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http://hdl.handle.net/2445/124260
Title: | A Novel Actinic Keratosis Field Assessment Scale For Grading Actinic Keratosis Disease Severity |
Author: | Dreno, Brigitte Cerio, Rino Dirschka, Thomas Figueras Nart, Ignasi Lear, John T. Peris, Ketty Ruiz de Casas, Andrés Kaleci, Shaniko Pellacani, Giovanni Progressing Evidence in AK (PEAK) Working Group |
Keywords: | Tumors Malalties de la pell Skin diseases |
Issue Date: | 1-Oct-2017 |
Publisher: | Acta Dermato-Venereologica |
Abstract: | Actinic keratosis (AK) lesions are surrounded by field cancerization (areas of subclinical, non-visible sun damage). Existing AK grading tools rely on AK counts, which are not reproducible. An Actinic Keratosis Field Assessment Scale (AK-FAS) for grading the severity of AK/field was developed. Standardized photographs of patients representing the full range of AK severity were collected. Six investigators independently rated each photograph according to 3 criteria: AK area (total skin area affected by AK lesions), hyperkeratosis and sun damage. Inter-rater reproducibility was good for all 3 criteria. Validation of the AK-FAS showed good reproducibility for AK area and hyperkeratosis, even for dermatologists untrained on use of the scale. In conclusion, the AK-FAS is objective, easy to use and implement, and reproducible. It incorporates assessment of the entire field affected by AK instead of relying on lesion counts. Use of the AK-FAS may standardize AK diagnosis, making it relevant to routine clinical practice. |
Note: | Reproducció del document publicat a: https://doi.org/10.2340/00015555-2710 |
It is part of: | Acta Dermato-Venereologica, 2017, vol. 97, num. 9, p. 1108-1113 |
URI: | http://hdl.handle.net/2445/124260 |
Related resource: | https://doi.org/10.2340/00015555-2710 |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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