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Ahmed A, Wilson S, Kyllo RL, Koza E, Shi V, Haq M, Ma M, Poon E, Worley B, Harikumar V, Pearlman R, Schlessinger DI, Cahn BA, Alam M. Simulation-based Exercises to Improve the Performance of Cosmetic Consultations. J Am Acad Dermatol 2024:S0190-9622(24)00689-3. [PMID: 38705196 DOI: 10.1016/j.jaad.2024.04.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 04/21/2024] [Accepted: 04/24/2024] [Indexed: 05/07/2024]
Affiliation(s)
- Areeba Ahmed
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL
| | - Sarah Wilson
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL
| | - Rachel L Kyllo
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL
| | - Eric Koza
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL
| | - Victoria Shi
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL
| | - Misha Haq
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL
| | - Melissa Ma
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL
| | - Emily Poon
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL
| | - Brandon Worley
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL
| | - Vishnu Harikumar
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL
| | - Ross Pearlman
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL
| | - Daniel I Schlessinger
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL
| | - Brian A Cahn
- Department of Dermatology, University of Illinois at Chicago, Chicago, IL
| | - Murad Alam
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL; Department of Otolaryngology-Head and Neck Surgery, Northwestern University, Feinberg School of Medicine, Chicago, IL; Department of Surgery, Northwestern University, Feinberg School of Medicine, Chicago, IL.
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2
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Koza E, Clark M, Ahmed A, Ma MS, Shi VJ, Haq M, Weil A, Maisel-Campbell A, Iyengar S, Poon E, Cahn BA, Pearlman R, Schlessinger D, Alam M. Comparative effectiveness of short contact (30-minute) lidocaine-prilocaine vs lidocaine-tetracaine topical anesthetic mixtures for cutaneous pain relief: A randomized controlled trial. J Am Acad Dermatol 2024; 90:1069-1071. [PMID: 38290618 DOI: 10.1016/j.jaad.2024.01.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 01/12/2024] [Accepted: 01/16/2024] [Indexed: 02/01/2024]
Affiliation(s)
- Eric Koza
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Melanie Clark
- Department of Dermatology, Medical College of Wisconsin, Milwaukee, Wisconsin
| | - Areeba Ahmed
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Melissa S Ma
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Victoria J Shi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Misha Haq
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Alexandra Weil
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Amanda Maisel-Campbell
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Dermatology, Columbia University Medical Center, New York, New York
| | - Sanjana Iyengar
- Department of Dermatology, West Virginia University, Morgantown, West Virginia
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Brian A Cahn
- Department of Dermatology, University of Illinois-Chicago, Chicago, Illinois
| | - Ross Pearlman
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Daniel Schlessinger
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
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McKesey J, Mazhar M, Alam M, Srivastava D, Nijhawan RI. Incidence of Bacteremia, Infective Endocarditis, or Prosthetic Joint Infection in Dermatologic Surgery: A Systematic Review. Dermatol Surg 2024; 50:428-433. [PMID: 38318842 DOI: 10.1097/dss.0000000000004101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Abstract
BACKGROUND Prophylactic antibiotic therapy is widely used in dermatologic surgery to prevent surgical site infections and bacteremia, which can lead to prosthetic joint infections (PJI) and infective endocarditis (IE) in high-risk populations. OBJECTIVE To evaluate the incidence of bacteremia, PJI, and IE after dermatologic surgery and assess the current evidence for antibiotic prophylaxis. MATERIALS AND METHODS A search of the computerized bibliographic databases was performed using key terms from the date of inception to March 21, 2021. Data extraction was performed independently by 2 data extractors. RESULTS The review resulted in 9 publications that met inclusion criteria, including 5 prospective cohort studies and 4 case reports or case series. The prospective studies reported a wide range of bacteremia incidence (0%-7%) after dermatologic surgery. No cases of PJI resulting directly from cutaneous surgery were identified, and only 1 case series reported IE after various skin procedures. CONCLUSION These findings suggest a low rate of bacteremia and a lack of direct evidence linking dermatologic surgery to PJI or IE. The scarcity of published data on this topic is a limitation, highlighting the need for further research, particularly randomized controlled trials, to guide antibiotic prophylaxis recommendations.
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Affiliation(s)
| | - Momina Mazhar
- University of Texas Southwestern Medical Center, Dallas, Texas; and
| | - Murad Alam
- Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Divya Srivastava
- University of Texas Southwestern Medical Center, Dallas, Texas; and
| | - Rajiv I Nijhawan
- University of Texas Southwestern Medical Center, Dallas, Texas; and
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4
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Alam M, Kim JYS, Swary JH, White LE, Ciurea A, Dave L, Brieva J, Yoo S. Health utilities associated with nonmelanoma skin cancer. J Am Acad Dermatol 2024; 90:1042-1044. [PMID: 38215795 DOI: 10.1016/j.jaad.2023.12.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 12/04/2023] [Accepted: 12/28/2023] [Indexed: 01/14/2024]
Affiliation(s)
- Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Otolaryngology-Head and Neck Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
| | - John Y S Kim
- Division of Plastic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Jillian H Swary
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Lucile E White
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Ana Ciurea
- Department of Dermatology, University of Texas MD Anderson Cancer Center, Houston, Texas
| | - Loma Dave
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Joaquin Brieva
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Simon Yoo
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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5
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Koza E, Ma MS, Ahmed A, Haq M, Shi VJ, Whiting D, Paghdal K, Weil A, Voravutinon N, Roongpisuthipong W, Poon E, Alam M. A comparison of 1550-nm fractional photothermolysis versus intense focused ultrasound for treatment of periorbital wrinkles: a randomized control trial. J Am Acad Dermatol 2024; 90:1035-1037. [PMID: 38211707 DOI: 10.1016/j.jaad.2023.12.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Revised: 12/15/2023] [Accepted: 12/23/2023] [Indexed: 01/13/2024]
Affiliation(s)
- Eric Koza
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Melissa S Ma
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Areeba Ahmed
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Misha Haq
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Victoria J Shi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Dennis Whiting
- Department of Dermatology, The University of Chicago, Chicago, Illinois
| | - Kapila Paghdal
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Alexandra Weil
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Nataya Voravutinon
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Wanjarus Roongpisuthipong
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Division of Dermatology, Department of Medicine, Vajira Hospital, Navamindrahiraj University, Bangkok, Thailand
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
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6
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Dirr MA, Ahmed A, Schlessinger DI, Haq M, Shi V, Koza E, Ma M, Christensen RE, Ibrahim SA, Schmitt J, Johannsen L, Asai Y, Baldwin HE, Berardesca E, Berman B, Vieira AC, Chien AL, Cohen DE, Del Rosso JQ, Dosal J, Drake LA, Feldman SR, Fleischer AB, Friedman A, Graber E, Harper JC, Helfrich YR, Jemec GB, Johnson SM, Katta R, Lio P, Maier LE, Martin G, Nagler AR, Neuhaus IM, Palamar M, Parish LC, Rosen T, Shumack SP, Solomon JA, Tanghetti EA, Webster GF, Weinkle A, Weiss JS, Wladis EJ, Maher IA, Sobanko JF, Cartee TV, Cahn BA, Alam M, Kang BY, Iyengar S, Anvery N, Alpsoy E, Bewley A, Dessinioti C, Egeberg A, Engin B, Gollnick HPM, Ioannides D, Kim HS, Lazaridou E, Li J, Lim HG, Micali G, de Oliveira CMM, Noguera-Morel L, Parodi A, Reinholz M, Suh DH, Sun Q, van Zuuren EJ, Wollina U, Zhou Y, Zip C, Poon E, Pearlman R. Rosacea Core Domain Set for Clinical Trials and Practice: A Consensus Statement. JAMA Dermatol 2024:2817890. [PMID: 38656294 DOI: 10.1001/jamadermatol.2024.0636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2024]
Abstract
Importance Inconsistent reporting of outcomes in clinical trials of rosacea is impeding and likely preventing accurate data pooling and meta-analyses. There is a need for standardization of outcomes assessed during intervention trials of rosacea. Objective To develop a rosacea core outcome set (COS) based on key domains that are globally relevant and applicable to all demographic groups to be used as a minimum list of outcomes for reporting by rosacea clinical trials, and when appropriate, in clinical practice. Evidence Review A systematic literature review of rosacea clinical trials was conducted. Discrete outcomes were extracted and augmented through discussions and focus groups with key stakeholders. The initial list of 192 outcomes was refined to identify 50 unique outcomes that were rated through the Delphi process Round 1 by 88 panelists (63 physicians from 17 countries and 25 patients with rosacea in the US) on 9-point Likert scale. Based on feedback, an additional 11 outcomes were added in Round 2. Outcomes deemed to be critical for inclusion (rated 7-9 by ≥70% of both groups) were discussed in consensus meetings. The outcomes deemed to be most important for inclusion by at least 85% of the participants were incorporated into the final core domain set. Findings The Delphi process and consensus-building meetings identified a final core set of 8 domains for rosacea clinical trials: ocular signs and symptoms; skin signs of disease; skin symptoms; overall severity; patient satisfaction; quality of life; degree of improvement; and presence and severity of treatment-related adverse events. Recommendations were also made for application in the clinical setting. Conclusions and Relevance This core domain set for rosacea research is now available; its adoption by researchers may improve the usefulness of future trials of rosacea therapies by enabling meta-analyses and other comparisons across studies. This core domain set may also be useful in clinical practice.
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Affiliation(s)
- McKenzie A Dirr
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Areeba Ahmed
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Daniel I Schlessinger
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Misha Haq
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Victoria Shi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Eric Koza
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Melissa Ma
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Rachel E Christensen
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Sarah A Ibrahim
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Jochen Schmitt
- Center for Evidence-Based Healthcare, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Lena Johannsen
- Center for Evidence-Based Healthcare, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Yuka Asai
- Division of Dermatology, Department of Medicine, Queen's University, Kingston, Ontario, Canada
| | | | - Enzo Berardesca
- Phillip Frost Department of Dermatology and Cutaneous Surgery Miller School of Medicine, University of Miami, Miami, Florida
| | - Brian Berman
- Dermatology and Cutaneous Surgery, University of Miami, Miami, Florida
| | - Ana Carolina Vieira
- Ophthalmology Department, Universidade Federal Fluminense, Rio de Janeiro, Brazil
| | - Anna L Chien
- Department of Dermatology, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - David E Cohen
- The Ronald O. Perelman Department of Dermatology, NYU Grossman School of Medicine, New York, New York
| | | | | | - Lynn A Drake
- Department of Dermatology and Wellman Center for Photomedicine, Massachusetts General Hospital, Harvard Medical School, Boston
| | - Steven R Feldman
- Pathology and Social Sciences & Health Policy, Wake Forest University School of Medicine, Winston-Salem, North Carolina
| | | | - Adam Friedman
- Department of Dermatology, George Washington School of Medicine and Health Science, Washington, DC
- Universitätsklinik für Dermatologie und Venerologie, Innsbruck, Austria
| | - Emmy Graber
- The Dermatology Institute of Boston Affiliate, Northeastern University, Boston, Massachusetts
| | - Julie C Harper
- The Dermatology and Skin Care Center of Birmingham, Birmingham, Alabama
| | | | - Gregor B Jemec
- Department of Dermatology, Zealand University Hospital, Roskilde, Denmark
| | | | - Rajani Katta
- McGovern Medical School at UTHealth, Houston, Texas
| | - Peter Lio
- Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Lisa E Maier
- Department of Dermatology, University of Washington, Seattle
| | - George Martin
- Dr George Martin Dermatology Associates, Kihei, Hawaii
| | - Arielle R Nagler
- Ambulatory Quality and Network Integration, The Ronald O. Perelman Department of Dermatology, NYU Grossman School of Medicine, New York, New York
| | - Isaac M Neuhaus
- Department of Dermatology, University of California, San Francisco
| | - Melis Palamar
- Department of Ophthalmology, Faculty of Medicine, Ege University, Bornova, Turkey
| | - Lawrence C Parish
- Jefferson Center for International Dermatology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania
| | | | - Stephen P Shumack
- Royal North Shore Hospital of Sydney, St Leonards, New South Wales, Australia
| | - James A Solomon
- University of Central Florida College of Medicine, Florida State College of Medicine, Tallahassee
- Department of Dermatology, Carle-Illinois College of Medicine, Urbana
| | - Emil A Tanghetti
- Center for Dermatology and Laser Surgery, Sacramento, California
| | - Guy F Webster
- Department of Dermatology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania
| | | | | | - Edward J Wladis
- Department of Ophthalmology, Lions Eye Institute, Albany Medical College, Albany, New York
| | - Ian A Maher
- Department of Dermatology, University of Minnesota, Minneapolis
| | - Joseph F Sobanko
- Department of Dermatology, University of Pennsylvania, Philadelphia
| | - Todd V Cartee
- Department of Dermatology, Penn State College of Medicine, Hershey, Pennsylvania
| | - Brian A Cahn
- Department of Dermatology, University of Illinois, Chicago
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Bianca Y Kang
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Sanjana Iyengar
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Noor Anvery
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Erkan Alpsoy
- Department of Dermatology and Venereology, Akdeniz University School of Medicine, Antalya, Turkey
| | - Anthony Bewley
- Barts Health National Health Service Trust and Queen Mary University, London, United Kingdom
| | - Clio Dessinioti
- Department of Dermatology, Andreas Sygros Hospital, University of Athens, Athens, Greece
| | - Alexander Egeberg
