scholarly journals ASSESSMENT OF DERMATOLOGICAL LIFE QUALITY INDEX AND CARDIFF ACNE DISABILITY INDEX IN PATIENTS ATTENDING OUR COLLEGE OPD

2020 ◽  
pp. 1-2
Author(s):  
Arshi Farista* ◽  
Sowmya Manangi

Background:Acne vulgaris is known to impair many aspects of quality of life. Acne is a common problem in adolescent children and adults. Aims: Astudy was undertaken to measure the impairment of quality of life of patients of acne vulgaris and correlate it with the severity of lesions. This study was aimed to assess the impact of acne and its sequelae on the DQLI and CADI Materials and methods: This was a hospital based prospective study done between September 2018 to march 2019 on 170 patients coming to our college opd. Acne vulgaris and its sequelae were graded using global acne grading system. The DLQI and CADI score were recorded by giving the patients a set of questionnaire. General use of cosmetics and other history related to diet and habits were noted. Results: the over all CADI SCORE were low indicating a mild impairement. Out of 170 patients 110 were girls and 60 were boys. Almost 95% patients had applied fair and lovely. The severity of acne progressively lessened in older patients. Mean DLQI score was 5.3. DQLI score were statistically inuenced by the age of the patient , duration of andgrade of acne , acne scars and post hyperpigmentation. Conclusion: the study showed CADI SCORE AND DLQI were low indicating mild imapirement. Assurance and counseling along with early treatment of acne vulgaris are important to reduce disease-related psychosocial sequelae and increase the efcacy of treatment.

2012 ◽  
Vol 87 (6) ◽  
pp. 862-869 ◽  
Author(s):  
Eleni Tasoula ◽  
Stamatis Gregoriou ◽  
John Chalikias ◽  
Dimitris Lazarou ◽  
Ifigenia Danopoulou ◽  
...  

BACKGROUND: Acne vulgaris can severely affect social and psychological functioning. OBJECTIVE: The aim of this study was to investigate the impact of acne vulgaris and its severity on Quality of Life of young adolescents in Greece. METHODS: We conducted a questionnaire based survey among 1560 adolescent between the ages of 11 and 19 years old and 1531 of these were completed. Adolescents with acne filled all the questions including the Children Dermatology Life Quality Index. Adolescents without acne filled the questions about age, family history of acne, stress and smoking. Data were analyzed with Pearson Chi Square test. RESULTS: Acne prevalence was 51.2% affecting both sexes equally. Self reported mild acne was present in 71.2% and moderate-severe acne in 28.8% of the study population. The mean age of the study population was 15.77y. The median score of Children Dermatology Life Quality Index was 4.02. The impact of acne on quality of life is associated with the severity of the acne (p<0.0001). Patients with moderate/severe acne experience greater psychosocial and emotional impairment (p<0.0001). Body image is modified proportionally to the severity of acne (p<0.0001). Symptoms and treatment of acne are factors that also influence their quality of life. Girls and boys are equally affected. Stress and heredity are correlated with acne and its severity (p<0.0001). We didn't find any correlation between smoking and acne. CONCLUSION: Acne affects Quality of Life of young adolescents in Greece. The impact is proportional to the severity of acne. More severe acne is associated with greater effect on quality of life with implications for self esteem, body image and relationships with others.


2015 ◽  
Vol 19 (6) ◽  
pp. 546-554 ◽  
Author(s):  
K. Heelan ◽  
S. L. Hitzig ◽  
S. Knowles ◽  
A. M. Drucker ◽  
N. Mittmann ◽  
...  

Background: Little is known about quality of life and work productivity in autoimmune bullous dermatoses (AIBDs). Objective: To determine the impact of AIBDs on quality of life and work productivity. Methods: An observational cross-sectional study took place between February and May 2013 at an AIBD tertiary referral centre. Ninety-four patients were included. All participants completed the Dermatology Life Quality Index and the Work Productivity and Activity Impairment–Specific Health Problem questionnaires. Results: Responders to treatment had less impairment ( P < .001) than nonresponders. Patients with severe AIBD had significantly more impairment that those with mild ( P < .001) and moderate ( P = .002) AIBD. Greater impairment was associated with higher percentage of work missed. Those with a higher Dermatology Life Quality Index score had greater work impairment and overall activity impairment ( P = .041, P = .024). Nonresponders had increased impairment while working ( P < .001), overall work impairment ( P < .001), and activity impairment ( P < .001). Severely affected patients had worse impairment in all Work Productivity and Activity Impairment Questionnaire domains. Conclusions: AIBD has the potential to be a large burden on ability to work and quality of life. Larger studies are needed to clarify how these domains change over time and whether or not they improve with treatment.


