-
The Journal of Dermatological Treatment Dec 2021Ciclosporin (CsA) is a systemic immunosuppressive agent indicated for use in the treatment of patients with recalcitrant atopic dermatitis (AD). Studies demonstrate...
Ciclosporin (CsA) is a systemic immunosuppressive agent indicated for use in the treatment of patients with recalcitrant atopic dermatitis (AD). Studies demonstrate reasonable evidence of benefit compared with placebo. However as biologic agents are under development for use in AD, an assessment of the use, attitude to and safety of CsA is essential in understanding unmet needs in severe AD. We present the results of a survey asking questions relating to initial dose, duration of prescription, precautions and monitoring undertaken during treatment, adverse events seen, and hierarchy of use for systemic agents. This survey was distributed at the annual meeting of the Australasian College of Dermatologists. Twenty-two percent of respondents never prescribe CsA, and 50% prescribe it only 1-2 times per month. When prescribed, the most frequently recommended duration was 6-12 months (24%). Of prescribers, 56% start with a low dose of <3.5 mg/kg daily, and when stratified according to years of experience, a higher proportion of more junior dermatologists commenced with lower doses (=.028). Regarding side effects, 95% of respondents expressed concern about nephrotoxicity, 37% about hypertension, and 17% infection. The results suggest that although most dermatologists consider CsA to be effective, there are concerns regarding the safety profile.
Topics: Attitude; Cyclosporine; Dermatitis, Atopic; Dermatologists; Eczema; Humans
PubMed: 31996056
DOI: 10.1080/09546634.2020.1724251 -
The Journal of Dermatological Treatment Mar 2022Physician-patient gender concordance has been linked to more effective patient communication and preventative care screening in the primary care setting. We sought to...
OBJECTIVES
Physician-patient gender concordance has been linked to more effective patient communication and preventative care screening in the primary care setting. We sought to characterize physician-patient gender concordance among dermatologists based on dermatologist practice setting and characteristics as well as compare these rates to those in other physician specialties.
MATERIALS AND METHODS
Retrospective, cross-sectional review of the 2017 Medicare Physician and Other Supplier Public Use File.
RESULTS
In the Medicare population, the mean gender concordance rates among male (52.7) and female (59.9) dermatologists were greater than the overall prevalence of male (46.7) and female (53.3) dermatology beneficiaries ( < .0001). Female concordance rates were higher among dermatologists with an increased frequency of beneficiary visits (62.0 vs. 54.0, < .0001), while gender concordance rates for male dermatologists were higher than those for all other assessed specialties (52.7 vs. 38.3-46.0, all < .0001).
CONCLUSIONS
Male and female dermatologists experienced high degrees of physician-beneficiary gender concordance across various practice settings in the Medicare population, especially when compared to other specialties. Reasons for the observed gender concordance and potential implications for dermatologic care merit further investigation.
Topics: Aged; Cross-Sectional Studies; Dermatologists; Dermatology; Female; Humans; Male; Medicare; Retrospective Studies; United States
PubMed: 32643459
DOI: 10.1080/09546634.2020.1793894 -
Journal of the American Academy of... Mar 2022
Topics: Dermatologists; Dermatology; Humans; Prisoners; Tattooing
PubMed: 33971255
DOI: 10.1016/j.jaad.2021.05.005 -
Praxis 2019Inflammatory Diseases of the Vulva - a Dermatologist's Point of View Inflammatory vulvar diseases include a variety of disorders - many of which have a chronic course... (Review)
Review
Inflammatory Diseases of the Vulva - a Dermatologist's Point of View Inflammatory vulvar diseases include a variety of disorders - many of which have a chronic course with significant morbidity. Diagnosis and especially treatment can be challenging for the clinician and warrant an interdisciplinary approach. This review covers the most common non-infectious and non-malignant vulvar diseases - from a dermatological point of view. The typical clinical symptoms, clinical appearances, treatment modalities of the main non-infectious vulvar diseases are highlighted; additionally, important dermatological differential diagnoses which should not be forgotten will be mentioned.
Topics: Dermatologists; Diagnosis, Differential; Female; Humans; Inflammation; Vulva; Vulvar Diseases
PubMed: 31822232
DOI: 10.1024/1661-8157/a003330 -
The Australasian Journal of Dermatology Feb 2024Globally, healthcare systems can account for up to 10% of national CO emissions. There is increasing awareness of the need to act to reduce the impact on our planet by... (Review)
Review
Globally, healthcare systems can account for up to 10% of national CO emissions. There is increasing awareness of the need to act to reduce the impact on our planet by living sustainably in our personal and professional lives. Literature on sustainability can be complex, and with so many demands on our attention and time, it is challenging for the practising dermatologist to grasp where to begin. This manuscript provides a practical guide with quantifiable impacts for each action. With mindful use of resources, both profitability and the well-being of patients and doctors can align with environmental protection.
