Utilization of physician services for dermatologic complaints. The United States, 1974

Stern, R. S.

doi:10.1001/archderm.113.8.1062

Cited by 20 publications

(15 citation statements)

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“…The poorer overall health and increased frequency of impaired sleep observed in the present study are in line with previous studies that demonstrated impaired quality of life and sleep disturbances in AD, particularly severe AD (23,24). Similarly, the high rate of healthcare utilization observed in the present study is consistent with previous international studies that demonstrated increased referral rates to specialists and a high economic burden of AD, particularly severe AD (25,26).…”

Section: Discussionsupporting

confidence: 92%

Association between severe eczema in children and multiple comorbid conditions and increased healthcare utilization

Silverberg

Simpson²

2013

Pediatric Allergy Immunology

272

215

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Background Atopic dermatitis (AD) is associated with multiple comorbid conditions, such as asthma and food allergy. We sought to determine the impact of eczema severity on the development of these disorders and other non-atopic comorbidities in AD. Methods We used the 2007 National Survey of Children's Health, a prospective questionnaire-based study of a nationally representative sample of 91,642 children age 0-17 years. Prevalence and severity of eczema, asthma, hay fever and food allergy, sleep impairment, healthcare utilization, recurrent ear infections, visual and dental problems were determined. Results In general, more severe eczema correlated with poorer overall health, impaired sleep and increased healthcare utilization, including seeing a specialist, compared to children with mild or moderate disease (Rao-Scott Chi-square, P<0.0001). Severe eczema was associated with higher prevalence of comorbid chronic health disorders, including asthma, hay fever and food allergies (P<0.0001). In addition, the severity of eczema was directly related to the severity of the comorbidities. These associations remained significant in multivariate logistic regression models that included age, sex and race/ethnicity. Severe eczema was also associated with recent dental problems, including bleeding gums (P<0.0001), toothache (P=0.0004), but not broken teeth (P=0.04) or tooth decay (P=0.13). Conclusions These data indicate that severe eczema is associated with multiple comorbid chronic health disorders, impaired overall health and increased healthcare utilization. Further, these data suggest that children with eczema are at risk for decreased oral health. Future studies are warranted to verify this novel association.

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Section: Discussionsupporting

confidence: 92%

Association between severe eczema in children and multiple comorbid conditions and increased healthcare utilization

Silverberg

Simpson²

2013

Pediatric Allergy Immunology

272

215

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“…The prevalence of dermatologic conditions that require medical treatment is estimated to range from 19% to 27%, with acne and eczema being the most common skin diseases. 1,2 Yet, skin complaints account for only about 7% of all outpatient clinic visits, 3 possibly because of the benign nature (both the true and the perceived) of most skin conditions. Perhaps this, as well as the low acute mortality of common dermatologic conditions, could also explain the lack of studies on emergency department (ED) visits that are attributable to skin diseases.…”

Section: Skin Conditions That Bring Patients To Emergency Departmentsmentioning

confidence: 99%

Skin Conditions That Bring Patients to Emergency Departments

Baibergenova¹,

Shear²

2011

Arch Dermatol

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his prednisone dose. There were no serious adverse events or laboratory abnormalities. Comment. Previous case reports (6 total patients in 3 reports 1-3) describe uniformly effective results for the use of etanercept in PV. Our randomized, controlled study suggests that the response to etanercept is heterogeneous, although the small sample size precludes definitive conclusions. We observed 2 meaningful responses in the 4 patients who received etanercept and completed the study, although the use of azathioprine 1 month before etanercept initiation confounds the results for 1 of these 2 patients. It is possible that a higher dose of etanercept (eg, 50 mg twice weekly) might have conferred additional efficacy. The apparent placebo response is complicated by concurrent initiation of topical therapy in one patient and a questionably meaningful improvement in the other. One weakness of our study is the lack of a well-validated end point-we noted cases of discordance between changes in lesion number and physician global assessment. Since this study was designed, an international consensus statementhasemergedregardingdefinitionsofdiseaseendpoints and response, 4 and, in addition, 2 novel outcome instruments for PV have been partially validated. 5

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“…Studies reporting on outpatient dermatologic care have examined the utilization of dermatologists and other physicians for skin-related complaints, as well as the management of specific dermatologic diseases, and patterns of use of Including Asian, Native Hawaiian or other Pacific Islander, American Indian or Alaska Native, and more than one race reported. medications (8)(9)(10)(11)(12)(13)(14)(15). Identifying physicians' reported medical practices have aided in establishing community standards of care for common skin conditions (16).…”

Section: Discussionmentioning

confidence: 99%

The National Ambulatory Medical Care Survey: A resource for understanding the outpatient dermatology treatment

Ahn¹,

Allen²,

Davis³

et al. 2013

Journal of Dermatological Treatment

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Background: The National Ambulatory Care Survey (NAMCS) collects information on outpatient medical care in the United States. Key characteristics of the NAMCS methodology are not well recognized. We describe the NAMCS survey design and patient visits to dermatologists and to present information on the validity of the NAMCS data by comparing key features of the dermatologist sample to other surveys of dermatologists. Methods: NAMCS data on dermatologists and skin-related visits from 1993 to 2010 were analyzed and compared to the Dermatology Physician Profile Survey (DPPS), a survey by the American Academy of Dermatology. Results: A total of 29 554 patient visits to dermatologists were sampled from 1993 to 2010. On average, 118 dermatologists were sampled annually to participate in the NAMCS, and response rates ranged from 47 to 77%. The NAMCS and the DPPS found similar dermatologist demographics, practice settings and reimbursement sources. Conclusion: Overall, the NAMCS achieves high-response rates and provides a generalizable sample that has been used in scores of studies of dermatology outpatient treatment. In a time of changing health care delivery systems, NAMCS is valuable for understanding how physicians care for patients with skin disease.

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Utilization of physician services for dermatologic complaints. The United States, 1974

Cited by 20 publications

References 0 publications

Association between severe eczema in children and multiple comorbid conditions and increased healthcare utilization

Association between severe eczema in children and multiple comorbid conditions and increased healthcare utilization

Skin Conditions That Bring Patients to Emergency Departments

The National Ambulatory Medical Care Survey: A resource for understanding the outpatient dermatology treatment

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