2014 ◽  
Vol 18 (3 (71)) ◽  
Author(s):  
N. O. Voloshyna

Abstract. Preliminary few studies indicate that age, gender and duration of acne vulgaris (acne) affect the quality of life of these patients.Objective - to assess the impact of the duration and severity of acne on quality of life of patients in gender, age and professional aspects in connection with the treatment.Material and methods: 98 patients with acne aged 18-29 years, among whom 36 were males (36,73 %), and 62 (63,26 %) females have been examined. The assessment of acne severity classification was carried out according to the classification of the American Academy of Dermatology, while the quality of their life was assessed by means of SF- 36 questionnaire.Results. Mild acne was found in 6 (6,12 %) patients, moderate one in 72 (73,47 %), severe one in 20 (20,41 %) cases. It was established that clinically significant severity of acne was more common in younger male patients (22 years). However, a greater impact on quality of life was found in female patients, older than 22 years, with professions associated with being among a large group of people and in case of long course (more than 4-5 years) of dermatosis. Mild acne had little impact on quality of life.Standard complex acne treatment during two months significantly improved quality of life indicators of patients with moderate degree of acne and most of the indicators in those with severe disease, which, however, didn’t reach the indicators in the people of the control group, and it shows the necessity to improve the programme of treating and preventive measures concerning such patients.Conclusion: Patients with acne have significant changes in life quality, depending on their gender, age and professional peculiarities as well as on the severity of dermatosis course. Determining the indicators of life quality by means of SF-36 questionnaire is an important aspect of the patient’s physical and psychiatric health assessment as well as a reliable criterion of their treatment efficacy.


2020 ◽  
Vol 10 (2) ◽  
pp. 6-10
Author(s):  
Sujata Bhandari ◽  
Gulam Muhammad Khan

Introduction: Skin is the outer covering of the body and thus it is exposed to injury by various extrinsic factors such as environmental, chemical, infectious agents as well as intrinsic factors such as metabolic, genetic and immunological. Considering the fact that these are the major contributors of disease burden in society, this study was conducted to assess the impact of dermatological conditions on quality of life by using dermatological life quality index (DLQI). Methods: A prospective observational study was conducted in the outpatient department of Green Pastures Hospital of Pokhara, Nepal. The validated dermatology Life Quality Index questionnaires were assessed to analyze the result. Results: A total of 246 patients (135 females and 111 males) were enrolled. The skin diseases were seen mostly in the age group of 19-29 (39.4%). The major skin disease seen in the study were Tinea skin infections (21.1%), Urticaria (11.8%), Eczema (11.1%), Dermatitis (10.6%) followed by Acne (8.1%) and so on.The quality of life of patients had improved after taking the medication. Conclusion: Demographic variants did not have significanteffect on quality of life. However, the study showed that there was a notable improvement in quality of life of patients after follow-up visit in comparison to the first visit. Therefore, the proper use of medication showed the positive impact on quality of life among the patient of skin diseases. 


2020 ◽  
Vol 8 (2) ◽  
pp. 77-83
Author(s):  
Alvin Sachio ◽  
Vera Madonna Lumban Toruan ◽  
Yuniati

Background: Quality of life is an individual's perception of his life in the context of culture and values ​​in a place of residence with the relationship of goals, expectations, standards and concerns. Acne is a problem that can have an impact on a person's quality of life because of the shame felt by sufferers. Purpose : To describe the relationship between severity degree of acne vulgaris with quality of life using the Dermatology Life Quality Index assessment. Methods : This research is an analytical observational research with cross sectional method and the sampling was chosen by purposive sampling. The sample size of this study was 60 respondents, assessing quality of life using the DLQI questionnaire instrument. Result : Statistical test data indicate that there is no relationship between the severity degree of acne vulgaris with quality of life (p = 0,101). Conclusion : There is no correlation between the severity of acne vulgaris with quality of life using the Dermatology Life Quality Index (DLQI) assessment.


