JAAD International (Sep 2023)

The Personalized Acne Treatment Tool — Recommendations to facilitate a patient-centered approach to acne management from the Personalizing Acne: Consensus of ExpertsCapsule Summary

  • Alison M. Layton, MB ChB,
  • Andrew Alexis, MD, MPH,
  • Hilary Baldwin, MD,
  • Vincenzo Bettoli, MD,
  • James Del Rosso, DO,
  • Thomas Dirschka, MD,
  • Brigitte Dréno, MD, PhD,
  • Linda Stein Gold, MD,
  • Julie Harper, MD,
  • Joo Yeon Ko, MD, PhD,
  • Khaled Al Nuaimi, MD,
  • Hazel H. Oon, MD,
  • Murlidhar Rajagopalan, MD, MBBS,
  • Marco Rocha, MD, PhD,
  • Jo-Ann See, MBBS,
  • Jonathan Weiss, MD,
  • Jerry Tan, MD

Journal volume & issue
Vol. 12
pp. 60 – 69

Abstract

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Background: 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. Objectives: 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. Methods: 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.” Results: 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. Limitations: Recommendations are based on expert opinion, which may differ from patients’ perspectives. Regional variations in healthcare systems may not be represented. Conclusions: 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.

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