- Department of Dermatology, Bispebjerg Hospital, and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Burhan Engin
- Dermatology Department, Cerrahpaşa Medical Faculty, İstanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Harald P M Gollnick
- Dermatology Department, Otto von Guericke University Magdeburg, Magdeburg, Germany
| | - Dimitrios Ioannides
- First Department of Dermatology-Venereology, Aristotle University Medical School Hospital for Skin and Venereal Diseases, Thessaloniki, Greece
| | - Hei Sung Kim
- Department of Dermatology, Incheon St Mary's Hospital, The Catholic University of Korea, Seoul, South Korea
| | - Elizabeth Lazaridou
- Second Department of Dermatology-Venereology, Aristotle University School of Medicine, Thessaloniki, Greece
| | - Ji Li
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha Shi, China
| | | | | | | | - Lucero Noguera-Morel
- Department of Dermatology, Hospital Infantil, Universidad Niño Jesús, Madrid, Spain
| | - Aurora Parodi
- Department of Health Sciences, University of Genoa, Ospedale-Policlinico San Martino, IRCCS Genova, Italy
| | | | - Dae Hun Suh
- Department of Dermatology, Seoul National University College of Medicine, Seoul, South Korea
| | - Qiuning Sun
- Department of Dermatology, Peking Union Medical College Hospital, Shuaifuyuan, Beijing, China
| | - Esther J van Zuuren
- Department of Dermatology B1-Q, Leiden University Medical Centre, RC Leiden, the Netherlands
| | - Uwe Wollina
- Department of Dermatology and Allergology, StädtischesKlinikum Dresden, Friedrichstr, Dresden, Germany
| | - Youwen Zhou
- Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada
| | - Catherine Zip
- Department of Dermatology, University of Calgary, Calgary, Alberta, Canada
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Ross Pearlman
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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Kibbi N, Owen JL, Worley B, Wang JX, Harikumar V, Aasi SZ, Chandra S, Choi JN, Fujisawa Y, Iavazzo C, Kim JYS, Lawrence N, Leitao MM, MacLean AB, Ross JS, Rossi AM, Servaes S, Solomon MJ, Alam M. Anatomic Subtype Differences in Extramammary Paget Disease: A Meta-Analysis. JAMA Dermatol 2024; 160:417-424. [PMID: 38446447 PMCID: PMC10918581 DOI: 10.1001/jamadermatol.2024.0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Accepted: 12/28/2023] [Indexed: 03/07/2024]
Abstract
Importance Extramammary Paget disease (EMPD) is a rare, highly recurrent cutaneous malignant neoplasm of unclear origin. EMPD arises most commonly on the vulvar and penoscrotal skin. It is not presently known how anatomic subtype of EMPD affects disease presentation and management. Objective To compare demographic and tumor characteristics and treatment approaches for different EMPD subtypes. Recommendations for diagnosis and treatment are presented. Data Sources MEDLINE, Embase, Web of Science Core Collection, and Cochrane Reviews CENTRAL from December 1, 1990, to October 24, 2022. Study Selection Articles were excluded if they were not in English, reported fewer than 3 patients, did not specify information by anatomic subtype, or contained no case-level data. Metastatic cases on presentation were also excluded. Data Extraction and Synthesis Abstracts of 1295 eligible articles were independently reviewed by 5 coauthors, and 135 articles retained. Reporting was in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guidelines. The analysis was cunducted in August 2019 and updated in November 2022. Findings Most vulvar EMPD cases were asymptomatic, and diagnosis was relatively delayed (mean, 25.1 months). Although most vulvar EMPD cases were intraepidermal (1247/1773 [70.3%]), radical surgeries were still performed in almost one-third of cases. Despite this aggressive surgical approach, 481 of 1423 (34%) recurred, commonly confined to the skin and mucosa (177/198 [89.4%]). By contrast, 152 of 1101 penoscrotal EMPD cases (14%) recurred, but more than one-third of these recurrences were regional or associated with distant metastases (54 of 152 [35.5%]). Perianal EMPD cases recurred in one-third of cases (74/218 [33.9%]), with one-third of these recurrences being regional or associated with distant metastasis (20 of 74 [27.0%]). Perianal EMPD also had the highest rate of invasive disease (50% of cases). Conclusions and Relevance The diagnosis and treatment of EMPD should differ based on anatomic subtypes. Considerations for updated practice may include less morbid treatments for vulvar EMPD, which is primarily epidermal, and close surveillance for local recurrence in vulvar EMPD and metastatic recurrence in perianal EMPD. Recurrences in penoscrotal subtype were less common, and selective surveillance in this subtype may be considered. Limitations of this study include the lack of replication cohorts and the exclusion of studies that did not stratify outcomes by anatomic subtype.
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Affiliation(s)
- Nour Kibbi
- Department of Dermatology, Stanford University School of Medicine, Redwood City, California
| | - Joshua L. Owen
- Dermatology Service, Audie L Murphy VA Medical Center, San Antonio, Texas
- Division of Dermatology, University of Texas Health San Antonio, San Antonio
| | | | - Jake X. Wang
- Department of Dermatology, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Vishnu Harikumar
- Department of Dermatology and Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, Florida
| | - Sumaira Z. Aasi
- Department of Dermatology, Stanford University School of Medicine, Redwood City, California
| | - Sunandana Chandra
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Jennifer N. Choi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | | | - Christos Iavazzo
- Department of Gynecologic Oncology, Metaxa Cancer Hospital, Piraeus, Greece
| | - John Y. S. Kim
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Naomi Lawrence
- Division of Dermatology, Cooper Hospital, Rowan University, Camden, New Jersey
| | - Mario M. Leitao
- Gynecology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York
- Department of OB/GYN, Weill Cornell Medical College, New York, New York
| | - Allan B. MacLean
- Department of Gynaecology, University College, London, United Kingdom
| | - Jeffrey S. Ross
- Departments of Pathology and Urology, Upstate Medical University, Syracuse, New York
- Medical Director, Foundation Medicine, Inc, Boston, Massachusetts
| | - Anthony M. Rossi
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Sabah Servaes
- Department of Radiology, West Virginia University Children’s Hospital, Charleston, West Virginia
| | - Michael J. Solomon
- Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia
| | - Murad Alam
- Department of Dermatology, Ehime University, To-on, Japan
- Department of Otolaryngology–Head and Neck Surgery and Surgery (Organ Transplantation), Feinberg School of Medicine, Northwestern University, Chicago, Illinois
- Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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8
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Alam M. Metrics for Mohs: Responsible use of a potentially helpful tool. J Am Acad Dermatol 2024; 90:806. [PMID: 38081389 DOI: 10.1016/j.jaad.2023.12.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 12/02/2023] [Indexed: 01/06/2024]
Affiliation(s)
- Murad Alam
- Departments of Dermatology, Otolaryngology, Surgery, Medical Social Sciences, Northwestern Feinberg School of Medicine, Chicago, Illinois.
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9
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Ahmed A, Koza E, Shi V, Ma M, Haq M, Kottner J, Garg A, Ingram JR, Ezzedine K, Spuls PI, Beeckman D, Wolkenstein P, Fransen F, Noe MH, Langbroek GB, Bauer A, Thorlacius L, Horbach SER, Layton A, Apfelbacher C, Cahn BA, Pearlman R, Schlessinger DI, Alam M. Methodological innovations and stakeholder involvement in core outcome sets for skin diseases: a survey of the C3 working groups. Arch Dermatol Res 2024; 316:109. [PMID: 38498269 DOI: 10.1007/s00403-023-02812-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 12/04/2023] [Accepted: 12/27/2023] [Indexed: 03/20/2024]
Affiliation(s)
- Areeba Ahmed
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Eric Koza
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Victoria Shi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Melissa Ma
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Misha Haq
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Jan Kottner
- Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Amit Garg
- Department of Dermatology, Northwell Health, New York, USA
| | - John R Ingram
- Clinical Reader and Consultant Dermatologist, Division of Infection and Immunity, Cardiff University, Cardiff, UK
| | - Khaled Ezzedine
- Department of Dermatology, Hôpital Henri Mondor, Créteil, France and Epidemiology in Dermatology and Evaluation of Therapeutics (EpiDermE) - EA 7379, Université Paris Est Créteil (UPEC), Créteil, France
| | - Phyllis I Spuls
- Department of Dermatology, Academic Medical Center, Amsterdam, The Netherlands
| | - Dimitri Beeckman
- Skin Integrity Research Group (SKINT), Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium
- Swedish Centre for Skin and Wound Research (SCENTR), School of Health Sciences, Örebro University, Örebro, Sweden
| | - Pierre Wolkenstein
- Department of Dermatology, GHU Henri-Mondor, APHP, UPEC, Créteil, France
| | - Frederike Fransen
- Department of Dermatology, Amsterdam Public Health, Infection and Immunity, Amsterdam University Medical Center, Amsterdam, The Netherlands
| | - Megan H Noe
- Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, USA
| | - Ginger Beau Langbroek
- Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands
| | - Andrea Bauer
- Department of Dermatology, University Hospital Carl Gustav Carus, Technical University, Dresden, Germany
| | - Linnea Thorlacius
- Department of Dermatology, Zealand University Hospital, Roskilde, Denmark
| | - Sophie E R Horbach
- Department of Plastic and Reconstructive Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands
| | - Alison Layton
- Skin Research Centre, University of York, Heslington Road, York, UK
| | - Christian Apfelbacher
- Institute of Social Medicine and Health Systems Research, Otto Von Guericke University Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany
| | - Brian A Cahn
- Department of Dermatology, University of Illinois at Chicago, Chicago, IL, USA
| | - Ross Pearlman
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Daniel I Schlessinger
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
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10
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Minkis K, Stratman EJ, Shi VJ, Greywal T, Hu JC, Suozzi KC, Saikaly SK, Ortiz A, Kang BY, Alam M. Cosmetic Directors on ACGME Program Requirements: A Cross-Sectional Survey. J Am Acad Dermatol 2024:S0190-9622(24)00444-4. [PMID: 38460788 DOI: 10.1016/j.jaad.2024.01.085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Revised: 01/15/2024] [Accepted: 01/28/2024] [Indexed: 03/11/2024]
Affiliation(s)
- Kira Minkis
- Department of Dermatology, Weill Cornell/New York Presbyterian, New York, NY
| | - Erik J Stratman
- Department of Dermatology, Marshfield Clinic Health System, Marshfield, MI
| | - Victoria J Shi
- Department of Dermatology, Northwestern Feinberg School of Medicine, Chicago, IL
| | - Tanya Greywal
- Division of Dermatology, University of Washington, Seattle, WA
| | - Jenny C Hu
- Department of Dermatology, Keck School of Medicine of University of Southern California, Los Angeles, CA
| | | | - Sami K Saikaly
- Department of Dermatology, University of Florida, Gainesville, FL
| | - Arisa Ortiz
- Department of Dermatology, University of California San Diego, San Diego, CA
| | - Bianca Y Kang
- Department of Dermatology, Northwestern Feinberg School of Medicine, Chicago, IL
| | - Murad Alam
- Department of Dermatology, Northwestern Feinberg School of Medicine, Chicago, IL; Department of Surgery, Northwestern Feinberg School of Medicine, Chicago, IL; Department of Otolaryngology, Northwestern Feinberg School of Medicine, Chicago, IL; Department of Medical Social Sciences, Northwestern Feinberg School of Medicine, Chicago, IL.
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11
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Yi MD, Nadir U, Hisham FI, Dave L, Maisel-Campbell A, Weil A, Poon E, Cahn BA, Pearlman R, Alam M. Association between out-of-pocket expense and patient satisfaction with cutaneous surgery: A prospective, randomized study. J Am Acad Dermatol 2024; 90:644-646. [PMID: 37981252 DOI: 10.1016/j.jaad.2023.11.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 10/14/2023] [Accepted: 11/04/2023] [Indexed: 11/21/2023]
Affiliation(s)
- Michael D Yi
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Umer Nadir
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | | | - Loma Dave
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | | | - Alexandra Weil
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Brian A Cahn
- Department of Dermatology, University of Illinois Chicago, Chicago, Illinois
| | - Ross Pearlman
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois; Department of Otolaryngology, Feinberg School of Medicine, Chicago, Illinois; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
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12
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Mafee M, Yi MD, Carr DR, Alam M. Registries and Research Pertaining to Rare Cutaneous Tumors. Dermatol Surg 2024:00042728-990000000-00686. [PMID: 38394458 DOI: 10.1097/dss.0000000000004130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2024]
Affiliation(s)
- Mariam Mafee
- Department of Dermatology, Rush University Medical Center
| | - Michael D Yi
- Department of Dermatology, Northwestern University Feinberg School of Medicine
| | - David R Carr
- Department of Dermatology, The Ohio State University Wexner Medical Center
| | - Murad Alam
- Department of Dermatology, Northwestern University Feinberg School of Medicine
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13
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Maisel-Campbell AL, Waldman A, Dave L, Poon E, Alam M. Why different types of patients seek cosmetic treatments. Arch Dermatol Res 2024; 316:84. [PMID: 38324187 DOI: 10.1007/s00403-023-02813-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 05/18/2023] [Accepted: 12/27/2023] [Indexed: 02/08/2024]
Abstract
The extent to which demographics drive patients to pursue minimally invasive cosmetic procedures is not well-understood. The aim of this project was to better understand how patient demographics impact motivations for cosmetic procedures, irrespective of the procedure desired. Patient-level information from the Cosmetic Motivation Database was evaluated using linear regression analyses to determine whether geographic region, age, gender, race, and education independently influence patients to pursue any cosmetic treatment or consultation. Patients in the Midwest reported fewer motivations related to cosmetic appearance, mental/emotional health, physical health, social life, and school/work success than those in the South. Patients younger than 45 years reported more mental/emotional health and cost/convenience motives compared to older patients. Men noted fewer motives related to cosmetic appearance, mental/emotional health, and cost/convenience but more related to school/work success. Non-White patients reported more cost/convenience motives. Participants with up to a high school diploma cited more mental/emotional health, physical health, social life, and school/work success motivations than those with post-bachelor's education. College graduates cited more school/work success motives than those with graduate-level education. In summary, patient's gender, education, age, location, and race affect why they seek cosmetic treatments. Future research may study younger and less educated patients to improve their access to treatment.