2021 ◽  
pp. 158-171
Author(s):  
Claudia Neumeister ◽  
Rolf-Hasso Bödeker ◽  
Ulrich Schwantes ◽  
Claudia Borelli

<b><i>Introduction:</i></b> Daily parallel application of adapalene and nadifloxacin has been determined to be effective and well tolerated in patients with acne vulgaris in randomized, controlled clinical studies. Here, the authors report the results from a large, prospective, uncontrolled, multicentric, noninterventional study under real-life conditions in Germany. The effect of treatment on acne severity, safety, and, for the first time, health-related quality of life (HRQoL) was investigated. <b><i>Methods:</i></b> Of the 292 patients (safety collective: 231 adults, 61 adolescents) who had at least grade 4 acne vulgaris on the face as per the Leeds Revised Acne Grading (LRAG), 273 (efficacy collective: 213 adults, 60 adolescents) were treated with adapalene 0.1% cream or gel and nadifloxacin 1% cream for the defined minimum of 28 days. Patients were evaluated for acne severity, acne-related facial symptoms, HRQoL, overall assessment of therapy, and safety. <b><i>Results:</i></b> After the median treatment duration of 37 and 38 days (adults and adolescents, respectively), 93.4% and 85.0% of adults and adolescents, respectively, exhibited a sustained decrease in acne severity. The LRAG decreased by at least 3 scores in 29.1% and 24.6% of female and male adults, respectively. HRQoL improved in 67.9% and 63.5% of adults and adolescents, respectively (median improvement in the Dermatology Life Quality Index scores per patient of 3.0 [female adults], 1.0 [male adults], and 2.0 for all adolescents in the Children’s Dermatology Life Quality Index). Female adults were more impaired in terms of HRQoL compared to male adults. The 2 best overall efficacy ratings were provided by physicians in 79.3% and 69.5% and by patients in 68.5% and 58.3% of adult and adolescent cases, respectively. The treatment was well tolerated, as reflected in the low number of 9 mild adverse events (AEs), all of which resolved without treatment. However, 4 patients terminated the study prematurely due to AEs. <b><i>Conclusion:</i></b> In this study, the parallel use of adapalene and nadifloxacin for at least 5 weeks resulted in a rapid improvement in acne severity, an increase in HRQoL, and a good safety profile. Therefore, it represents a promising treatment option that offers the possibility of flexible therapy adjustment.


2020 ◽  
Author(s):  
Anna Poghosyan ◽  
Rafik G. Shahparonyan ◽  
Armen M. Minasyan ◽  
Aren Yu. Bablumyan ◽  
Irina E. Malkhasyan ◽  
...  

Abstract Background: Tracheostomy is one of the more commonly performed procedures in critically ill patients. Postoperative scarring is one of the bothersome sequelae of tracheostomies. Scars distorted the physical appearance, especially when found on the head and neck, which could cause a negative impact on quality of life. The aim of this study was to evaluate and assess the impact on quality of life of post-tracheostomy`s scars, depending on the method of tracheostomy.Methods: The prospective, single-center observational study was conducted. One hundred and fifty-six persons with more than four months of post-tracheostomy surgical scars presence were observed using the Patient and Observer Scar Assessment Scale and Dermatology Life Quality index questionnaire. Persons were divided on two groups depending on method of performed tracheostomy, and duration of cannulated period was considered in both groups. Statistical analyses were performed by using SPSS ver. 16.0 (SPSS Inc., Chicago, IL, USA) and p-values of <0.05 were considered significant.Results: The patients who had a tracheostomic tube cannulation period of less than 15 days had better cosmetic results than those who had tracheostomic tubes for more than 15 days, regardless of the method of tracheostomy 6.64± 0.082 vs. 16.15± 0.096 (p<0.05) in surgical tracheostomy group and 7.26± 0.211 vs.14.17± 0.379 (p<00.05) in percutaneous dilatational group. The Dermatology Life Quality index scores have shown a mean value of 0.6 ±0.013, which means that post-tracheostomy scarring in the presented study, had no effect on the person's quality of life.Conclusions: Aesthetic outcomes of post-tracheostomy`s scars after the open surgical tracheostomy technique, performed using a minimally invasive approach, did not statistically differ from those of the percutaneous dilatational technique. Persons with a long duration of tracheostomic tube ventilation showed worse aesthetic outcomes compared with short-term tracheostomic cannulation, not dependent on the tracheostomy performing technique.The Dermatology Life Quality index have shown that post-tracheostomy`s scarring in the presented study had no effect on the person's quality of life.Trial registration: ISRCTN24668317 (IRB no.YSMU №7/18-19). Date of registration 23/04/2019


2012 ◽  
Vol 87 (5) ◽  
pp. 717-723 ◽  
Author(s):  
Cláudia Soïdo Falcão do Amaral ◽  
Maria de Fátima Bazhuni Pombo March ◽  
Clemax Couto Sant'Anna

