Impact of facial and truncal acne on quality of life: A multi-country population-based surveyCapsule Summary

Jerry Tan, MD; Stefan Beissert, MD; Fran Cook-Bolden, MD; Rajeev Chavda, MD; Julie Harper, MD; Adelaide Hebert, MD; Edward Lain, MD, MBA; Alison Layton, MBChB; Marco Rocha, MD, PhD; Jonathan Weiss, MD; Brigitte Dréno, MD, PhD

JAAD International (Jun 2021)

Impact of facial and truncal acne on quality of life: A multi-country population-based surveyCapsule Summary

Jerry Tan, MD,
Stefan Beissert, MD,
Fran Cook-Bolden, MD,
Rajeev Chavda, MD,
Julie Harper, MD,
Adelaide Hebert, MD,
Edward Lain, MD, MBA,
Alison Layton, MBChB,
Marco Rocha, MD, PhD,
Jonathan Weiss, MD,
Brigitte Dréno, MD, PhD

Affiliations

Jerry Tan, MD: Schulich School of Medicine and Dentistry, Western University Canada, Windsor, Ontario, Canada; Correspondence to: Jerry Tan, MD, Schulich School of Medicine and Dentistry, Western University Canada, 2224 Walker Road, Suite 300, Windsor, Ontario N8W 5L7, Canada.
Stefan Beissert, MD: Department of Dermatology, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany
Fran Cook-Bolden, MD: Mount Sinai Department of Dermatology, New York, New York
Rajeev Chavda, MD: Galderma, La Tour-de-Peilz, Switzerland
Julie Harper, MD: The Dermatology and Skin Care Center of Birmingham, Birmingham, Alabama
Adelaide Hebert, MD: The University of Texas Medical School – Houston, Houston, Texas
Edward Lain, MD, MBA: Austin Institute for Clinical Research, Pflugerville, Texas
Alison Layton, MBChB: Hull York Medical School, York University, Heslington, York, United Kingdom
Marco Rocha, MD, PhD: Federal University of São Paulo, São Paulo, Brazil
Jonathan Weiss, MD: Georgia Dermatology Partners (Formerly, Gwinnett Dermatology, PC), Snellville, Georgia
Brigitte Dréno, MD, PhD: Unité Thérapie Cellulaire et Génique, Faculté de Médecine de Nantes, CHU Nantes - Place Alexis Ricordeau, Nantes, France

Journal volume & issue: Vol. 3
pp. 102 – 110

Abstract

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Background: Acne confers an increased risk of physical, psychiatric, and psychosocial sequelae, potentially affecting multiple dimensions of health-related quality of life (HRQoL). Morbidity associated with truncal acne is poorly understood. Objective: To determine how severity and location of acne lesions impact the HRQoL of those who suffer from it. Methods: A total of 694 subjects with combined facial and truncal acne (F+T) and 615 with facial acne only (F) participated in an online, international survey. Participants self-graded the severity of their acne at different anatomical locations and completed the dermatology life quality index (DLQI). Results: The F+T participants were twice as likely to report “very large” to “extremely large” impact on HRQoL (ie, DLQI > 10 and children's DLQI [CDLQI] > 12) as compared with the F participants (DLQI: odds ratio [OR] 1.61 [95% confidence interval {CI} 1.02-2.54]; CDLQI: OR 1.86 [95% CI 1.10-3.14]). The impact of acne on HRQoL increased with increasing acne severity on the face (DLQI and CDLQI P values = .001 and .017, respectively), chest (P = .003; P = .008), and back (P = .001; P = .028). Limitations: Temporal evaluation of acne impact was not estimated. Conclusions: Facial and truncal acne was associated with a greater impact on HRQoL than facial acne alone. Increasing severity of truncal acne increases the adverse impact on HRQoL irrespective of the severity of facial acne.

Published in JAAD International

ISSN: 2666-3287 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Dermatology
Website: https://www.journals.elsevier.com/jaad-international

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