{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T07:21:38Z","timestamp":1758784898776,"version":"3.44.0"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"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":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Facial redness is a common concern in dermatology, affecting patients with conditions such as rosacea, post\u2010inflammatory erythema, and other vascular irregularities. Despite its prevalence, existing tools for quantifying facial redness are limited in their clinical utility and ease of use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To develop a high\u2010performing redness scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study introduces the Kesty Redness Scale (<jats:styled-content style=\"fixed-case\">KRS)<\/jats:styled-content>, outlines its development and validation process, and discusses its potential clinical applications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The investigators rated the scale as useful and easy to use, and the majority stated they would use it in clinical practice to document patient characteristics. The results of the evaluation utilizing Gwet's <jats:styled-content style=\"fixed-case\">AC2<\/jats:styled-content>, Kendall's W, Spearman's \u03c1, Weighted Cohen's kappa, and Bland\u2013Altman analysis \u2014showcasing strong ordinal agreement, robust rank concordance, and negligible bias\u2014demonstrate that this new rating system is both reliable and valid for measuring skin hyperpigmentation on a 0\u20133 scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The KRS is a reliable, easy\u2010to\u2010use tool that enhances the assessment of facial redness in dermatology. Its validation through expert evaluation and statistical analysis underscores its potential to improve clinical practice and research.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.70039","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T09:33:41Z","timestamp":1743500021000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Kesty Redness Scale: A Pilot Validation Study for a Novel Tool for Evaluating Facial Redness in Cosmetic and Clinical Dermatology"],"prefix":"10.1111","volume":"24","author":[{"given":"Chelsea E.","family":"Kesty","sequence":"first","affiliation":[{"name":"St. Petersburg Skin and Laser  St. Petersburg Florida USA"},{"name":"Kesty AI  St. Petersburg Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarina R.","family":"Kesty","sequence":"additional","affiliation":[{"name":"St. Petersburg Skin and Laser  St. Petersburg Florida USA"},{"name":"Kesty AI  St. Petersburg Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10103\u2010022\u201003620\u20101"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2023.02.004"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.14729"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.14816"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/phpp.12921"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2014.05.044"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1684\/ejd.2013.1931"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/srt.12376"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/srt.12878"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.17462"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2015.02.1121"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2004.04.013"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.18151"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.70039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T06:38:05Z","timestamp":1758782285000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.70039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/jocd.70039"],"URL":"https:\/\/doi.org\/10.1111\/jocd.70039","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"type":"print","value":"1473-2130"},{"type":"electronic","value":"1473-2165"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2024-12-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70039"}}