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Affiliation(s)
- Amanda L Maisel-Campbell
- Department of Dermatology, Feinberg School of Medicine, 676 N. St. Clair St., Ste 1600, Chicago, IL, USA
- Department of Dermatology, Columbia University Medical Center, New York, NY, USA
| | - Abigail Waldman
- Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Loma Dave
- Department of Dermatology, Feinberg School of Medicine, 676 N. St. Clair St., Ste 1600, Chicago, IL, USA
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, 676 N. St. Clair St., Ste 1600, Chicago, IL, USA
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, 676 N. St. Clair St., Ste 1600, Chicago, IL, USA.
- Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
- Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
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14
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Nadir U, Ahmed A, Yi MD, Hisham FI, Dave L, Kottner J, Ezzedine K, Garg A, Ingram JR, Jemec GBE, Spuls PI, Kirkham JJ, Cahn B, Alam M. Protocol of a scoping review of outcome domains in dermatology. BMJ Open 2024; 14:e079632. [PMID: 38320843 PMCID: PMC10860027 DOI: 10.1136/bmjopen-2023-079632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 01/26/2024] [Indexed: 02/15/2024] Open
Abstract
INTRODUCTION Core outcome sets (COSs) are agreed outcomes (domains (subdomains) and instruments) that should be measured as a minimum in clinical trials or practice in certain diseases or clinical fields. Worldwide, the number of COSs is increasing and there might be conceptual overlaps of domains (subdomains) and instruments within disciplines. The aim of this scoping review is to map and to classify all outcomes identified with COS projects relating to skin diseases. METHODS AND ANALYSIS We will conduct a scoping review of outcomes of skin disease-related COS initiatives to identify all concepts and their definitions. We will search PubMed, Embase and Cochrane library. The search dates will be 1 January 2010 (the point at which Core Outcome Measures in Effectiveness Trials (COMET) was established) to 1 January 2024. We will also review the COMET database and C3 website to identify parts of COSs (domains and/or instruments) that are being developed and published. This review will be supplemented by querying relevant stakeholders from COS organisations, dermatology organisations and patient organisations for additional COSs that were developed. The resulting long lists of outcomes will then be mapped into conceptually similar concepts. ETHICS AND DISSEMINATION This study was supported by departmental research funds from the Department of Dermatology at Northwestern University. An ethics committee review was waived since this protocol was done by staff researchers with no involvement of patient care. Conflicts of interests, if any, will be addressed by replacing participants with relevant conflicts or reassigning them. The results will be disseminated through publication in peer-reviewed journals, social media posts and promotion by COS organisations.
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Affiliation(s)
- Umer Nadir
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois, USA
| | - Areeba Ahmed
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois, USA
| | - Michael D Yi
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois, USA
| | | | - Loma Dave
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois, USA
| | - Jan Kottner
- Charité Universitätsmedizin Berlin, Berlin, Germany
| | - K Ezzedine
- Service de Dermatologie, AP-HP, Henri Mondor Hospital, Paris, France
| | - Amit Garg
- Department of Dermatology, Hofstra Northwell School of Medicine, Long Island, New York, USA
| | | | | | - Phyllis I Spuls
- Department of Dermatology, Amsterdam UMC, location Academic Medical Center, University of Amsterdam, Amsterdam Public Health, Infection and Immunity, Amsterdam, Netherlands
| | | | - Brian Cahn
- Department of Dermatology, University of Illinois, Chicago, Illinois, USA
| | - Murad Alam
- Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
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15
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Nadir U, Yi MD, Koza E, Shi VJ, Dave L, Hisham FI, Maisel-Campbell A, Lin KA, Ibrahim SA, Kang BY, Anvery N, Dirr MA, Christensen RE, Riley JM, Kundu RV, Aylward JL, Bari O, Bhatti H, Bolotin D, Cherpelis BS, Cohen JL, Condon S, Farhang S, Firoz B, Garrett AB, Geronemus RG, Golda NJ, Humphreys TR, Hurst EA, Jacobson OH, Jiang SB, Karia PS, Kimyai-Asadi A, Kouba DJ, Council ML, Le M, MacFarlane DF, Maher IA, Miller SJ, Moioli EK, Morrow M, Neckman J, Peterson SR, Poblete-Lopez C, Prather CL, Ranario JS, Rubin AG, Swanson AM, Urban C, Xu YG, Pearlman R, Cahn BA, Yoo S, Harikumar V, Weil A, Schaeffer M, Iyengar S, Poon E, Alam M. Outcomes of cutaneous surgery for nonmelanoma skin cancer in patients with different Fitzpatrick skin types: A nationwide, multicenter, prospective study. J Am Acad Dermatol 2024:S0190-9622(24)00137-3. [PMID: 38296200 DOI: 10.1016/j.jaad.2023.11.069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 11/15/2023] [Accepted: 11/20/2023] [Indexed: 02/23/2024]
Affiliation(s)
- Umer Nadir
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Michael D Yi
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Eric Koza
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Victoria J Shi
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Loma Dave
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | | | - Amanda Maisel-Campbell
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois; Department of Dermatology, Columbia University Irving Medical Center, New York, New York
| | - Katherine A Lin
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Sarah A Ibrahim
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Bianca Y Kang
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Noor Anvery
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - McKenzie A Dirr
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | | | - Julia M Riley
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Roopal V Kundu
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Juliet L Aylward
- Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | - Omar Bari
- Mohs and Dermatologic Surgery Center, University of California, San Diego, San Diego, California; Division of Dermatology, University of California, Los Angeles, Los Angeles, California
| | - Hamza Bhatti
- Department of Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, New Jersey; The Skin Institute of South Florida, Coral Springs, Florida
| | - Diana Bolotin
- Section of Dermatology, University of Chicago, Chicago, Illinois
| | - Basil S Cherpelis
- Department of Dermatology and Cutaneous Surgery, University of South Florida College of Medicine, Tampa, Florida
| | - Joel L Cohen
- AboutSkin Dermatology, Denver, Colorado; Department of Dermatology, University of California, Irvine, Irvine, California
| | - Sean Condon
- Department of Dermatology, Cleveland Clinic, Cleveland, Ohio; The Center For Dermatology Care, Thousand Oaks, California
| | - Sheila Farhang
- Department of Dermatology and Cutaneous Surgery, University of South Florida College of Medicine, Tampa, Florida; Avant Dermatology and Aesthetics, Tucson, Arizona
| | - Bahar Firoz
- Department of Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, New Jersey
| | | | - Roy G Geronemus
- Ronald O. Perelman Department of Dermatology, New York University Langone Medical Center, New York, New York; Laser and Skin Surgery Center of New York, New York, New York
| | - Nicholas J Golda
- Department of Dermatology, University of Missouri School of Medicine, Columbia, Missouri
| | - Tatyana R Humphreys
- Main Line Center for Skin Surgery, Bala Cynwyd, Pennsylvania; Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, Pennsylvania
| | - Eva A Hurst
- Division of Dermatology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri; Distinctive Dermatology, Fairview Heights, Illinois
| | - Oren H Jacobson
- Revere Health Central Utah Mohs, Provo, Utah; St. George's University School of Medicine, Grenada, West Indies
| | - Shang Brian Jiang
- Mohs and Dermatologic Surgery Center, University of California, San Diego, San Diego, California
| | - Pritesh S Karia
- Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | | | - David J Kouba
- Wayne State University School of Medicine, Detroit, Michigan; Toledo Clinic Facial Plastics and Dermatology, Toledo, Ohio
| | - Martha Laurin Council
- Division of Dermatology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri
| | - Marilyn Le
- Main Line Center for Skin Surgery, Bala Cynwyd, Pennsylvania
| | | | - Ian A Maher
- Department of Dermatology, Saint Louis University, St. Louis, Missouri; Department of Dermatology, University of Minnesota, Minneapolis, Minnesota
| | | | - Eduardo K Moioli
- Section of Dermatology, University of Chicago, Chicago, Illinois
| | - Meghan Morrow
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Julia Neckman
- Laser and Skin Surgery Center of New York, New York, New York; MetroDerm, Atlanta, Georgia
| | - Samuel R Peterson
- Revere Health Central Utah Mohs, Provo, Utah; ERderm, Newport Beach, California
| | | | | | | | - Ashley G Rubin
- Mohs and Dermatologic Surgery Center, University of California, San Diego, San Diego, California; Bernardo Dermatology Medical Group, Poway, California
| | - Andrew M Swanson
- Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | - Christopher Urban
- Division of Dermatology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri; Carolina Mountain Dermatology, Arden, North Carolina
| | - Yaohui Gloria Xu
- Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | - Ross Pearlman
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Brian A Cahn
- University of Illinois Chicago, Chicago, Illinois
| | - Simon Yoo
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Vishnu Harikumar
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Alexandra Weil
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Matthew Schaeffer
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Sanjana Iyengar
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois.
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16
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Ahmed A, Koza E, Shi V, Ma M, Haq M, Kottner J, Garg A, Ingram JR, Ezzedine K, Spuls PI, Beeckman D, Wolkenstein P, Fransen F, Noe MH, Langbroek GB, Bauer A, Thorlacius L, Horbach SER, Layton A, Apfelbacher C, Cahn BA, Pearlman R, Schlessinger DI, Alam M. Clinical relevance and uptake of core outcome sets in dermatology. Arch Dermatol Res 2024; 316:78. [PMID: 38244063 DOI: 10.1007/s00403-023-02814-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 12/04/2023] [Accepted: 12/27/2023] [Indexed: 01/22/2024]
Affiliation(s)
- Areeba Ahmed
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Eric Koza
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Victoria Shi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Melissa Ma
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Misha Haq
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Jan Kottner
- Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Amit Garg
- Department of Dermatology, Northwell Health, New York, USA
| | - John R Ingram
- Clinical Reader and Consultant Dermatologist, Division of Infection and Immunity, Cardiff University, Cardiff, UK
| | - Khaled Ezzedine
- Department of Dermatology, Hôpital Henri Mondor, Créteil, France
- Epidemiology in Dermatology and Evaluation of Therapeutics (EpiDermE)-EA 7379, Université Paris Est Créteil (UPEC), Créteil, France
| | | | - Dimitri Beeckman
- Skin Integrity Research Group (SKINT), Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium
- Swedish Centre for Skin and Wound Research (SCENTR), School of Health Sciences, Örebro University, Örebro, Sweden
| | - Pierre Wolkenstein
- Department of Dermatology, GHU Henri-Mondor, APHP, UPEC, Créteil, France
| | - Frederike Fransen
- Department of Dermatology, Amsterdam Public Health, Infection and Immunity, Amsterdam University Medical Center, Amsterdam, The Netherlands
| | - Megan H Noe
- Harvard Medical School, Brigham and Women's Hospital, Boston, USA
| | - Ginger Beau Langbroek
- Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands
| | - Andrea Bauer
- Department of Dermatology, University Hospital Carl Gustav Carus, Technical University, Dresden, Germany
| | - Linnea Thorlacius
- Department of Dermatology, Zealand University Hospital, Roskilde, Denmark
| | - Sophie E R Horbach
- Department of Plastic and Reconstructive Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands
| | - Alison Layton
- Skin Research Centre, University of York, Heslington Road, York, UK
| | - Christian Apfelbacher
- Institute of Social Medicine and Health Systems Research, Otto Von Guericke University Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany
| | - Brian A Cahn
- Department of Dermatology, University of Illinois at Chicago, Chicago, IL, USA
| | - Ross Pearlman
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Daniel I Schlessinger
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
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17
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Zielinski C, Winker MA, Aggarwal R, Ferris LE, Heinemann M, Lapeña JF, Pai SA, Ing E, Citrome L, Alam M, Voight M, Habibzadeh F. Chatbots, generative AI, and scholarly manuscripts: WAME recommendations on chatbots and generative artificial intelligence in relation to scholarly publications. Curr Med Res Opin 2024; 40:11-13. [PMID: 38112256 DOI: 10.1080/03007995.2023.2286102] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2023]
Affiliation(s)
- Chris Zielinski
- Centre for Global Health, University of Winchester, Winchester, UK
| | | | - Rakesh Aggarwal
- WAME, Chicago, USA
- Associate Editor, Journal of Gastroenterology and Hepatology
- Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Lorraine E Ferris
- WAME, Chicago, USA
- Dalla Lana School of Public Health, University of Toronto, Canada
| | - Markus Heinemann
- WAME, Chicago, USA
- Editor-in-Chief, The Thoracic and Cardiovascular Surgeon
- Universitaetsmedizin Mainz, Germany
| | - Jose Florencio Lapeña
- WAME, Chicago, USA
- Editor-in-Chief, Philippine Journal of Otolaryngology Head & Neck Surgery
- University of the Philippines Manila
| | - Sanjay A Pai
- WAME, Chicago, USA
- Working Committee, The National Medical Journal of India, New Delhi, India
| | - Edsel Ing
- WAME, Chicago, USA
- Section Editor, Canadian Journal of Ophthalmology
- University of Toronto and University of Alberta, Toronto, Canada
| | - Leslie Citrome
- WAME, Chicago, USA
- Editor-in-Chief, Current Medical Research and Opinion
- Topic Editor for Psychiatry for Clinical Therapeutics
- New York Medical College, Valhalla, USA
| | - Murad Alam
- WAME, Chicago, USA
- Editor-in-Chief, Archives of Dermatological Research
- Northwestern University, Chicago, USA
| | - Michael Voight
- WAME, Chicago, USA
- Executive Editor-in-Chief, International Journal of Sports Physical Therapy
- Belmont University School of Physical Therapy, Nashville, USA
| | - Farrokh Habibzadeh
- WAME, Chicago, USA
- Editorial Consultant, The Lancet
- Associate Editor, Frontiers in Epidemiology, Shiraz, Iran
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18
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Schmults CD, Blitzblau R, Aasi SZ, Alam M, Amini A, Bibee K, Bolotin D, Bordeaux J, Chen PL, Contreras CM, DiMaio D, Donigan JM, Farma JM, Ghosh K, Harms K, Ho AL, Lukens JN, Manber S, Mark L, Medina T, Nehal KS, Nghiem P, Olino K, Park S, Patel T, Puzanov I, Rich J, Sekulic A, Shaha AR, Srivastava D, Thomas V, Tomblinson C, Venkat P, Xu YG, Yu S, Yusuf M, McCullough B, Espinosa S. NCCN Guidelines® Insights: Merkel Cell Carcinoma, Version 1.2024. J Natl Compr Canc Netw 2024; 22:e240002. [PMID: 38244274 DOI: 10.6004/jnccn.2024.0002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2024]
Abstract
The NCCN Guidelines for Merkel Cell Carcinoma (MCC) provide recommendations for diagnostic workup, clinical stage, and treatment options for patients. The panel meets annually to discuss updates to the guidelines based on comments from expert review from panel members, institutional review, as well as submissions from within NCCN and external organizations. These NCCN Guidelines Insights focus on the introduction of a new page for locally advanced disease in the setting of clinical node negative status, entitled "Clinical N0 Disease, Locally Advanced MCC." This new algorithm page addresses locally advanced disease, and the panel clarifies the meaning behind the term "nonsurgical" by further defining locally advanced disease. In addition, the guideline includes the management of in-transit disease and updates to the systemic therapy options.
