Journal of Clinical and Aesthetic Dermatology

JUN 2017

An evidence-based, peer-reviewed journal for practicing clinicians in the field of dermatology

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28 JCAD journal of clinical and aesthetic dermatology June 2017 • Volume 10 • Number 6 of prescription treatments, which could be expected to improve satisfaction with treatment. This study is unique in that it obtained a wide range of data from a single, large cohort of adults with rosacea. It should be noted, however, that the results should be interpreted in the context of certain study limitations. This cohort tended to be better educated and had a higher median income than most Americans. In the Current Population Survey conducted by the US Census Bureau in 2015, 58.9 percent of individuals reported having at least some college education 38 ; in the current survey, more than 90 percent reported education beyond a high school diploma. The percentage of individuals with household income below $50,000, between $50,000 and $99,999, and $100,000 or above was 46.8 percent, 28.5 percent, and 24.7 percent, respectively, in the US 2014 Current Population Reports 39 and was 29.5 percent, 34.9 percent, and 29.2 percent in the current study, with 6.5 percent not reporting income. Although the reasons for these differences have not been determined, they could possibly be attributable to selection bias that may have been introduced by the web-based recruitment methodology. 38,40 It is possible that responses in this study may not be comparable to responses collected using paper questionnaires. However, the sociodemographic characteristics of the population were consistent with previously published data on patients with rosacea. 38,40,41 In agreement with these prior studies, this study included survey respondents typically aged in their early 50s who first noticed signs and symptoms of rosacea in their mid- 30s. 41 In the current study, the ETR cohort was predominantly female, while the PPR population was predominantly male, again in line with previously reported observations. 41 Internet-based methodology is attractive because it allows for the rapid collection of data from a large cohort of individuals. This web- based survey allowed for a comprehensive assessment of the overall burden of illness for those with ETR and PPR. However, one limitation to this approach is the reliance on self-reported data. While of value, participant assessments may differ from those of experienced medical professionals involved in clinical studies. This may be particularly Figure 4B. Scenarios in which participants used oral prescription agents for the management of rosacea. ETR=erythematotelangiectatic rosacea; PPR=papulopustular rosacea O R I G I N A L R E S E A R C h

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