How Much Do We Know about Maintaining Treatment Response after Successful Acne Therapy? Systematic Review on the Efficacy and Safety of Acne Maintenance Therapy

Dressler, Corinna; Rosumeck, Stefanie; Nast, Alexander

doi:10.1159/000446069

Cited by 8 publications

(8 citation statements)

References 12 publications

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“…[17,[22][23][24][25][26] PIH has been rated as the most troublesome sequela experienced by black patients following inflammatory acne, in contrast to white patients, among whom scarring is more common. [7,23,[27][28][29]…”

Section: Discussionmentioning

confidence: 99%

Acne in South African black adults: A retrospective study in the private sector

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Acne in South African black adults: A retrospective study in the private sector

et al. 2017

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“…To date, most research exploring prescribing patterns in acne and adherence to acne treatments has been quantitative . Qualitative research would be helpful in exploring perceptions of treatments and reasons for nonadherence but qualitative research on acne has focused mainly on the following: psychological impact, psychosocial impact, experiences of living with acne, causes of acne, sexual life and acne, ambivalence and ambiguity in young people's experience of acne, complementary and alternative medicines for acne and patients’ relationships with their doctors .…”

mentioning

confidence: 99%

Young people's perceptions of acne and acne treatments: secondary analysis of qualitative interview data

Müller

Geraghty

et al. 2019

Br J Dermatol

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Summary Background Acne vulgaris is a common skin condition affecting approximately 95% of adolescents to some extent. First‐line treatments are topical preparations but nonadherence is common. A substantial proportion of patients take long courses of oral antibiotics, associated with antibiotic resistance. Objectives This study aimed to explore young people's views and experiences of acne and its treatments. Methods We report a secondary thematic analysis of interview data collected by researchers in the Health Experiences Research Group (HERG), University of Oxford. A total of 25 transcripts from young people aged 13–24 years with acne were included. Results Acne is often perceived as a short‐term self‐limiting condition of adolescence and this appears to have implications for seeking treatment or advice. Participants widely perceived topical treatments as being ineffective, which seemed related to unrealistic expectations around speed of onset of action. Many participants felt they had tried all available topical treatments, although were unsure what was in them or unaware of differences between cosmetic and pharmaceutical treatments. They had concerns around how to use topicals ‘properly’ and how to avoid side‐effects. They were also concerned about the side‐effects or necessity of oral treatments, although few seemed aware of antibiotic resistance. Conclusions People with acne need support to manage their condition effectively, particularly a better understanding of different topicals, how to use them and how to avoid side‐effects. Unrealistic expectations about the onset of action of treatments appears to be a common cause of frustration and nonadherence. Directing people towards accessible evidence‐based information is crucial. What's already known about this topic? There is a common perception that acne is a short‐term condition that will resolve without treatment. Previous research has shown that nonadherence to topical treatments is common and that oral antibiotics are the most commonly prescribed treatment for acne in the U.K. Further research is needed to understand how young people perceive acne treatments and the implications of this for treatment adherence and self‐management. What does this study add? People often said they had tried all available topical preparations for acne, but seemed confused between cosmetic and pharmaceutical treatments. People seemed unsure how to use topical treatments ‘properly’ or how to avoid side‐effects. This was rarely discussed with health professionals. People's perception of acne as a short‐term condition appeared to influence their expectations around onset of action of treatment and their views about its effectiveness and necessity. What are the clinical implications of the work? The perception of acne as a short‐term condition has implications for self‐management and motivation to seek and adhere to treatments. Providing advice about onset of action of treatments and how to prevent side‐effects is crucial, including directing people towards acc...

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“…The dEBM team conducted an independent systematic review on acne maintenance treatment defined as ‘maintenance is the treatment period that follows a successful induction therapy at the end of which patients had achieved a pre‐defined treatment goal’. The results were published separately and taken into consideration for the guideline.…”

Section: Reviewsmentioning

confidence: 99%