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Affiliation(s)
| | | | | | - Murad Alam
- Robert H. Lurie Comprehensive Cancer Center of Northwestern University
| | | | - Kristin Bibee
- The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
| | | | - Jeremy Bordeaux
- Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute
| | | | - Carlo M Contreras
- The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute
| | | | | | | | | | | | - Alan L Ho
- Memorial Sloan Kettering Cancer Center
| | | | | | - Lawrence Mark
- Indiana University Melvin and Bren Simon Comprehensive Cancer Center
| | | | | | | | | | - Soo Park
- UC San Diego Moores Cancer Center
| | - Tejesh Patel
- The University of Tennessee Health Science Center
| | | | - Jason Rich
- Siteman Cancer Center at Barnes-Jewish Hospital and Washington UniversitySchool of Medicine
| | | | | | | | | | | | | | | | - Siegrid Yu
- UCSF Helen Diller Family Comprehensive Cancer Center
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19
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Ilyas M, Rahman A, Khan NH, Haroon M, Hussain H, Rehman L, Alam M, Rauf A, Waggas DS, Bawazeer S. Analysis of Germin-like protein genes family in Vitis vinifera (VvGLPs) using various in silico approaches. BRAZ J BIOL 2024; 84:e256732. [DOI: 10.1590/1519-6984.256732] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Accepted: 12/28/2021] [Indexed: 12/26/2022] Open
Abstract
Abstract Germin-like proteins (GLPs) play an important role against various stresses. Vitis vinifera L. genome contains 7 GLPs; many of them are functionally unexplored. However, the computational analysis may provide important new insight into their function. Currently, physicochemical properties, subcellular localization, domain architectures, 3D structures, N-glycosylation & phosphorylation sites, and phylogeney of the VvGLPs were investigated using the latest computational tools. Their functions were predicted using the Search tool for the retrieval of interacting genes/proteins (STRING) and Blast2Go servers. Most of the VvGLPs were extracellular (43%) in nature but also showed periplasmic (29%), plasma membrane (14%), and mitochondrial- or chloroplast-specific (14%) expression. The functional analysis predicted unique enzymatic activities for these proteins including terpene synthase, isoprenoid synthase, lipoxygenase, phosphate permease, receptor kinase, and hydrolases generally mediated by Mn+ cation. VvGLPs showed similarity in the overall structure, shape, and position of the cupin domain. Functionally, VvGLPs control and regulate the production of secondary metabolites to cope with various stresses. Phylogenetically VvGLP1, -3, -4, -5, and VvGLP7 showed greater similarity due to duplication while VvGLP2 and VvGLP6 revealed a distant relationship. Promoter analysis revealed the presence of diverse cis-regulatory elements among which CAAT box, MYB, MYC, unnamed-4 were common to all of them. The analysis will help to utilize VvGLPs and their promoters in future food programs by developing resistant cultivars against various biotic (Erysiphe necator and in Powdery Mildew etc.) and abiotic (Salt, drought, heat, dehydration, etc.) stresses.
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Affiliation(s)
| | | | | | | | | | | | - M. Alam
- University of Swabi, Pakistan
| | - A. Rauf
- University of Swabi, Pakistan
| | - D. S. Waggas
- Fakeeh College of Medical Sciences, Saudi Arabia
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20
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Ahmed A, Kyllo RL, Koza E, Haq M, Shi VJ, Ma M, Weil A, Wan HT, Poon E, Pearlman R, Schlessinger DI, Cahn BA, Alam M. Metabolic effects of tumescent liposuction. Arch Dermatol Res 2023; 316:59. [PMID: 38151663 DOI: 10.1007/s00403-023-02809-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 12/14/2023] [Accepted: 12/19/2023] [Indexed: 12/29/2023]
Affiliation(s)
- Areeba Ahmed
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Rachel L Kyllo
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Eric Koza
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Misha Haq
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Victoria J Shi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Melissa Ma
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Alexandra Weil
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Hoi Ting Wan
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Ross Pearlman
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Daniel I Schlessinger
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Brian A Cahn
- Department of Dermatology, University of Illinois at Chicago, 676 N. St. Clair, Suite 1600, Chicago, IL, 60611, USA
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
- Department of Otolaryngology-Head and Neck Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
- Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
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21
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Harikumar V, Anvery N, Haq M, Christensen RE, Ahmed A, Koza E, Ma M, Shi V, Dirr MA, Worley B, Brieva JC, Yoo SS, Alam M. Risk factors for hospital-based surgical site infections. Arch Dermatol Res 2023; 316:43. [PMID: 38091095 DOI: 10.1007/s00403-023-02773-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 09/06/2023] [Accepted: 11/08/2023] [Indexed: 12/18/2023]
Abstract
Surgical site infections (SSIs) contribute to morbidity and are costly to the healthcare system. To identify factors associated with SSIs. Case-control study analyzing the Nationwide Readmission Database (NRD). We identified 45,445 SSIs. Infection rates were higher in those who were obese (BMI ≥ 30) (OR: 1.39, 95% CI 1.28-1.51), tobacco users (OR: 1.08, 95% CI 1.02-1.15), diagnosed with diabetes (OR: 1.16, 95% CI 1.10-1.22), with Elixhauser Comorbidity Index ≥ 2 (OR: 1.14, 95% CI 1.09-1.20), admitted to hospital for 4-6 days (OR: 1.35, 95% CI 1.29-1.42), in medium-size hospital (OR: 1.15, 95% CI 1.05-1.26), or large-size hospital (OR: 1.43, 95% CI 1.31-1.56). In contrast, patients who were 60-79 years old (OR: 0.78, 95% CI 0.73-0.84), 80 years or older (OR: 0.66, 95% CI 0.59-0.73), female (OR: 0.95, 95% CI 0.91-0.99), underweight (BMI < 18.5) (OR: 0.14, 95% CI 0.03-0.59), in a non-metropolitan hospital (OR: 0.83, 95% CI 0.75-0.91), self-pay (OR: 0.82, 95% CI 0.74-0.91), or covered by Medicare (OR: 0.86, 95% CI 0.80-0.91) had lower odds. Initial data entry to NRD is susceptible to human error. Patients who are obese, use tobacco, have multiple comorbidities, and have long hospital stays in medium-to-large-size hospitals are at risk of SSIs. Conversely, odds of SSIs are lower in females, age ≥ 60, BMI < 18.5, self-pay or Medicare (versus private insurance), or at smaller hospitals. Understanding factors associated with SSIs may help surgeons anticipate complications.
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Affiliation(s)
- Vishnu Harikumar
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA
| | - Noor Anvery
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA
| | - Misha Haq
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA
| | - Rachel E Christensen
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA
| | - Areeba Ahmed
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA
| | - Eric Koza
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA
| | - Melissa Ma
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA
| | - Victoria Shi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA
| | - McKenzie A Dirr
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA
| | - Brandon Worley
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA
- Florida Dermatology and Skin Cancer Centers, Lake Wales, FL, USA
| | - Joaquin C Brieva
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA
| | - Simon S Yoo
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St Clair St, Ste 1600, Chicago, IL, 60611, USA.
- Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
- Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
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22
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Alam M, Whittington A, Nadir U, Yi MD, Dave L, Ikmal Hisham F, Cahn BA, Minkis K, Schlessinger DI, Schaeffer M, Reynolds KA, Veledar E, Poon E, Yoo SS, Krol C, Tung R, Bolotin D. Concordance of basal cell carcinoma subtyping at biopsy vs. excision, and the implications for clinical approach: a multicenter cohort study. Arch Dermatol Res 2023; 316:23. [PMID: 38059991 DOI: 10.1007/s00403-023-02772-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Revised: 08/15/2023] [Accepted: 11/07/2023] [Indexed: 12/08/2023]
Affiliation(s)
- Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St. Clair St., Ste 1600, Chicago, IL, 60611, USA.
- Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
- Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
| | | | - Umer Nadir
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St. Clair St., Ste 1600, Chicago, IL, 60611, USA
| | - Michael D Yi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St. Clair St., Ste 1600, Chicago, IL, 60611, USA
| | - Loma Dave
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St. Clair St., Ste 1600, Chicago, IL, 60611, USA
| | - Farhana Ikmal Hisham
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St. Clair St., Ste 1600, Chicago, IL, 60611, USA
| | - Brian A Cahn
- Department of Dermatology, University of Illinois-Chicago, Chicago, IL, USA
| | - Kira Minkis
- Department of Dermatology, Weill Cornell Medical College, New York, NY, USA
| | - Daniel I Schlessinger
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St. Clair St., Ste 1600, Chicago, IL, 60611, USA
| | - Matthew Schaeffer
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St. Clair St., Ste 1600, Chicago, IL, 60611, USA
| | - Kelly A Reynolds
- University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Emir Veledar
- Emory University School of Medicine, Atlanta, GA, USA
- Baptist Health South Florida, Miami, FL, USA
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St. Clair St., Ste 1600, Chicago, IL, 60611, USA
| | - Simon S Yoo
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N. St. Clair St., Ste 1600, Chicago, IL, 60611, USA
| | - Cindy Krol
- Department of Dermatology, Loyola University, Maywood, IL, USA
| | - Rebecca Tung
- Department of Dermatology, Loyola University, Maywood, IL, USA
| | - Diana Bolotin
- Section of Dermatology, University of Chicago Medicine, Chicago, IL, USA
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23
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Alam M, Vitarella D, Ahmad W, Abushakra S, Mao C, Brin MF. Botulinum toxin type E associated with reduced itch and pain during wound healing and acute scar formation following excision and linear repair on the forehead: A randomized controlled trial. J Am Acad Dermatol 2023; 89:1317-1319. [PMID: 37666427 DOI: 10.1016/j.jaad.2023.08.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 08/01/2023] [Accepted: 08/07/2023] [Indexed: 09/06/2023]
Affiliation(s)
- Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
| | | | - Wajdie Ahmad
- Bonti, Inc, AbbVie Company, Newport Beach, California
| | | | | | - Mitchell F Brin
- AbbVie, Irvine, California; University of California, Irvine, California
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24
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Henry T, Cahn B, Haber R, Landers JT, Berger-Fleishman R, Alam M, Hoyer S. Therapeutic potential of GLP-1 agonists for hidradenitis suppurativa. Int J Dermatol 2023; 62:1543-1544. [PMID: 37897079 DOI: 10.1111/ijd.16892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 10/18/2023] [Indexed: 10/29/2023]
Affiliation(s)
- Tanya Henry
- University of Illinois, College of Medicine, Chicago, IL, USA
| | - Brian Cahn
- Department of Dermatology, University of Illinois, Chicago, IL, USA
| | - Roger Haber
- Department of Dermatology, University of Illinois, Chicago, IL, USA
| | - John T Landers
- Lovell Federal Health Care Center, North Chicago, IL, USA
| | | | - Murad Alam
- Department of Dermatology, Northwestern Medicine, Chicago, Illinois, USA
| | - Sheryl Hoyer
- Department of Dermatology, University of Illinois, Chicago, IL, USA
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25
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Lawrence N, Alam M. Introduction to the Special Oncology Issue. Dermatol Surg 2023; 49:1057. [PMID: 38019007 DOI: 10.1097/dss.0000000000004015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2023]
Affiliation(s)
- Naomi Lawrence
- Dermatologic Surgery, CooperHospital/Rowan University, Marlton, New Jersey
| | - Murad Alam
- Departments of Dermatology, Otolaryngology, Surgery, and Medical Social Sciences, Northwestern University, Chicago, Illinois
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26
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Schmults CD, Blitzblau R, Aasi SZ, Alam M, Amini A, Bibee K, Bordeaux J, Chen PL, Contreras CM, DiMaio D, Donigan JM, Farma JM, Ghosh K, Harms K, Ho AL, Lukens JN, Mark L, Medina T, Nehal KS, Nghiem P, Olino K, Park S, Patel T, Puzanov I, Rich J, Sekulic A, Shaha AR, Srivastava D, Thomas V, Tomblinson C, Venkat P, Xu YG, Yu S, Yusuf M, McCullough B, Espinosa S. Basal Cell Skin Cancer, Version 2.2024, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw 2023; 21:1181-1203. [PMID: 37935106 DOI: 10.6004/jnccn.2023.0056] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2023]
Abstract
Basal cell carcinoma (BCC) is the most common form of skin cancer in the United States. Due to the high frequency, BCC occurrences are not typically recorded, and annual rates of incidence can only be estimated. Current estimated rates are 2 million Americans affected annually, and this continues to rise. Exposure to radiation, from either sunlight or previous medical therapy, is a key player in BCC development. BCC is not as aggressive as other skin cancers because it is less likely to metastasize. However, surgery and radiation are prevalent treatment options, therefore disfigurement and limitation of function are significant considerations. The NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) outline an updated risk stratification and treatment options available for BCC.
