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首页> 外文期刊>Annals of Dermatology >Both Educational Lectures and Reference Photographs Are Necessary to Improve the Accuracy and Reliability of Psoriasis Area and Severity Index (PASI) Assessment: Results from Korean Nation-Wide PASI Educational Workshop
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Both Educational Lectures and Reference Photographs Are Necessary to Improve the Accuracy and Reliability of Psoriasis Area and Severity Index (PASI) Assessment: Results from Korean Nation-Wide PASI Educational Workshop

机译：为提高牛皮癣面积的准确性和可靠性以及对严重程度指数（PASI）的评估，有必要提供教育讲座和参考照片：韩国全国性PASI教育研讨会的结果

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Background Accurate assessment of the severity of psoriasis is important in daily practice and clinical studies. However, the assessment of psoriasis area and severity index (PASI) reflects the physician's experience, and thus evaluations by physicians are inherently subjective, with intra-rater and inter-rater variability. Objective To elucidate the effectiveness of PASI educational lectures and the use of reference photographs on the improvement of accuracy and reliability in PASI assessments and to develop effective educational programs for PASI assessments. Methods We performed a before-and-after comparison study during nation-wide PASI educational workshops. The participants were asked to assess the severity components of PASI (erythema, thickness, scale, and affected area) three times: in the test administered before an educational lecture, the test immediately after the lecture, and lastly the test with the use of reference photographs. The improvement of accuracy and reliability was analyzed by comparing the results of three tests. Results Ninety-six board-certified dermatologists and residents participated and 72 participants completed all three tests. The accuracy and reliability of the assessment of severity components of PASI increased significantly after the educational lecture and the use of reference photographs. Use of reference photographs resulted in limited improvements when the recognition of three-dimensional structures was required, such as in the assessment of thickness or scale. Conclusion Our study confirmed that the combination of standardized educational training and reference photographs can improve the accuracy and reliability of PASI assessments. Understanding how to evaluate three-dimensional psoriatic lesions can help with proper assessment of the severity of psoriasis.
机译：背景技术牛皮癣严重程度的准确评估在日常实践和临床研究中很重要。但是，银屑病面积和严重性指数（PASI）的评估反映了医师的经验，因此医师的评估本质上是主观的，且评分者之间和评分者之间存在差异。目的阐明PASI教育讲座的有效性，并使用参考照片提高PASI评估的准确性和可靠性，并制定有效的PASI评估教育计划。方法我们在全国PASI教育研讨会上进行了前后比较研究。要求参与者三遍评估PASI的严重程度成分（红斑，厚度，鳞屑和患处）：在教育讲座之前进行的测试，讲座之后立即进行的测试以及最后使用参考进行的测试照片。通过比较三个测试的结果，分析了准确性和可靠性的提高。结果九十六名经过董事会认证的皮肤科医生和住院医师参加了试验，其中72名受试者完成了所有三项测试。教育讲座和使用参考照片后，PASI严重程度评估的准确性和可靠性显着提高。当需要识别三维结构时，例如在评估厚度或比例时，使用参考照片只能带来有限的改进。结论我们的研究证实，标准化教育培训和参考照片的组合可以提高PASI评估的准确性和可靠性。了解如何评估三维银屑病皮损有助于正确评估牛皮癣的严重程度。

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