The Supreme Court abortion ban impact on dermatology

Yousif, Jenna; Adlam, Taylor; Grant-Kels, Jane M.; Farshchian, Mehdi

doi:10.1016/j.jaad.2022.07.026

Cited by 8 publications

(8 citation statements)

References 2 publications

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“…Many patients receiving isotretinoin reported lacking information on pregnancy avoidance strategies and contraceptive options . With patients facing increasing restrictions to reproductive health care access, facilitate acne treatment with OCP for patients who desire contraception and meet medically eligibility criteria may reduce downstream antibiotic need.…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators Affecting Long-Term Antibiotic Prescriptions for Acne Treatment

Festok,

Ahuja,

Chen

et al. 2024

JAMA Dermatol

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ImportanceDermatologists prescribe more oral antibiotics per clinician than clinicians in any other specialty. Despite clinical guidelines that recommend limitation of long-term oral antibiotic treatments for acne to less than 3 months, there is little evidence to guide the design and implementation of an antibiotic stewardship program in clinical practice.ObjectiveTo identify salient barriers and facilitators to long-term antibiotic prescriptions for acne treatment.Design, Setting, and ParticipantsThis qualitative study assessed data collected from stakeholders (including dermatologists, infectious disease physicians, dermatology resident physicians, and nonphysician clinicians) via an online survey and semistructured video interviews between March and August 2021. Data analyses were performed from August 12, 2021, to January 20, 2024.Main Outcomes and MeasuresOnline survey and qualitative video interviews developed with the Theoretical Domains Framework. Thematic analyses were used to identify salient themes on barriers and facilitators to long-term antibiotic prescriptions for acne treatment.ResultsAmong 30 participants (14 [47%] males and 16 [53%] females) who completed the study requirements and were included in the analysis, knowledge of antibiotic guideline recommendations was high and antibiotic stewardship was believed to be a professional responsibility. Five salient themes were to be affecting long-term antibiotic prescriptions: perceived lack of evidence to justify change in dermatologic practice, difficulty navigating patient demands and satisfaction, discomfort with discussing contraception, iPLEDGE-related barriers, and the absence of an effective system to measure progress on antibiotic stewardship.Conclusions and RelevanceThe findings of this qualitative study indicate that multiple salient factors affect long-term antibiotic prescribing practices for acne treatment. These factors should be considered in the design and implementation of any future outpatient antibiotic stewardship program for clinical dermatology.

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Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators Affecting Long-Term Antibiotic Prescriptions for Acne Treatment

Festok,

Ahuja,

Chen

et al. 2024

JAMA Dermatol

View full text Add to dashboard Cite

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practice for sebaceous carcinoma. 2,3 These results suggest that a large proportion of porocarcinoma and MAC are managed with MMS despite the limited evidence. This information challenges recent studies describing MMS as an infrequently used modality for porocarcinoma.

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confidence: 94%

“…The decision to terminate an unplanned pregnancy would be based on the legality of abortion in certain countries 1 or even certain states as in the United States (US). 2 In a recent Korean study, Cha et al found no significant difference between the pregnant women exposed to ISO, during the periconception period until the second or third trimester of pregnancy, and the nonexposed ones regarding the neonatal outcomes, including major malformation (MM). They further noted a two times higher risk of spontaneous abortion in the exposed women than in the nonexposed ones.…”

mentioning

confidence: 99%

“…Meanwhile, an updated proposed acne algorithm treatment plan was recommended, taking into consideration countries or states where abortion is illegal. 2 Ayman Abdelmaksoud Xanthoma disseminatum in a patient with RUNX1mutated acute myelogenous leukemia Dear Editor, Xanthoma disseminatum (XD) is a rare, normolipemic mucocutaneous xanthomatosis in the broad spectrum of cutaneous non-Langerhans cell histiocytic (non-LCH) proliferative disorders. It typically affects the skin with diffuse brown-yellow-red papules and nodules; however, mucous membranes, liver, bone, as well as the hypothalamus and pituitary gland can also be affected.…”

mentioning

confidence: 99%

“…1 Cutaneous-group non-LCH eruptions have been under exploration because of the association of concomitant lymphoproliferative disorders, recently reported as 10.1%, each often associated with a unique mutation; however, only one adult case of XD with simultaneous hematologic malignancy has been reported. 2,3 We report a case of XD in a 59-year-old male with a 3-year history of diffuse xanthomatous skin lesions who presented with newly diagnosed RUNX1-mutated acute…”

mentioning

confidence: 99%

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