Topics: Humans; Dermatologists; Dermatology; Australia
PubMed: 37902158
DOI: 10.1111/ajd.14178 -
Journal of Cutaneous Medicine and... 2018
Topics: Certification; Dermatologists; Humans
PubMed: 30322309
DOI: 10.1177/1203475418804535 -
Indian Journal of Dermatology,... 2017The nail is an important skin appendage, but not many dermatologists are aware of the importance it receives outside our specialty. This article focuses on the nail in... (Review)
Review
The nail is an important skin appendage, but not many dermatologists are aware of the importance it receives outside our specialty. This article focuses on the nail in non-dermatological contexts. The nail is a keratinized matrix capable of continuous growth with the ability to incorporate various compounds within its structure. Therefore it can be used to monitor long-term consumption of drugs. It is also an excellent source of germ-line DNA for genetic analyses. With an increased undrstanding of nail physiology, there is now a better understanding of its connection to various pathologies as well. Nails, being peripherally placed, are easy to sample without significant discomfort to the patient, making them a valuable diagnostic tool. For this narrative review, we carried out a PubMed search using the key words "nail clipping," "nail DNA," "nail diabetes mellitus;" "nail clipping oncology," and "nail forensics". Retrieved articles were searched for information pertaining to non-dermatologic uses of nail for evaluation, which is presented in a narrative fashion. It is clear from recent literature that the nail is not just an inert skin appendage, but a dynamic window into the ever-changing metabolic and genetic milieu. We highlight the numerous roles of nail specimens, as well as point towards future research needed therein.
Topics: Clinical Competence; Dermatologists; Humans; Nail Diseases; Nails
PubMed: 28980535
DOI: 10.4103/ijdvl.IJDVL_1050_16 -
Journal of Telemedicine and Telecare Aug 2017Introduction This study, through a systematic review and meta-analysis, has sought to demonstrate that the opportunity cost is a value to take into account in studies of... (Meta-Analysis)
Meta-Analysis Review
Introduction This study, through a systematic review and meta-analysis, has sought to demonstrate that the opportunity cost is a value to take into account in studies of economic cost in telemedicine, illustrated through the time of the dermatologist's consultation in teledermatology and traditional consultation. Methods Economic evaluation studies have been identified that compare teledermatology and traditional dermatological consultation during the period 1998-2015. We carried out a meta-analysis considering the work cost and the dermatologist's consultation time, analysing their differences. The opportunity cost represented by these differences in the dermatological remote consultation time was subsequently calculated based on the design of a cost/time variable. Results It was not possible to meta-analyse the cost of the dermatologist's consultation due to insufficient standardized complete data. It was possible to carry out a meta-analysis of the consultation time, and three articles were selected (2945 patients). Teledermatology accounts for more time (7.54 min) than conventional consultation ( p < 0.00001) and this difference is an opportunity cost of teledermatology of €29.25 per each remote consultation, with a unitary factor cost/time of 3.88€/minute. Conclusions There is no unanimity in the literature regarding which of the two procedures is cheaper; further studies with the necessary standardized variables are required. In this meta-analysis, teledermatology takes more time than a conventional dermatology consultation, which leads to an opportunity cost, increasing the total cost of consultation. The opportunity cost is a value that should be included in an analysis of economic costs, in the context of an economic assessment, when we evaluate a health activity.
Topics: Cost-Benefit Analysis; Dermatologists; Dermatology; Female; Humans; Male; Models, Economic; Remote Consultation; Time Factors
PubMed: 27450572
DOI: 10.1177/1357633X16660876 -
Journal of Drugs in Dermatology : JDD Jan 2019Dermatologist recommendations of skin care products are critical to the management of compromised and healthy skin and appreciated by patients. Professionals must... (Review)
Review
Dermatologist recommendations of skin care products are critical to the management of compromised and healthy skin and appreciated by patients. Professionals must carefully weigh not only the safety and efficacy but also the aesthetics of products if they are to achieve the desired outcome of satisfied patients. This article elucidates the relevance of product sensory characteristics and consumer preferences, with specific focus on what appeals to men vs. women, those with self-perceived sensitive skin, and acne sufferers. Different product formats with novel aesthetics are also discussed. Dermatologists’ recommendations are clearly essential to ensure that patients use the most appropriate products; however, sensorial aspects of products should be taken into consideration when making those recommendations, to help motivate continued adherence. J Drugs Dermatol. 2019;18(1 Suppl):s75-79
Topics: Consumer Behavior; Dermatologic Agents; Dermatologists; Female; Gender Identity; Humans; Male; Practice Patterns, Physicians'; Skin Care
PubMed: 30681814
DOI: No ID Found -
International Journal of Dermatology May 2022
Topics: COVID-19; Cross-Sectional Studies; Dermatologists; Health Knowledge, Attitudes, Practice; Humans; Surveys and Questionnaires; Work-Life Balance
PubMed: 34706054
DOI: 10.1111/ijd.15955