{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T17:41:49Z","timestamp":1773769309703,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,27]],"date-time":"2024-10-27T00:00:00Z","timestamp":1729987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,10,27]],"date-time":"2024-10-27T00:00:00Z","timestamp":1729987200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Telangiectasia is a prominent feature of rosacea leading to a high demand for effective treatment. To ensure consistent clinical and scientific evaluations and assess treatment response accurately, standardized assessment tools are necessary for grading the severity of telangiectasia. However, no validated grading scales for this condition are currently available.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To develop and validate a photonumeric scale for assessing the severity of telangiectasia in rosacea patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The five\u2010point photonumeric Telangiectasia in Rosacea Severity Assessment (TRoSA) scale was developed for the severity of telangiectasia in rosacea. Sixteen experts participated in the validation process, evaluating 50 images of rosacea patients in two rounds. Interrater and intrarater reliability were analyzed using the intraclass correlation coefficient (ICC) and weighted kappa, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Interrater reliability was found to be \u201calmost perfect\u201d in both validation rounds (Round 1: ICC 0.847; Round 2: ICC 0.828). The mean weighted kappa indicated \u201csubstantial\u201d intrarater reliability between the two rounds with a weighted kappa of 0.719. A bubble plot of the two rounds illustrated a diagonal order, confirming the consistency of the intrarater agreement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The TRoSA scale demonstrated high interrater and intrarater reliability indicating that it is a consistent and reproducible tool for grading the severity of telangiectasia in rosacea. This scale can standardize clinical assessments, assisting in diagnosis, treatment planning, and evaluation of therapeutic efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocd.16593","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:59:05Z","timestamp":1730077145000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Validation of a Photonumeric Scale for Evaluation of Telangiectasia in Rosacea"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1258-6390","authenticated-orcid":false,"given":"Lynhda","family":"Nguyen","sequence":"first","affiliation":[{"name":"Laser Department, Department of Dermatology and Venereology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaus","family":"Seeber","sequence":"additional","affiliation":[{"name":"Joint Practice for Dermatology Dres. Peter\/Seeber\/Altheide  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens M.","family":"Baron","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergology University Hospital RWTH Aachen  Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Hammes","sequence":"additional","affiliation":[{"name":"Department for Oral and Maxillofacial Surgery\/Plastic Surgery University of Greifswald  Greifswald Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syrus","family":"Karsai","sequence":"additional","affiliation":[{"name":"Private Practices Dermatologikum Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanja C.","family":"Fischer","sequence":"additional","affiliation":[{"name":"Skin and Laser Center  Potsdam Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurence","family":"Imhof","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerd","family":"Kautz","sequence":"additional","affiliation":[{"name":"Skin and Laser Clinic Dr. Kautz  Konz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonja","family":"Sattler","sequence":"additional","affiliation":[{"name":"Rosenpark\u2010Klinik  Darmstadt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Deussing","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy, University Hospital LMU Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathy","family":"Dierckxsens","sequence":"additional","affiliation":[{"name":"Amelio Clinic  Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Thiem","sequence":"additional","affiliation":[{"name":"Clinic and Policlinic for Dermatology and Venereology University Medical Center Rostock  Rostock Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zacharias","family":"Drosos","sequence":"additional","affiliation":[{"name":"Private Practices Dermatologikum Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Grosse\u2010Buening","sequence":"additional","affiliation":[{"name":"Laserdermatology Portugal  Charneca de Caparica Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nomun","family":"Ganjuur","sequence":"additional","affiliation":[{"name":"Joint Practice at Harburger Ring  Hamburg 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