BACKGROUND: Atopic Dermatitis is a disease which has increased during the past years despite our improved understanding of it. OBJECTIVE: To assess the impact of Atopic Dermatitis in the quality of life of children and teenagers and their family. METHOD: A descriptive cross-sectional method with prospective data collection of 50 children and teenagers diagnosed with Atopic Dermatitis ranging in age from 5-16 years. Fifty parents and/or guardians answered the quality of life questionnaires The Children's Dermatology Life Quality Index and Family Dermatitis Impact Questionnaire. The socio-demographic and clinical variables were evaluated by a clinical record chart designed specifically for the research and socioeconomic standardized questionnaire by the Brazilian Association of Research Enterprises, which evaluates assets acquired and the educational level of the head of the household. RESULTS: Thirty-five out of the 50 patients were female (70%), and 28 (56%) of them were from social class C. The Questionnaire Children's Dermatology Life Quality Index showed that 19 (38%) patients ranged from 7 to 12 points (moderate impact of atopic dermatitis) and 17 patients (34%) ranged from 13 to 30 points (high impact of atopic dermatitis). The Family Dermatitis Impact Questionnaire revealed that 15 (30%) families had scores between 7 and 12 points and 22 families (44%) scored between 13 and 30 points. CONCLUSION: The results show that there is a very high impact on the QoL for atopic dermatitis patients and their families. This makes us suggest the importance of including the quality of life study in clinical evaluations.


2021 ◽  
Vol 8 (22) ◽  
pp. 1846-1851
Author(s):  
Nirmalya Kumar Das ◽  
Subhra Samujjwal Basu ◽  
Atish Haldar

BACKGROUND Acne vulgaris is a common disease mostly affecting the adolescents. The lesions can be distributed over the sebaceous rich areas of the body like face, chest, back and upper arm. The commonest location is face. Face is psychologically the most important part of the body. So, the presence of lesions on the face can have significant effects on the quality of life of the patients. The purpose of this study was to assess the effect on the quality of life (QOL) of the patients who have acne vulgaris on their face. Along with that this study was planned to assess as to whether the effect on QOL is related to two demographic factors - age & gender and two clinical factors - duration of disease and grade of acne vulgaris. METHODS 81 patients having acne vulgaris on their face who attended the Dermatology OPD were assessed using the Dermatology Life Quality Index (DLQI) questionnaire. RESULTS Acne vulgaris of the face had significant adverse effect on the QOL of the affected patients. DLQI score was found to be more with increase in age of the patients. There was no significant association between DLQI score & gender. The clinical factors, duration of disease and the grade of acne vulgaris had statistically significant positive correlation with DLQI score. CONCLUSIONS Acne vulgaris had an adverse effect on the QOL of the patients. QOL was more affected with increase in age of the patients. Duration of the lesions and grade of acne vulgaris had a positive correlation with the effect on the QOL of the patients. The lesions can be controlled with treatment. Proper counselling is also very important. KEYWORDS Acne Vulgaris, Quality of Life (QOL), Dermatology Life Quality Index (DLQI)


2013 ◽  
Author(s):  
Ελένη Τασούλα

Aim: Acne vulgaris can severely affect social and psychological functioning. The aim of this study was to investigate the impact of acne vulgaris and its severity on Quality of Life (QoL) of young adolescents in Greece.Methods: We conducted a questionnaire based survey among 1560 adolescent between the ages of 11 and 19 years old and 1531 of these were completed. Adolescents with acne filled all the questions including the Children Dermatology Life Quality Index (CDLQI). Adolescents without acne filled the questions about age, family history of acne, stress and smoking. Data were analyzed with Pearson Chi Square test.Results: Acne prevalence was 51, 2% affecting equally both sexes. Self reported mild acne was present in 71, 2% and moderate-severe acne in 28, 8% of the study population. The mean age of the study population was 15, 77y. The median score of CDLQI was 4,02. The impact of acne on quality of life is associated with the severity of acne (p<0,0001). Patients with moderate/severe acne experience greater psychosocial and emotional impairment. (p<0,0001). Body image is modified proportionally to the severity of acne (p<0,0001). Symptoms and treatment of acne are factors that also influence their quality of life. Girls and boys are equally affected. Stress and heredity are correlated with acne and its severity (p<0,0001). We didn’t find any correlation between smoking and acne. Conclusion: Acne affects Quality of Life of young adolescents in Greece. The impact is proportional to the severity of acne. More severe acne is associated with greater effect on quality of life with implications for self esteem, body image and relationships with others.


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