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Affiliation(s)
| | | | | | - Murad Alam
- Robert H. Lurie Comprehensive Cancer Center of Northwestern University
| | | | - Kristin Bibee
- The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
| | - Jeremy Bordeaux
- Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute
| | | | - Carlo M Contreras
- The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute
| | | | | | | | | | | | - Alan L Ho
- Memorial Sloan Kettering Cancer Center
| | | | - Lawrence Mark
- Indiana University Melvin and Bren Simon Comprehensive Cancer Center
| | | | | | | | | | - Soo Park
- UC San Diego Moores Cancer Center
| | | | | | - Jason Rich
- Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine
| | | | | | | | | | | | | | | | - Siegrid Yu
- UCSF Helen Diller Family Comprehensive Cancer Center
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27
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Yi MD, Pearlman R, Nadir U, Hisham FI, Dave L, Hellquist K, Alam M. Report of adverse events, 2021 to 2022, from the cutaneous procedures adverse events reporting (CAPER) registry. J Am Acad Dermatol 2023; 89:591-593. [PMID: 37169292 DOI: 10.1016/j.jaad.2023.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 04/25/2023] [Accepted: 05/03/2023] [Indexed: 05/13/2023]
Affiliation(s)
- Michael D Yi
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Ross Pearlman
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois; American Society for Dermatologic Surgery Association (ASDSA), Rolling Meadows, Illinois
| | - Umer Nadir
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | | | - Loma Dave
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois
| | - Kristin Hellquist
- American Society for Dermatologic Surgery Association (ASDSA), Rolling Meadows, Illinois
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Chicago, Illinois; Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Otolaryngology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
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28
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Archibald LK, Gupta R, Shahwan KT, Swick M, Bakker C, Mattox AR, Alam M, Maher IA. Periorbital reconstructive techniques following Mohs micrographic surgery or excisions: a systematic review. Arch Dermatol Res 2023; 315:1853-1861. [PMID: 36646921 DOI: 10.1007/s00403-022-02523-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 11/19/2022] [Accepted: 12/27/2022] [Indexed: 01/18/2023]
Abstract
There are many articles in the literature on periorbital reconstruction after Mohs micrographic surgery (MMS) or surgical excision, however, the literature lacks a comprehensive systematic review of these reports. We performed a systematic review of published data on periorbital defect reconstruction to identify trends in the literature. A comprehensive search of eight databases was performed. To be included in the study, articles had to be published in English between 2005 and 2020 and contain repair data for MMS or excision defects in the periorbital region. Studies with less than four patients, literature or systematic reviews, and abstract-only publications were excluded. Data extracted from eligible articles included the authors' medical specialties, study design, subject number and demographics, defect characteristics, procedure type, reconstructive methods, complications, outcome measures, and method of outcome assessment. 53 studies met the inclusion criteria. The first and last authors' specialties were ophthalmology (47%), plastic and reconstructive surgery (23%), dermatology (13%), otolaryngology (4%), or were multi-specialty collaborations (13%). Only 5 of the studies were prospective. Defects were located on the lower eyelid (55%), medial canthus (31%), upper eyelid (8%), lateral canthus (4%), or a combination of these sites (2%). Reconstructive methods were reported for 3678 cases and included linear repair (18%), advancement flap (8%), rotation flap (5%), transposition flap (3%), island pedicle flap (1%), unspecified local skin flap (21%), skin graft (23%), secondary intention (4%), tarsoconjunctival flap (3%), and combined reconstruction techniques (13%). Thirty-three of 53 articles specified the periorbital subunit for each reconstructive technique that was employed. Among these 33 articles which allowed for correlation between defect location and reconstructive technique, the most utilized repair method for lower eyelid defects was local skin flap. Defects on the upper eyelid or medial canthus were most frequently repaired with a skin graft. Forty articles commented on cosmetic outcomes, however, only 3 of these articles utilized a defined grading system, objective measurements, or independent reviewers to assess the cosmetic outcomes. The methods of reconstruction in this review were diverse, however, local skin flaps and grafts were the most utilized techniques. In future reports, increased reporting of reconstructive technique by defect location as well as increased use of standardized assessments of aesthetic outcomes can help strengthen this body of literature.
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Affiliation(s)
- Laura K Archibald
- Department of Dermatology, University of Minnesota, Phillips-Wangensteen Building, 516 Delaware Street SE, Suite 1-400, Mail Code 98, Minneapolis, MN, 55455, USA.
| | - Rachit Gupta
- Division of Dermatology, Loyola University Medical Center, Maywood, IL, USA
| | - Kathryn T Shahwan
- Altru Health System/University of North Dakota Medical School, Grand Forks, ND, USA
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Marki Swick
- Department of Dermatology, University of Minnesota, Phillips-Wangensteen Building, 516 Delaware Street SE, Suite 1-400, Mail Code 98, Minneapolis, MN, 55455, USA
| | | | - Adam R Mattox
- Department of Dermatology, University of Minnesota, Phillips-Wangensteen Building, 516 Delaware Street SE, Suite 1-400, Mail Code 98, Minneapolis, MN, 55455, USA
| | - Murad Alam
- Department of Dermatology, Northwestern University, Chicago, IL, USA
| | - Ian A Maher
- Department of Dermatology, University of Minnesota, Phillips-Wangensteen Building, 516 Delaware Street SE, Suite 1-400, Mail Code 98, Minneapolis, MN, 55455, USA
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Anvery N, Kang B, Christensen RE, Dirr MA, Nadir U, Brieva JC, Council ML, Dover JS, Kuzel TM, Minkis K, Mittal BB, Wayne JD, Yoo SS, Alam M. Minimum thresholds deemed acceptable by patients and physicians for sensitivity and specificity of mobile skin cancer screening algorithms. J Am Acad Dermatol 2023; 89:595-597. [PMID: 37187429 DOI: 10.1016/j.jaad.2023.05.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 04/03/2023] [Accepted: 05/06/2023] [Indexed: 05/17/2023]
Affiliation(s)
- Noor Anvery
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Bianca Kang
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Rachel E Christensen
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - McKenzie A Dirr
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Umer Nadir
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Joaquin C Brieva
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - M Laurin Council
- Division of Dermatology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri
| | - Jeffrey S Dover
- SkinCare Physicians, Chestnut Hill, Massachusetts; Department of Dermatology, Yale University School of Medicine, New Haven, Connecticut; Department of Dermatology, Warren Alpert Medical School of Brown University, Providence, Rhode Island
| | - Timothy M Kuzel
- Division of Hematology, Oncology and Cell Therapy, Department of Medicine, Rush Medical College, Chicago, Illinois
| | - Kira Minkis
- Department of Dermatology, Weill Cornell/New York Presbyterian, New York, New York
| | - Bharat B Mittal
- Department of Radiation Oncology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Jeffrey D Wayne
- Division of Surgical Oncology, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Simon S Yoo
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
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Worley B, Kim K, Jain-Poster K, Reynolds KA, Merkel EA, Kang BY, Dirr MA, Anvery N, Christensen RE, Hisham FI, Ibrahim SA, Asadbeigi SN, Poon E, Alam M. Treatment of traumatic hypertrophic scars and keloids: a systematic review of randomized control trials. Arch Dermatol Res 2023; 315:1887-1896. [PMID: 36781457 DOI: 10.1007/s00403-023-02535-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 12/08/2022] [Accepted: 01/12/2023] [Indexed: 02/15/2023]
Abstract
Exaggerated healing and remodeling after skin injury may cause hypertrophic and keloidal scars, which are associated with functional and quality of life impairment. There is limited guidance available regarding the relative effectiveness of therapies for hypertrophic scars and keloids. In this review, we aim to compare the effectiveness of treatments for hypertrophic scars and keloids. MEDLINE, Embase, Scopus, and the Cochrane Collaboration database were searched from inception to March 2019 for randomized control trials of treatments for hypertrophic and keloid scars that included 20 or more patients. Outcomes evaluated included the standardized mean reduction in scarring and adverse events. The type of scar and the demographic features were analyzed for their effect on clinical outcome. Based on 25 included clinical trials, intralesional injection (64.1% [95% CI 60.8-67.5%]) may be more effective than physical (29.9% [95% CI 28.9-30.9%]) or topical treatments (34% [95% CI 31.8-36.8%]). Combination of 5-fluorouracil and triamcinolone (9:1 dilution) appeared superior among intralesional treatments for keloids. Ablative laser and pulsed-dye laser were the most useful laser treatments. Regression modeling showed laser treatment response was linked to Fitzpatrick skin type (p = 0.002). Adverse events were uncommon for all treatments and mostly transient. Intralesional treatments for keloid and hypertrophic scars may be the most reliable treatment option to improve pathologic scars, while laser treatment may have specific benefits for Fitzpatrick skin types I-III over types IV-VI. Management of pathological scars is an area of critical need, where appropriate treatment can have a significant impact on quality of life.
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Affiliation(s)
- Brandon Worley
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA
| | - Kathyrn Kim
- University of Illinois at Chicago College of Medicine, Chicago, IL, USA
| | - Ketan Jain-Poster
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA
| | - Kelly A Reynolds
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA
- University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Emily A Merkel
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA
| | - Bianca Y Kang
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA
| | - McKenzie A Dirr
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA
| | - Noor Anvery
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA
| | - Rachel E Christensen
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA
| | - Farhana Ikmal Hisham
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA
| | - Sarah A Ibrahim
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA
| | - Sepideh Nikki Asadbeigi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N Saint Clair, Suite 1600, Chicago, IL, 60611, USA.
- Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
- Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
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Elston DM, Grant-Kels JM, Levin NA, Alam M, Brodell RT, Fernandez AP, Flamm A, Hurley MY, Ratner D, Schaffer JV, Peebles K, Alexis AF, James AJ. Letter from the journal: Improving diagnostic acumen and patient outcomes. J Am Acad Dermatol 2023; 89:471-472. [PMID: 37172734 DOI: 10.1016/j.jaad.2023.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 05/05/2023] [Indexed: 05/15/2023]
Affiliation(s)
- Dirk M Elston
- Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.
| | - Jane M Grant-Kels
- University of Connecticut Health Center, Farmington, Connecticut; Department of Dermatology, University of Florida, Gainesville, Florida
| | - Nikki A Levin
- Department of Dermatology, University of Massachusetts Chan Medical School, Worcester, Massachusetts
| | - Murad Alam
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois
| | - Robert T Brodell
- Departments of Dermatology and Pathology, University of Mississippi Medical Center, Jackson, Mississippi; Sonny Montgomery Veterans Administration Hospital, Jackson, Mississippi
| | | | - Alexandra Flamm
- Department of Dermatology, New York University, New York, New York
| | - M Yadira Hurley
- Department of Dermatology, Saint Louis University, Saint Louis, Missouri
| | - Desiree Ratner
- Department of Dermatology, NYU Grossman School of Medicine, New York, New York
| | - Julie V Schaffer
- Division of Pediatric Dermatology and Department of Pediatrics, Hackensack University Medical Center, Hackensack, New Jersey
| | - Klint Peebles
- Department of Dermatology, Kaiser Permanente Mid-Atlantic Permanente Medical Group, Rockville, Maryland
| | | | - Alaina J James
- Department of Dermatology, University of Pittsburgh School of Medicine / University of Pittsburgh Medical Center, Pittsburgh, Pittsburgh
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Minkis K, Bolotin D, Council ML, Bar A, Farah RS, Kibbi N, Miest RYN, Orringer JS, Ortiz A, Suozzi KC, Vashi NA, Yoo SS, Albrecht J, Blalock TW, Bruce AJ, Deng M, Desai S, Eshaq M, Fiessinger LA, Ghareeb E, Greywal T, Hebert AA, Hooper D, Hordinsky M, Hu JC, Jibbe A, Joo J, Kelly KM, Kenkare S, Khetarpal S, Kole LCS, Kourosh AS, Kuhn H, Lee KC, Lucas R, Luke J, Mafee M, Mayo TT, Nawas ZY, Olasz Harken EB, Pearlstein MV, Petronic-Rosic V, Robinson CA, Rogge MN, Saikaly SK, Schenck OL, Schlick CA, Shahabi L, Shipp DM, Shive M, Silapunt S, Stratman EJ, Sulewski R, Suggs AK, Tolaymat L, Ward KHM, Weinstein Velez M, Zeichner J, Kang BY, Ibrahim SA, Christensen RE, Anvery N, Dirr MA, Lawrence N, Alam M. Needs and Gaps in Resident Trainee Education, Clinical Patient Care, and Clinical Research in Cosmetic Dermatology: Position Statement of the Association of Academic Cosmetic Dermatology. Arch Dermatol Res 2023; 315:1755-1762. [PMID: 36463367 DOI: 10.1007/s00403-022-02471-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 07/26/2022] [Accepted: 11/08/2022] [Indexed: 12/07/2022]
Abstract
Cosmetic dermatology is a key subspecialty of academic dermatology. As such, academic centers are expected to demonstrate excellence in the teaching of cosmetic dermatology skills to trainees, the clinical delivery of cosmetic dermatology services to patients, and the performance of clinical research that advances knowledge and uncovers new therapies in cosmetic dermatology. The Association of Academic Cosmetic Dermatology (AACD), a newly formed medical professional society, includes as its principal aims the support of all of these areas. AACD is comprised of group of board-certified dermatologists who teach cosmetic and laser dermatology at US dermatology residency programs. An expert panel constituted by the AACD recently convened a workshop to review gaps pertaining to academic cosmetic dermatology. This panel considered needs and potential corrective initiatives in three domains: resident education, patient experience, and clinical research. The work of the panel was used to develop a roadmap, which was adopted by consensus, and which will serve to guide the AACD moving forward.
