Physician perceptions and experience of current treatment in actinic keratosis

Stockfleth, Eggert; Peris, Ketty; Guillén, C.; Cerio, R.; Basset-Séguin, Nicole; Foley, Peter; Sanches, José Antônio; Culshaw, A.; Erntoft, Sandra; Lebwohl, Mark

doi:10.1111/jdv.12530

Cited by 22 publications

(18 citation statements)

References 26 publications

(51 reference statements)

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“…Pain may contribute to both treatment tolerance and adherence. Recent findings state that short-term therapies with prompt clearance of AEs promote adherence of treatment and are therefore preferred 43. In many instances, patients may even opt to use the less effective treatment if they feel the other options are intolerable.…”

Section: Resultsmentioning

confidence: 99%

Patient satisfaction and reported outcomes on the management of actinic keratosis

Khanna

Bakshi

Amir

et al. 2017

CCID

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Actinic keratosis (AK) is a common dermatologic condition in which hyperplastic epidermal lesions develop in response to excessive and chronic exposure to ultraviolet (UV) radiation. If left untreated, AK can progress to squamous cell carcinomas of the skin. Incidence is rising worldwide as a result of the progressive aging of populations and an increase in lifetime cumulative exposure to UV radiation. Currently, various treatment options exist, which range from topical medications to light-based therapies and procedural modalities. In this article, we will review the treatment options for AK with a focus on assessments of patient satisfaction with treatment.

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Section: Resultsmentioning

confidence: 99%

Patient satisfaction and reported outcomes on the management of actinic keratosis

Khanna

Bakshi

Amir

et al. 2017

CCID

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“…The findings from the previous physician research25 were presented, and the statements that had received ≥70% agreement from physicians were grouped into three key concepts (Table 1). Our experts’ agreement with these findings was 97–100%, forming the basis for the next stage.…”

Section: Resultsmentioning

confidence: 99%

“…Stimulus to discussion included the findings from previously conducted research into the perceptions of AK-treating physicians on topical therapy 25. The topics on which physicians had reached consensus were summarized into key themes, and the level of expert agreement on these themes was assessed using a seven-point Likert scale, where a score of 1 = strongly disagree and a score of 7 = strongly agree.…”

Section: Methodsmentioning

confidence: 99%

A consensus approach to improving patient adherence and persistence with topical treatment for actinic keratosis

et al. 2015

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BackgroundTopical therapy is important in the treatment of actinic keratosis, but guidance for improving adherence/persistence during topical therapy is still lacking.ObjectivesTo utilize expert consensus to generate a list of recommendations to improve real-world efficacy when prescribing topical therapy for actinic keratosis.MethodsAn expert panel of eight dermatologists was convened to generate recommendations based on facilitated discussion and consensus generation using a modified Delphi session. The recommendations were ratified with the expert panel.ResultsFacilitated discussion generated 31 issues within five themes, which were prioritized using expert voting. Consensus was achieved on the importance of short and simple treatment regimens for maximizing patient compliance, physician awareness of the progression of actinic keratosis to squamous cell carcinoma, provision of appropriate patient information, and the use of effective communication strategies to educate physicians about actinic keratosis. Based on these key findings, eight recommendations were generated.ConclusionsThe recommendations will assist physicians when prescribing topical actinic keratosis therapy. Further research should focus on the types of patient outcomes that are influenced by the characteristics of topical field therapy.

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“…can a patient administer treatment themselves) (44). Long treatment duration was portrayed as a key contributor with an 85% consensus amongst physicians that shorter treatment durations improve adherence and persistence (44).…”

Section: Factors Leading To Low Adherence In Real-world Settingsmentioning

confidence: 99%

“…These included three patient-based surveys (30,32,42), one real-world study assessing adherence and persistence and contributing factors (33), and two physician-based surveys (43,44) (Table 2).…”

Section: Factors Leading To Low Adherence In Real-world Settingsmentioning

confidence: 99%

Adherence to topical therapies in actinic keratosis: A literature review

Foley

Stockfleth

Peris

et al. 2016

Journal of Dermatological Treatment

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Physician perceptions and experience of current treatment in actinic keratosis

Abstract: Background Topical therapy is important in the treatment of actinic keratosis (AK), a major risk factor for, and early

Cited by 22 publications

References 26 publications

Patient satisfaction and reported outcomes on the management of actinic keratosis

Patient satisfaction and reported outcomes on the management of actinic keratosis

A consensus approach to improving patient adherence and persistence with topical treatment for actinic keratosis

Adherence to topical therapies in actinic keratosis: A literature review

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