{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T17:12:47Z","timestamp":1783185167216,"version":"3.54.6"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T00:00:00Z","timestamp":1717977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>While treatment is a definitive therapeutic component in the management of inflammatory skin conditions, adjunctive skin care comprising of appropriate cleansing, moisturization, and photoprotection are just as important. Cleansing, treatment, moisturization, and photoprotection (CTMP) constitute the four major components of holistic skincare routine for dermatological conditions. However, inadequate patient understanding of the condition, limited resources for physicians, and insufficient time for patient education during busy dermatological consultations are the main obstacles to establishing a holistic skincare routine in the real world.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aimed to identify key challenges in the implementation of a holistic skincare routine, and offer practical guidance to physicians to improve adoption in the management of acne, atopic dermatitis, rosacea, and sensitive skin syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An expert panel comprising of nine dermatologists from Australia, China, Hong Kong, Taiwan, India, Philippines, Singapore, South Korea, and Thailand convened to develop consensus statements to stimulate real\u2010world adoption of holistic skincare routine in acne, rosacea, atopic dermatitis, and sensitive skin syndrome using the Delphi approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Consensus was defined as \u226580% of panel rating statement as \u22658 or median rating of \u22658. The final statements were collated to develop consensus recommendations to encourage adoption of holistic skincare routine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Promoting patient education on the skin condition, training support staff in patient counseling, and offering physician training opportunities are the key strategies to encourage real\u2010world adoption of CTMP as a holistic skincare routine. The consensus recommendations presented here should be considered in all dermatology patients to accomplish the ultimate goals of improved treatment outcomes and patient satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.16396","type":"journal-article","created":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T08:08:36Z","timestamp":1718006916000},"page":"2516-2523","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Challenges and <scp>real\u2010world<\/scp> solutions for adoption of holistic skincare routine (cleansing, treatment, moisturization, and photoprotection) in acne, rosacea, atopic dermatitis, and sensitive skin: An expert consensus"],"prefix":"10.1111","volume":"23","author":[{"given":"Chee\u2010Leok","family":"Goh","sequence":"first","affiliation":[{"name":"National Skin Centre  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Dermatology Peking University First Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Welsh","sequence":"additional","affiliation":[{"name":"Complete Skin Specialists Melbourne  Richmond Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma. Flordeliz","family":"Abad\u2010Casintahan","sequence":"additional","affiliation":[{"name":"Department of Dermatology Jose R. Reyes Memorial Medical Center  Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chung\u2010Jen","family":"Tseng","sequence":"additional","affiliation":[{"name":"Dr Tseng' Dermatological Clinic  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2756-9486","authenticated-orcid":false,"given":"Jaishree","family":"Sharad","sequence":"additional","affiliation":[{"name":"Skinfinitii Aesthetic Skin and Laser Clinic  Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SungKyu","family":"Jung","sequence":"additional","affiliation":[{"name":"Doctors Dermatology Clinic, Jamsil  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pailin","family":"Puangpet","sequence":"additional","affiliation":[{"name":"Institute of Dermatology  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hau Ngai Kingsley","family":"Chan","sequence":"additional","affiliation":[{"name":"The Hospital Authority  Hong Kong, SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khen","family":"Kon","sequence":"additional","affiliation":[{"name":"Department of Medical Affairs Galderma Japan and Asia\u2010Pacific  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,10]]},"reference":[{"issue":"5","key":"e_1_2_12_2_1","first-page":"26","article-title":"Impact of topical vehicles and cutaneous delivery technologies on patient adherence and treatment outcomes in acne and rosacea","volume":"16","author":"Stein Gold L","year":"2023","journal-title":"J Clin Aesthet Dermatol"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.15913"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.15519"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-015-0249-6"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2008.07.039"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-013-0016-x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13497"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.36849\/JDD.6259"},{"issue":"8","key":"e_1_2_12_10_1","first-page":"31","article-title":"A guide to the ingredients and potential benefits of over\u2010the\u2010counter cleansers and moisturizers for rosacea patients","volume":"4","author":"Levin J","year":"2011","journal-title":"J Clin Aesthet Dermatol"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-020-00529-9"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.5021\/ad.2015.27.5.563"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.17242"},{"issue":"12","key":"e_1_2_12_14_1","first-page":"19","article-title":"The role of skin care as an integral component in the management of acne vulgaris: part 1: the importance of cleanser and moisturizer ingredients, design, and product selection","volume":"6","author":"Del Rosso JQ","year":"2013","journal-title":"J Clin Aesthet Dermatol"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2014.03.023"},{"key":"e_1_2_12_16_1","first-page":"9","article-title":"How do disease perception, treatment features, and dermatologist\u2010patient relationship impact on patients assuming topical treatment? 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