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Affiliation(s)
- Kira Minkis
- Department of Dermatology, Weill Cornell/New York Presbyterian, New York, NY, USA
| | - Diana Bolotin
- Section of Dermatology, The University of Chicago, Chicago, IL, USA
| | - M Laurin Council
- Division of Dermatology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA
| | - Anna Bar
- Department of Dermatology, Oregon Health and Science University School of Medicine, Portland, OR, USA
| | - Ronda S Farah
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
| | - Nour Kibbi
- Department of Dermatology, Stanford University, Redwood City, CA, USA
| | | | - Jeffrey S Orringer
- Department of Dermatology, University of Michigan Medical School, Ann Arbor, MI, USA
| | - Arisa Ortiz
- Department of Dermatology, University of California San Diego, San Diego, CA, USA
| | - Kathleen C Suozzi
- Department of Dermatology, Yale School of Medicine, New Haven, CT, USA
| | - Neelam A Vashi
- Department of Dermatology, Boston University School of Medicine, Boston, MA, USA
| | - Simon S Yoo
- Department of Dermatology, Northwestern Feinberg School of Medicine, 676 N St Clair St, Suite 1600, Chicago, IL, 60611, USA
| | - Joerg Albrecht
- Division of Dermatology, Department of Medicine, Cook County Health, Chicago, IL, USA
| | - Travis W Blalock
- Department of Dermatology, Emory University School of Medicine, Atlanta, GA, USA
| | - Alison J Bruce
- Department of Dermatology, Mayo Clinic, Jacksonville, FL, USA
| | - Min Deng
- Department of Dermatology, MedStar Washington Hospital Center/Georgetown University Hospital, Washington, DC, USA
| | - Shraddha Desai
- Dermatology Institute, Duly Health and Care, Naperville, IL, USA
| | - Milad Eshaq
- Department of Dermatology, University of Michigan Medical School, Ann Arbor, MI, USA
| | - Lori A Fiessinger
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
| | - Erica Ghareeb
- Department of Dermatology, West Virginia University, Morgantown, WV, USA
| | - Tanya Greywal
- Division of Dermatology, University of Washington, Seattle, WA, USA
| | - Adelaide A Hebert
- Department of Dermatology, UTHealth McGovern Medical School, Houston, TX, USA
| | - Deirdre Hooper
- Department of Dermatology, Louisiana State University, New Orleans, LA, USA
- Department of Dermatology, Tulane University, New Orleans, LA, USA
- Audubon Dermatology, New Orleans, LA, USA
| | - Maria Hordinsky
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
| | - Jenny C Hu
- Department of Dermatology, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA
| | - Atieh Jibbe
- Division of Dermatology, University of Kansas Medical Center, Kansas City, KS, USA
| | - Jayne Joo
- Department of Dermatology, University of California Davis, Sacramento, CA, USA
| | - Kristen M Kelly
- Department of Dermatology, University of California Irvine, Irvine, CA, USA
- Beckman Laser Institute, University of California Irvine, Irvine, CA, USA
| | - Sonya Kenkare
- Department of Dermatology, Rush University Medical Center, Chicago, IL, USA
| | | | - Lauren C S Kole
- Department of Dermatology, University of Alabama at Birmingham, Birmingham, AL, USA
| | - A Shadi Kourosh
- Department of Dermatology, Massachusetts General Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Helena Kuhn
- Department of Dermatology, Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Kachiu C Lee
- Department of Dermatology, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA
| | - Roberta Lucas
- Department of Dermatology, Geisel School of Medicine at Dartmouth College, Hanover, NH, USA
| | - Janiene Luke
- Department of Dermatology, Loma Linda University, Loma Linda, CA, USA
| | - Mariam Mafee
- Division of Dermatology, Loyola University Medical Center, Maywood, IL, USA
| | - Tiffany T Mayo
- Department of Dermatology, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Zeena Y Nawas
- Department of Dermatology, Baylor College of Medicine, Houston, TX, USA
| | | | | | - Vesna Petronic-Rosic
- Division of Dermatology, John H. Stroger Jr. Hospital of Cook County, Chicago, IL, USA
| | - Carolyn A Robinson
- Department of Dermatology, San Antonio Uniformed Services Health Education Consortium, San Antonio, TX, USA
| | - Megan N Rogge
- Department of Dermatology, UTHealth McGovern Medical School, Houston, TX, USA
| | - Sami K Saikaly
- Department of Dermatology, University of Florida, Gainesville, FL, USA
| | - Olivia L Schenck
- Department of Dermatology, University of Virginia School of Medicine, Charlottesville, VA, USA
| | - Cynthia A Schlick
- Health Partners Institute and Park Nicollet Clinic, Saint Louis Park, MN, USA
| | - Ladan Shahabi
- Division of Dermatology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA
| | - Desmond M Shipp
- Division of Dermatology, The Ohio State University, Columbus, OH, USA
| | - Melissa Shive
- Department of Dermatology, University of California Irvine, Irvine, CA, USA
| | - Sirunya Silapunt
- Department of Dermatology, UTHealth McGovern Medical School, Houston, TX, USA
| | - Erik J Stratman
- Department of Dermatology, Marshfield Clinic Health System, Marshfield, MI, USA
| | - Ronald Sulewski
- Department of Dermatology, University of Nebraska Medical Center, Omaha, NE, USA
| | - Amanda K Suggs
- Department of Dermatology, Duke University Health System, Durham, NC, USA
| | - Leila Tolaymat
- Department of Dermatology, Mayo Clinic, Jacksonville, FL, USA
| | - Kimberley H M Ward
- Department of Dermatology, University of Mississippi Medical Center, Jackson, MS, USA
| | - Mara Weinstein Velez
- Department of Dermatology, University of Rochester Medical Center, Rochester, NY, USA
| | - Joshua Zeichner
- Department of Dermatology, Mount Sinai Hospital, New York, NY, USA
| | - Bianca Y Kang
- Department of Dermatology, Northwestern Feinberg School of Medicine, 676 N St Clair St, Suite 1600, Chicago, IL, 60611, USA
| | - Sarah A Ibrahim
- Department of Dermatology, Northwestern Feinberg School of Medicine, 676 N St Clair St, Suite 1600, Chicago, IL, 60611, USA
| | - Rachel E Christensen
- Department of Dermatology, Northwestern Feinberg School of Medicine, 676 N St Clair St, Suite 1600, Chicago, IL, 60611, USA
| | - Noor Anvery
- Department of Dermatology, Northwestern Feinberg School of Medicine, 676 N St Clair St, Suite 1600, Chicago, IL, 60611, USA
| | - McKenzie A Dirr
- Department of Dermatology, Northwestern Feinberg School of Medicine, 676 N St Clair St, Suite 1600, Chicago, IL, 60611, USA
| | - Naomi Lawrence
- Division of Dermatology, Section of Procedural Dermatology, Cooper Hospital, Rowan University, Camden, NJ, USA
| | - Murad Alam
- Department of Dermatology, Northwestern Feinberg School of Medicine, 676 N St Clair St, Suite 1600, Chicago, IL, 60611, USA.
- Department of Surgery, Northwestern Feinberg School of Medicine, Chicago, IL, USA.
- Department of Otolaryngology, Northwestern Feinberg School of Medicine, Chicago, IL, USA.
- Department of Medical Social Sciences, Northwestern Feinberg School of Medicine, Chicago, IL, USA.
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Nadir U, Dave L, Yi MD, Ikmal Hisham F, Alam M. The use of data repositories in dermatology. Arch Dermatol Res 2023; 315:1851-1852. [PMID: 37000251 DOI: 10.1007/s00403-023-02614-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 03/10/2023] [Accepted: 03/23/2023] [Indexed: 04/01/2023]
Affiliation(s)
- Umer Nadir
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Loma Dave
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Michael D Yi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Farhana Ikmal Hisham
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
- Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
- Department of Surgery, Feinberg School of Medicine, Northwestern University, 676 N St Clair St, Ste 1600, Chicago, IL, 60611, USA.
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Stefanovic A, Matic N, Ritchie G, Lowe CF, Leung V, Hull M, Alam M, Dawar M, Champagne S, Romney MG. Multidrug-Resistant Shigella sonnei Bacteremia among Persons Experiencing Homelessness, Vancouver, British Columbia, Canada. Emerg Infect Dis 2023; 29:1668-1671. [PMID: 37486309 PMCID: PMC10370870 DOI: 10.3201/eid2908.230323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2023] Open
Abstract
Increased invasive bloodstream infections caused by multidrug resistant Shigella sonnei were noted in Vancouver, British Columbia, Canada, during 2021-2023. Whole-genome sequencing revealed clonal transmission of genotype 3.6.1.1.2 (CipR.MSM5) among persons experiencing homelessness. Improvements in identifying Shigella species, expanding treatment options for multidrug resistant infections, and developing public health partnerships are needed.
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Zielinski C, Winker MA, Aggarwal R, Ferris LE, Heinemann M, Lapeña JF, Pai SA, Ing E, Citrome L, Alam M, Voight M, Habibzadeh F. Chatbots, generative AI, and scholarly manuscripts: WAME recommendations on chatbots and generative artificial intelligence in relation to scholarly publications. Colomb Med (Cali) 2023; 54:e1015868. [PMID: 38089825 PMCID: PMC10712422 DOI: 10.25100/cm.v54i3.5868] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023] Open
Abstract
This statement revises our earlier "WAME Recommendations on ChatGPT and Chatbots in Relation to Scholarly Publications" (January 20, 2023). The revision reflects the proliferation of chatbots and their expanding use in scholarly publishing over the last few months, as well as emerging concerns regarding lack of authenticity of content when using chatbots. These recommendations are intended to inform editors and help them develop policies for the use of chatbots in papers published in their journals. They aim to help authors and reviewers understand how best to attribute the use of chatbots in their work and to address the need for all journal editors to have access to manuscript screening tools. In this rapidly evolving field, we will continue to modify these recommendations as the software and its applications develop.
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Affiliation(s)
- Chris Zielinski
- Vice President, WAME; Centre for Global Health, University of Winchester, UK
| | | | - Rakesh Aggarwal
- President, WAME; Associate Editor, Journal of Gastroenterology and Hepatology; Director, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Lorraine E. Ferris
- Trustee, WAME; Professor, Dalla Lana School of Public Health, University of Toronto, Canada
| | - Markus Heinemann
- Treasurer, WAME; Editor-in-Chief, The Thoracic and Cardiovascular Surgeon, Professor, Universitaetsmedizin Mainz, Germany
| | - Jose Florencio Lapeña
- Secretary, WAME; Editor-in-Chief, Philippine Journal of Otolaryngology Head & Neck Surgery; Professor, University of the Philippines Manila, Philippines
| | - Sanjay A. Pai
- Director, WAME; Working Committee, The National Medical Journal of India, India
| | - Edsel Ing
- Director, WAME; Section Editor, Canadian Journal of Ophthalmology; Professor, University of Toronto and University of Alberta, Canada
| | - Leslie Citrome
- Director, WAME; Editor-in-Chief, Current Medical Research and Opinion; Topic Editor for Psychiatry for Clinical Therapeutics; Clinical Professor of Psychiatry & Behavioral Sciences, New York Medical College, USA
| | - Murad Alam
- Director, WAME; Editor-in-Chief, Archives of Dermatological Research; Professor, Northwestern University, USA
| | - Michael Voight
- Director, WAME; Executive Editor-in-Chief; International Journal of Sports Physical Therapy; Professor, Belmont University School of Physical Therapy, USA
| | - Farrokh Habibzadeh
- Past President, WAME; Editorial Consultant, The Lancet; Associate Editor, Frontiers in Epidemiology; Iran
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Dirr MA, Christensen RE, Anvery N, Nadir U, Schaeffer M, Veledar E, Minkis K, Nodzenski M, Whittington A, Brieva JC, Tung R, Poon E, Alam M. Pain of local anesthetic injection of lidocaine during subsequent stages of Mohs micrographic surgery: A multicenter prospective cohort study. J Am Acad Dermatol 2023; 89:114-118. [PMID: 36907555 DOI: 10.1016/j.jaad.2023.02.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 01/26/2023] [Accepted: 02/25/2023] [Indexed: 03/12/2023]
Abstract
BACKGROUND Patients awake during staged cutaneous surgery procedures may experience procedure-related pain. OBJECTIVE To determine whether the level of pain associated with local anesthetic injections prior to each Mohs stage increases with subsequent Mohs stages. METHODS Multicenter longitudinal cohort study. Patients rated pain (visual analog scale: 1-10) after anesthetic injection preceding each Mohs stage. RESULTS Two hundred fifty-nine adult patients presenting for Mohs who required multiple Mohs stages at 2 academic medical centers were enrolled; 330 stages were excluded due to complete anesthesia from prior stages, and 511 stages were analyzed. Mean visual analog scale pain ratings were nominally but not significantly different for subsequent stages of Mohs surgery (stage 1: 2.5; stage 2: 2.5; stage 3: 2.7: stage 4:2.8: stage 5: 3.2; P = .770). Between 37% and 44% experienced moderate pain, and 9.5% and 12.5% severe pain, during first as versus subsequent stages (P > .05) LIMITATIONS: Both academic centers were in urban areas. Pain rating is inherently subjective. CONCLUSIONS Patients did not report significantly increased anesthetic injection pain level during subsequent stages of Mohs.
