{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T08:54:59Z","timestamp":1791276899332,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,9,18]],"date-time":"2016-09-18T00:00:00Z","timestamp":1474156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,9,18]],"date-time":"2016-09-18T00:00:00Z","timestamp":1474156800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Measures of quality of life (\n                      <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>\n                      ) and patient satisfaction are of great importance in dermatology, as both impact upon treatment adherence and health outcomes. Patients\u2019 assessment of\n                      <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>\n                      often differs from their doctors\u2019 predictions and their assessments of skin disease severity do not correlate with patients\u2019 own perceptions. The development of laser technology has facilitated successful treatment of many skin conditions, but studies on patient satisfaction are lacking.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      Our aim was to determine the extent of discordance between patient and dermatologist\u2010assessed disease severity and assess the impact of acne scarring, rosacea and photoaging on\n                      <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>\n                      . Our secondary aim was to assess patient satisfaction with laser therapy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A prospective study of patients undergoing laser treatment for acne scarring, rosacea and photoaging was conducted over 1 year at the Skin &amp; Cancer Foundation Australia. Subjective disease severity was determined using a visual analogue scale (\n                      <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>\n                      ). Two dermatologists determined objective severity using validated grading scales to score photographs.\n                      <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>\n                      impact was measured by Skindex\u201016, satisfaction was measured using an amended Comprehensive Satisfaction Questionnaire (\n                      <jats:styled-content style=\"fixed-case\">PSQ<\/jats:styled-content>\n                      \u201018).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 147 individuals sought laser therapy for acne scarring, rosacea and photoaging. Dermatologists\u2019 subjective disease severity correlated weakly with patient\u2010reported severity. All conditions negatively impacted upon\n                      <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>\n                      . Patients with rosacea had the most symptomatic impact; acne scarring was associated with the greatest self\u2010esteem and social functioning issues; photoaging patients were the least affected. There were significant correlations between subjective severity assessment and Skindex\u201016 scores. There was notable discordance between dermatologist's skin severity assessment and patient's self\u2010reported\n                      <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>\n                      impact.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Skin conditions can have a profound impact on patient\n                      <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>\n                      , which is affected by patients\u2019 perception of disease severity and not fully appreciated by dermatologists\u2019 own severity assessments. Laser therapy is associated with high patient satisfaction.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jdv.13945","type":"journal-article","created":{"date-parts":[[2016,9,18]],"date-time":"2016-09-18T23:02:58Z","timestamp":1474239778000},"page":"361-366","source":"Crossref","is-referenced-by-count":21,"title":["Objective severity does not capture the impact of rosacea, acne scarring and photoaging in patients seeking laser therapy"],"prefix":"10.1111","volume":"31","author":[{"given":"C.L.","family":"Thomas","sequence":"first","affiliation":[{"name":"Skin &amp; Cancer Foundation Australia Sydney NSW Australia"},{"name":"The University of Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Kim","sequence":"additional","affiliation":[{"name":"Skin &amp; Cancer Foundation Australia Sydney NSW Australia"},{"name":"The University of Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Lam","sequence":"additional","affiliation":[{"name":"Skin &amp; Cancer Foundation Australia Sydney NSW Australia"},{"name":"The University of Melbourne Melbourne Vic. 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