical recommendations to facilitate individualized management of acne, based on patient features, which can be implemented to improve treatment outcomes, adherence, and patient satisfaction.
痤疮是一种常见的可治疗皮肤病，因其表现多样、病程慢性且对健康相关生活质量有影响，需要以患者为中心进行管理。尽管如此，循证临床指南主要关注面部痤疮的临床严重程度，忽略了重要的患者及疾病相关因素，包括持续管理。
生成建议以支持以患者为中心的痤疮管理，纳入传统临床严重程度之外的优先及预后因素，传统上临床严重程度是通过对可见皮损的外观和范围进行分级来定义的。
“痤疮个性化：专家共识”由17名皮肤科医生组成，他们采用改良的德尔菲法就与以患者为中心的痤疮管理相关的患者及治疗相关因素的陈述达成共识。共识定义为≥75%的人投票“同意”或“强烈同意”。
基于痤疮后遗症、痤疮部位、疾病负担重和个体患者特征等因素生成了建议，并纳入了个性化痤疮治疗工具中。
建议基于专家意见，可能与患者观点不同。未体现医疗系统的地区差异。
“痤疮个性化：专家共识”小组基于患者特征提供了实用建议，以促进痤疮的个体化管理，可用于改善治疗效果、依从性和患者满意度。