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Affiliation(s)
- McKenzie A Dirr
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Rachel E Christensen
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Noor Anvery
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Umer Nadir
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Matthew Schaeffer
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Emir Veledar
- Center for Advanced Analytics, Baptist Health South Florida, Florida; Department of Biostatistics, Robert Stempel College of Public Health, Miami, Florida; Department of Biostatistics, Florida International University, Miami, Florida; Division of Cardiology Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
| | - Kira Minkis
- Department of Dermatology, Weill Cornell Medicine, New York, New York
| | - Michael Nodzenski
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Adam Whittington
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Joaquin C Brieva
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Rebecca Tung
- Department of Dermatology, University of Central Florida, Orlando, Florida; Florida Dermatology and Skin Cancer Centers, Winter Haven, Florida
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Otolaryngology- Head and Neck Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
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Christensen RE, Yi MD, Kang BY, Ibrahim SA, Anvery N, Dirr M, Adams S, Amer YS, Bisdorff A, Bradfield L, Brown S, Earley A, Fatheree LA, Fayoux P, Getchius T, Ginex P, Graham A, Green CR, Gresele P, Hanson H, Haynes N, Hegedüs L, Hussein H, Jakhmola P, Kantorova L, Krishnasamy R, Krist A, Landry G, Lease ED, Ley L, Marsden G, Meek T, Meremikwu M, Moga C, Mokrane S, Mujoomdar A, Newton S, O'Flynn N, Perkins GD, Smith EJ, Prematunge C, Rychert J, Saraco M, Schünemann HJ, Senerth E, Sinclair A, Shwayder J, Stec C, Tanni S, Taske N, Temple-Smolkin RL, Thomas L, Thomas S, Tonnessen B, Turner AS, Van Dam A, van Doormaal M, Wan YL, Ventura CB, McFarlane E, Morgan RL, Ogunremi T, Alam M. Development of an international glossary for clinical guidelines collaboration. J Clin Epidemiol 2023; 158:84-91. [PMID: 37019344 DOI: 10.1016/j.jclinepi.2023.03.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 03/25/2023] [Accepted: 03/29/2023] [Indexed: 04/05/2023]
Abstract
OBJECTIVES Clinical practice guidelines (CPGs) are often created through collaboration among organizations. The use of inconsistent terminology may cause poor communication and delays. This study aimed to develop a glossary of terms related to collaboration in guideline development. STUDY DESIGN AND SETTING A literature review of collaborative guidelines was performed to develop an initial list of terms related to guideline collaboration. The list of terms was presented to the members of the Guideline International Network Guidelines Collaboration Working Group, who provided presumptive definitions for each term and proposed additional terms to be included. The revised list was subsequently reviewed by an international, multidisciplinary panel of expert stakeholders. Recommendations received during this pre-Delphi review were implemented to augment an initial draft glossary. The glossary was then critically evaluated and refined through two rounds of Delphi surveys and a virtual consensus meeting with all panel members as Delphi participants. RESULTS Forty-nine experts participated in the pre-Delphi survey, and 44 participated in the two-round Delphi process. Consensus was reached for 37 terms and definitions. CONCLUSION Uptake and utilization of this guideline collaboration glossary by key organizations and stakeholder groups may facilitate collaboration among guideline-producing organizations by improving communication, minimizing conflicts, and increasing guideline development efficiency.
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Affiliation(s)
- Rachel E Christensen
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland
| | - Michael D Yi
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland
| | - Bianca Y Kang
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Sarah A Ibrahim
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Noor Anvery
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - McKenzie Dirr
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Stephanie Adams
- Clinical Practice Guidelines, American Association of Clinical Endocrinology, Jacksonville, FL, USA
| | - Yasser S Amer
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Pediatrics Department and Quality Management Department, King Saud University Medical City, Riyadh, Saudi Arabia; Research Chair for Evidence-Based Health Care and Knowledge Translation, King Saud University, Riyadh, Saudi Arabia
| | | | | | | | - Amy Earley
- Kidney Disease Improving Global Outcomes (KDIGO), Brussels, Belgium
| | - Lisa A Fatheree
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; American College of Rheumatology, OH, USA
| | - Pierre Fayoux
- Department of Pediatric Otolaryngology-Head Neck Surgery, Centre Hospitalier Universitaire de Lille, Lille, France
| | - Thomas Getchius
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; American Heart Association/American College of Cardiology, Dallas, Texas, USA
| | - Pamela Ginex
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Stony Brook University School of Nursing, Stony Brook, NY, USA
| | - Amanda Graham
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Centre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - Courtney R Green
- The Society of Obstetricians and Gynaecologists of Canada, Ottawa, Canada
| | - Paolo Gresele
- Department of Medicine and Surgery - Head section of Internal and Cardiovascular Medicine, University of Perugia, Perugia, Italy
| | - Helen Hanson
- St. George's University Hospitals National Health Service Foundation Trust, London, UK
| | | | - Laszlo Hegedüs
- Department of Endocrinology, Odense University Hospital, Odense, Denmark
| | - Heba Hussein
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Oral Medicine, Oral Diagnosis, and Periodontology Department, Cairo University, Cairo, Egypt
| | - Priya Jakhmola
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Lucia Kantorova
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Czech National Centre for Evidence-Based Healthcare and Knowledge Translation, Masaryk University, Brno, Czech Republic; Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic
| | - Rathika Krishnasamy
- Department of Nephrology, Sunshine Coast University Hospital, Australia; The University of Queensland, Australia
| | - Alex Krist
- Department of Family Medicine and Population Health, Virginia Commonwealth University, VA, USA
| | - Gregory Landry
- Division of Vascular Surgery, Kootenai Clinic, Coeur d'Alene, ID, USA
| | | | - Luis Ley
- Department of Neurosurgery, Hospital Ramón y Cajal, Madrid, Spain
| | - Gemma Marsden
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Healthcare Infection Society, London UK
| | - Tim Meek
- Association of Anaesthetists, London, UK
| | - Martin Meremikwu
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Department of Pediatrics, College of Medical Sciences, University of Calabar, Calabar, Nigeria
| | - Carmen Moga
- Institute of Health Economics, Edmonton, Alberta, Canada
| | - Saphia Mokrane
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; WOREL (Werkgroep Ontwikkeling Richtlijnen Eerste Lijn) - Working Group Development of Primary Care Guidelines, Belgium; Department of Primary Care, Université Libre de Bruxelles, Brussels, Belgium; Department of Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium
| | - Amol Mujoomdar
- Division of Vascular and Interventional Radiology, Department of Medical Imaging, Western University, London, ON, Canada
| | - Skye Newton
- Adelaide Health Technology Assessment, University of Adelaide, Australia
| | | | - Gavin D Perkins
- Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK
| | - Emma-Jane Smith
- European Association of Urology Guidelines Office, Arnhem, The Netherlands
| | - Chatura Prematunge
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Centre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - Jenna Rychert
- Department of Pathology, University of Utah and ARUP Laboratories, Salt Lake City, UT
| | | | - Holger J Schünemann
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Department of Health Research Methods, Evidence, and Impact, Hamilton, Ontario, Canada; Department of Biomedical Sciences, Humanitas University, Milano, Italy
| | - Emily Senerth
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Cardiovascular Angiography & Interventions, Washington, DC, USA
| | | | - James Shwayder
- Department of Pulmonology, Botucatu Medical School-UNESP, São Paulo, Brazil
| | - Carla Stec
- Clinical Practice Guidelines, American Association of Clinical Endocrinology, Jacksonville, FL, USA
| | | | - Nichole Taske
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Association for Molecular Pathology, MD, USA
| | - Robyn L Temple-Smolkin
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; Association for Molecular Pathology, MD, USA
| | - Louise Thomas
- Head of Quality Improvement, Royal College of Obstetricians and Gynaecologists, London, UK
| | | | - Britt Tonnessen
- Department of Surgery, Yale University School of Medicine, New Haven, CT, USA
| | - Amy S Turner
- American College of Rheumatology, OH, USA; American College of Rheumatology, Atlanta, GA, USA
| | - Anne Van Dam
- Canadian Thoracic Society, Ottawa, Ontario, Canada
| | | | - Yung Liang Wan
- Dept. of Medical Imaging and Intervention, Linkou Chang Gung Memorial Hospital College of Medicine, Chang Gung University, Taoyuan City, Taiwan
| | - Christina B Ventura
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; College of American Pathologists, Northfield, IL, USA
| | - Emma McFarlane
- Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland; National Institute for Health and Care Excellence, Manchester, UK
| | - Rebecca L Morgan
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada
| | - Toju Ogunremi
- Healthcare Associated Infections and Infection Prevention and Control Section, National Advisory Committee on Infection Prevention and Control, Centre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - Murad Alam
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Department of Otolaryngology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
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Houpe JE, Seger EW, Neill BC, Kang BY, Hocker TLH, Alam M, Tolkachjov SN. Treatment of Angiosarcoma of the Head and Neck: A Systematic Review. Cutis 2023; 111:247-251. [PMID: 37406332 DOI: 10.12788/cutis.0767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/07/2023]
Abstract
Primary cutaneous angiosarcoma (cAS) of the head and neck is a rare sarcoma with a poor prognosis and limited treatment options. We conducted a systematic review of treatments used for head and neck cAS and determined the treatment modalities that offer the longest mean overall survival (OS). Forty publications totaling 1295 patients were included. Both surgical and nonsurgical modalities have shown potential efficacy in the treatment of cAS; however, limited data preclude definitive recommendations. Multidisciplinary management of cAS should be considered to tailor treatment on a case-by-case basis.
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Affiliation(s)
- Jessica E Houpe
- Dr. Houpe is from the University of Kansas School of Medicine, Kansas City. Drs. Seger, Neill, and Hocker are from the Division of Dermatology, University of Kansas Medical Center, Kansas City. Drs. Kang and Alam are from the Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Dr. Alam also is from the Departments of Otolaryngology and Surgery. Dr. Tolkachjov is from Epiphany Dermatology, Lewisville, Texas; the Department of Dermatology, University of Texas at Southwestern, Dallas; Baylor University Medical Center, Dallas; and the Texas A&M College of Medicine, Dallas
| | - Edward W Seger
- Dr. Houpe is from the University of Kansas School of Medicine, Kansas City. Drs. Seger, Neill, and Hocker are from the Division of Dermatology, University of Kansas Medical Center, Kansas City. Drs. Kang and Alam are from the Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Dr. Alam also is from the Departments of Otolaryngology and Surgery. Dr. Tolkachjov is from Epiphany Dermatology, Lewisville, Texas; the Department of Dermatology, University of Texas at Southwestern, Dallas; Baylor University Medical Center, Dallas; and the Texas A&M College of Medicine, Dallas
| | - Brett C Neill
- Dr. Houpe is from the University of Kansas School of Medicine, Kansas City. Drs. Seger, Neill, and Hocker are from the Division of Dermatology, University of Kansas Medical Center, Kansas City. Drs. Kang and Alam are from the Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Dr. Alam also is from the Departments of Otolaryngology and Surgery. Dr. Tolkachjov is from Epiphany Dermatology, Lewisville, Texas; the Department of Dermatology, University of Texas at Southwestern, Dallas; Baylor University Medical Center, Dallas; and the Texas A&M College of Medicine, Dallas
| | - Bianca Y Kang
- Dr. Houpe is from the University of Kansas School of Medicine, Kansas City. Drs. Seger, Neill, and Hocker are from the Division of Dermatology, University of Kansas Medical Center, Kansas City. Drs. Kang and Alam are from the Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Dr. Alam also is from the Departments of Otolaryngology and Surgery. Dr. Tolkachjov is from Epiphany Dermatology, Lewisville, Texas; the Department of Dermatology, University of Texas at Southwestern, Dallas; Baylor University Medical Center, Dallas; and the Texas A&M College of Medicine, Dallas
| | - Thomas L H Hocker
- Dr. Houpe is from the University of Kansas School of Medicine, Kansas City. Drs. Seger, Neill, and Hocker are from the Division of Dermatology, University of Kansas Medical Center, Kansas City. Drs. Kang and Alam are from the Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Dr. Alam also is from the Departments of Otolaryngology and Surgery. Dr. Tolkachjov is from Epiphany Dermatology, Lewisville, Texas; the Department of Dermatology, University of Texas at Southwestern, Dallas; Baylor University Medical Center, Dallas; and the Texas A&M College of Medicine, Dallas
| | - Murad Alam
- Dr. Houpe is from the University of Kansas School of Medicine, Kansas City. Drs. Seger, Neill, and Hocker are from the Division of Dermatology, University of Kansas Medical Center, Kansas City. Drs. Kang and Alam are from the Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Dr. Alam also is from the Departments of Otolaryngology and Surgery. Dr. Tolkachjov is from Epiphany Dermatology, Lewisville, Texas; the Department of Dermatology, University of Texas at Southwestern, Dallas; Baylor University Medical Center, Dallas; and the Texas A&M College of Medicine, Dallas
| | - Stanislav N Tolkachjov
- Dr. Houpe is from the University of Kansas School of Medicine, Kansas City. Drs. Seger, Neill, and Hocker are from the Division of Dermatology, University of Kansas Medical Center, Kansas City. Drs. Kang and Alam are from the Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Dr. Alam also is from the Departments of Otolaryngology and Surgery. Dr. Tolkachjov is from Epiphany Dermatology, Lewisville, Texas; the Department of Dermatology, University of Texas at Southwestern, Dallas; Baylor University Medical Center, Dallas; and the Texas A&M College of Medicine, Dallas
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Anvery N, Christensen RE, Dirr MA, Yi MD, Johnson T, Weil A, Kyllo R, Raja S, Rapcan M, Brieva JC, Yoo SS, Poon E, Alam M. Comparative Effectiveness of 5-Aminolevulinic Acid Photodynamic Therapy with No Incubation Versus One-Hour Incubation for the Treatment of Actinic Keratosis: A Randomized-Controlled Trial. J Am Acad Dermatol 2023:S0190-9622(23)00638-2. [PMID: 37059303 DOI: 10.1016/j.jaad.2023.03.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 02/26/2023] [Accepted: 03/15/2023] [Indexed: 04/16/2023]
Affiliation(s)
- Noor Anvery
- Department of Dermatology, Feinberg School of Medicine, Chicago, IL
| | | | - McKenzie A Dirr
- Department of Dermatology, Feinberg School of Medicine, Chicago, IL
| | - Michael D Yi
- Department of Dermatology, Feinberg School of Medicine, Chicago, IL
| | - Tyler Johnson
- Department of Dermatology, Feinberg School of Medicine, Chicago, IL
| | - Alexandra Weil
- Department of Dermatology, Feinberg School of Medicine, Chicago, IL
| | - Rachel Kyllo
- Department of Dermatology, Feinberg School of Medicine, Chicago, IL
| | - Sabina Raja
- Department of Dermatology, Feinberg School of Medicine, Chicago, IL
| | - Matthew Rapcan
- Department of Dermatology, Feinberg School of Medicine, Chicago, IL
| | - Joaquin C Brieva
- Department of Dermatology, Feinberg School of Medicine, Chicago, IL
| | - Simon S Yoo
- Department of Dermatology, Feinberg School of Medicine, Chicago, IL
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, Chicago, IL
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Chicago, IL; Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, IL
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40
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Shahwan KT, Amon GJ, Archibald LK, Bakker C, Mattox AR, Alam M, Maher IA. Repair of auricular defects following Mohs micrographic surgery or excision: a systematic review of the literature. Arch Dermatol Res 2023; 315:443-446. [PMID: 35951108 DOI: 10.1007/s00403-022-02373-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 07/04/2022] [Accepted: 07/29/2022] [Indexed: 11/29/2022]
Abstract
Repair of auricular defects following tumor removal can be challenging. Many techniques have been described, but the literature lacks a comprehensive review of these methods. To perform a systematic review to compile and describe methods of reconstruction for post-surgical defects on the ears, eight databases were searched using terms related to ear anatomy, Mohs and excisions, and repair methods. Articles were eligible for inclusion if they contained repair data for ear defects following Mohs or excision for at least 4 subjects and were published in English between 2004 and 2019. Two reviewers screened all abstracts, and then evaluated the remaining full text articles to determine eligibility. The authors' specialties, study design, subject information, tumor and defect characteristics, procedure, repair methods, outcomes, and complications were then extracted. Most articles were written by dermatologic surgeons (66.7%). Repair methods included wedge excisions (19 cases), second intention healing (376), linear closures (294), purse strings (4), locoregional flaps (221), and grafts (2003). Most studies were small observational case series or cohort studies that lacked clear outcome measures. The available evidence on this topic is low quality. Further research utilizing improved study designs and standardized outcome measures is needed.
