Profile of dermatological consultations in Brazil (2018)

Abstract

BackgroundDermatological diseases are among the primary causes of the demand for basic health care. Studies on the frequency of dermatoses are important for the proper management of health planning.ObjectivesTo evaluate the nosological and behavioral profiles of dermatological consultations in Brazil.MethodsThe Brazilian Society of Dermatology invited all of its members to complete an online form on patients who sought consultations from March 21-26, 2018. The form contained questions about patient demographics, consultation type according to the patient's funding, the municipality of the consultation, diagnosis, treatments and procedures. Diagnostic and therapeutic decisions were compared between subgroups.ResultsData from 9629 visits were recorded. The most frequent causes for consultation were acne (8.0%), photoaging (7.7%), nonmelanoma skin cancer (5.4%), and actinic keratosis (4.7%). The identified diseases had distinct patterns with regard to gender, skin color, geographic region, type of funding for the consultation, and age group. Concerning the medical conducts, photoprotection was indicated in 44% of consultations, surgical diagnostic procedures were performed in 7.3%, surgical therapeutic procedures were conducted in 19.2%, and cosmetic procedures were performed in 7.1%.Study limitationsNonrandomized survey, with a sample period of one week.ConclusionThis research allowed us to identify the epidemiological profiles of the demands of outpatients for dermatologists in various contexts. The results also highlight the importance of aesthetic demands in privately funded consultations and the significance of diseases such as acne, nonmelanoma skin cancer, leprosy, and psoriasis to public health.

Dimensionality and psychometric analysis of DLQI in a Brazilian population

“…The dermatological diseases studied in this work are among the most prevalent in Brazil, according to a recent survey [55]. The DLQI produced a wide variation in HRQOL scores, with a predominance of mild and moderate HRQOL impairment (49% of scores were between 2 and 10).…”

“…The strength of this study relies on the substantial sample and the diversity of dermatological diseases assessed, representing the most prevalent dermatoses among the Brazilian population [55]. Limitations are related to the unknown percentage of incomplete data or refusal to participate in the original studies, as well as which and how many items were marked "not at all" and "not relevant," as it was a reanalysis of pooled data.…”

Tratamento Estético para Acne Vulgar

“…Quanto à distribuição por sexo, a acne ocupa o 1º lugar no rank para os homens, seguido do câncer de pele não melanoma. Para as mulheres, ela está no 2º lugar atrás do fotoenvelhecimento (Miot et al, 2018).…”

Quality of life of patients living with psoriasis: a qualitative study

“…Psoriasis is a chronic in ammatory dermatosis characterized by the appearance of erythematousdesquamative, symmetric plaques with white-silver desquamation, which may present extracutaneous manifestations, such as arthritis and uveitis [1]. In Brazil, its prevalence is estimated between 1.1 and 1.5% and represents between 4.0 and 4.8% of dermatological consultations [1][2][3][4]. The social and psychological impacts caused by psoriasis are usually underestimated by health professionals [5].…”