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Affiliation(s)
- Kathryn T Shahwan
- University of North Dakota Medical School, Altru Health System, 3165 Demers Ave, Grand Forks, Grand Forks, ND, 58201, USA.
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
| | - Gabriel J Amon
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
| | - Laura K Archibald
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
| | | | - Adam R Mattox
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
| | - Murad Alam
- Department of Dermatology, Northwestern University, Chicago, IL, USA
| | - Ian A Maher
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
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Visconti MJ, Archibald LK, Shahwan KT, Kimyon RS, Bakker C, Mattox AR, Alam M, Maher IA. Nasal reconstructive techniques following Mohs surgery or excisions: a systematic review. Arch Dermatol Res 2023; 315:333-337. [PMID: 36152047 DOI: 10.1007/s00403-022-02390-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 06/02/2022] [Accepted: 09/07/2022] [Indexed: 11/02/2022]
Abstract
Numerous reconstructive techniques for nasal defects following skin cancer removal have been described; however, the literature lacks a comprehensive systematic review. Our objective was to systematically review nasal reconstruction methods after tumor removal, correlate the use of specific techniques to the nasal subunits involved, assess the quality of the available evidence, and set the stage for future research on this topic. Eight databases were searched for studies published in English from January 2004 to December 2018 containing repair data for nasal defects following Mohs or excision for four or more subjects. Recorded data included author specialties, study design, subject number, demographics, defect characteristics, procedure type, reconstructive methods, outcome measures, and complications. One-hundred and eleven studies were included. Study types included case series (73%), observational cohort studies (25%), and clinical trials (2%). Most authors were dermatologic surgeons (61%). Resection was most commonly performed via Mohs (82%). Flaps (42%), linear closures (28%) and grafts (25%) were most utilized for reconstruction. In Zones I and II, transposition flaps were the most common followed by advancement flaps. In Zone III, full thickness skin grafts were the most common repair. Most studies were case series or small cohort studies, representing low level evidence. Flaps are the most common method described in the literature for nasal reconstruction. The overall quality of the evidence available on this topic is low.
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Affiliation(s)
| | - Laura K Archibald
- Department of Dermatology, University of Minnesota, Phillips-Wangensteen Building, 516 Delaware Street SE, Suite 4-240, Minneapolis, MN, 55455, USA
| | - Kathryn T Shahwan
- University of North Dakota Medical School, Grand Forks, ND, USA
- The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Rebecca S Kimyon
- Department of Dermatology, University of Minnesota, Phillips-Wangensteen Building, 516 Delaware Street SE, Suite 4-240, Minneapolis, MN, 55455, USA
| | | | - Adam R Mattox
- Department of Dermatology, University of Minnesota, Phillips-Wangensteen Building, 516 Delaware Street SE, Suite 4-240, Minneapolis, MN, 55455, USA
| | - Murad Alam
- Department of Dermatology, Northwestern University, Chicago, IL, USA
| | - Ian A Maher
- Department of Dermatology, University of Minnesota, Phillips-Wangensteen Building, 516 Delaware Street SE, Suite 4-240, Minneapolis, MN, 55455, USA.
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Alam M, Levin NA, Grant-Kels JM, Elston DM. Letter from the Editors: Advice for JAAD reviewers that may be of interest to authors and readers. J Am Acad Dermatol 2023; 88:785-786. [PMID: 36041553 DOI: 10.1016/j.jaad.2022.08.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 08/18/2022] [Accepted: 08/22/2022] [Indexed: 10/15/2022]
Affiliation(s)
- Murad Alam
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
| | - Nikki A Levin
- Department of Dermatology, University of Massachusetts Medical School, Worcester, Massachusetts
| | - Jane M Grant-Kels
- Department of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut
| | - Dirk M Elston
- Department of Dermatology, Medical University of South Carolina, Charleston, South Carolina
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Vallabh S, Anvery N, Yi MD, Schauer J, Poon E, Margolis D, Alam M. Number Needed to Treat Versus Number Needed to Diagnose. J Invest Dermatol 2023; 143:499-501. [PMID: 36152930 DOI: 10.1016/j.jid.2022.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 09/07/2022] [Accepted: 09/09/2022] [Indexed: 01/13/2023]
Affiliation(s)
- Sagar Vallabh
- Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
| | - Noor Anvery
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Ilinois, USA
| | - Michael D Yi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Ilinois, USA
| | - Jacob Schauer
- Division of Biostatistics, Feinberg School of Medicine, Northwestern University, Chicago, Ilinois, USA
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Ilinois, USA
| | - David Margolis
- Department of Dermatology, Department of Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Ilinois, USA.
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Roongpisuthipong W, Christensen RE, Dirr MA, Anvery N, Geisler A, Schaeffer M, Waldman A, Brieva JC, Alam M. Comparative effectiveness of ice packs versus topical lidocaine-prilocaine mixture for pain control in laser hair removal of the axilla: A rater-blinded randomized controlled trial. J Am Acad Dermatol 2023; 88:617-622. [PMID: 36410628 DOI: 10.1016/j.jaad.2022.11.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 11/04/2022] [Accepted: 11/15/2022] [Indexed: 11/20/2022]
Abstract
BACKGROUND Laser hair removal is associated with moderate acute pain. OBJECTIVE To compare effectiveness of ice pack to topical lidocaine-prilocaine for pain reduction during axillary laser hair removal. METHODS Participants were randomly assigned to receive topical anesthetic to one axilla and ice packs to the other before each of 3, monthly 810 nm diode laser sessions. The primary endpoint was participant-reported pain on the visual analog scale (VAS) immediately following and 5 minutes after laser session. Posttreatment erythema, overall edema, and perifollicular edema were assessed by 2 blinded photoraters. Skin temperatures, patient preferences, and adverse events were recorded. RESULTS Eighty-eight of 90 (98%) planned laser treatments were delivered and randomized. Participants reported higher VAS scores immediately after laser treatment with lidocaine-prilocaine compared to ice (P = .03). Five minutes after, participants reported higher VAS scores with ice (P = .03). After 53 of the 88 treatments (60.2%), participants reported preferring ice (P = .055). No serious adverse events were reported. LIMITATIONS All participants were Caucasian or Asian with Fitzpatrick skin type I to III and coarse dark axillary hair, which may limit generalizability. CONCLUSIONS While pain control with ice and topical anesthesia is associated with time after treatment, the 2 modalities do not differ in terms of degree of pain reduction associated with axillary laser hair removal.
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Affiliation(s)
- Wanjarus Roongpisuthipong
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Division of Dermatology, Department of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
| | - Rachel E Christensen
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - McKenzie A Dirr
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Noor Anvery
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Amelia Geisler
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Matthew Schaeffer
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Abigail Waldman
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Joaquin C Brieva
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
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45
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Christensen RE, Elston DM, Worley B, Dirr MA, Anvery N, Kang BY, Bahrami S, Brodell RT, Cerroni L, Elston C, Ferringer T, Hurley MY, Garton K, Lee JSS, Liu Y, Maize JC, McNiff JM, Rapini RP, Sangueza OP, Shea CR, Zhou C, Alam M. Dermatopathologic features of cutaneous squamous cell carcinoma and actinic keratosis: Consensus criteria and proposed reporting guidelines. J Am Acad Dermatol 2023:S0190-9622(23)00271-2. [PMID: 36841336 DOI: 10.1016/j.jaad.2022.12.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 12/02/2022] [Accepted: 12/19/2022] [Indexed: 02/27/2023]
Abstract
BACKGROUND There is considerable variation in the literature regarding the dermatopathologic diagnostic features of and reporting guidelines for actinic keratosis (AK) and cutaneous squamous cell carcinoma (cSCC). OBJECTIVE To develop consensus recommendations regarding diagnostic criteria, nomenclature, and reporting of AK and cSCC. METHODS Literature review and cross-sectional multiround Delphi process including an international group of expert dermatopathologists followed by a consensus meeting. RESULTS Consensus was achieved regarding the key dermatopathologic features necessary for diagnosing cSCC, AK, and associated variants; grading of degree of cellular differentiation in cSCC; utility of immunohistochemistry for diagnosis of cSCC; and pathologic features that should be reported for cSCC and AK. LIMITATIONS Consensus was not achieved on all questions considered. CONCLUSION Despite the lack of clarity in the literature, there is consensus among expert dermatopathologists regarding diagnostic criteria and appropriate reporting of AK and cSCC. Widespread implementation of these consensus recommendations may improve communication between dermatopathologists and clinicians, facilitating appropriate treatment of AK and cSCC.
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Affiliation(s)
- Rachel E Christensen
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Dirk M Elston
- Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina
| | - Brandon Worley
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - McKenzie A Dirr
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Noor Anvery
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Bianca Y Kang
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Soon Bahrami
- Division of Dermatology, Department of Medicine, University of Louisville School of Medicine, Louisville, Kentucky
| | - Robert T Brodell
- Departments of Dermatology and Pathology, University of Mississippi Medical Center, Jackson, Mississippi; Staff Physician, Sonny Montgomery Veterans Administration Hospital, Jackson, Mississippi
| | - Lorenzo Cerroni
- Department of Dermatology, Research Unit of Dermatopathology, Medical University of Graz, Graz, Austria
| | - Carly Elston
- Department of Dermatology, University of Alabama, Birmingham, Alabama
| | - Tammie Ferringer
- Department of Pathology, Geisinger Medical Center, Danville, Pennsylvania; Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania
| | - M Yadira Hurley
- Department of Dermatology, Saint Louis University School of Medicine, St. Louis, Michigan
| | - Kyle Garton
- Division of Dermatology, Department of Medicine, University of Washington, Seattle, Washington
| | | | - Yeqiang Liu
- Department of Pathology, Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai, China
| | - John C Maize
- Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina
| | - Jennifer M McNiff
- Department of Dermatology, Yale School of Medicine, New Haven, Connecticut; Department of Pathology, Yale School of Medicine, New Haven, Connecticut
| | - Ronald P Rapini
- Department of Dermatology, University of Texas McGovern Medical School at Houston, Houston, Texas
| | - Omar P Sangueza
- Department of Pathology, Wake Forest School of Medicine, Winston-Salem, North Carolina; Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina
| | - Christopher R Shea
- Section of Dermatology, Department of Medicine, University of Chicago, Chicago, Illinois
| | - Cheng Zhou
- Department of Dermatology, Peking University People's Hospital, Beijing, China
| | - Murad Alam
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Otolaryngology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
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46
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Yi MD, Nadir U, Hisham FI, Dave L, Etzkorn J, Albertini JG, Bordeaux JS, Council ML, Maher I, Nehal K, Brodland DG, Haas AF, Kang BY, Ibrahim SA, Christensen RE, Poon E, Worley B, Alam M. Duration of acceptable delay until subsequent total body skin examination, given prior history of skin cancer or lesions suspicious for skin cancer: A cross-sectional survey. J Eur Acad Dermatol Venereol 2023. [PMID: 36785979 DOI: 10.1111/jdv.18952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2022] [Accepted: 02/07/2023] [Indexed: 02/15/2023]
Affiliation(s)
- Michael D Yi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
| | - Umer Nadir
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
| | - Farhana Ikmal Hisham
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
| | - Loma Dave
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
| | - Jeremy Etzkorn
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - John G Albertini
- The Skin Surgery Center, Winston-Salem, North Carolina, USA.,Wake Forest Department of Plastic and Reconstructive Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| | - Jeremy S Bordeaux
- Department of Dermatology, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.,University Hospitals Cleveland Medical Center, Department of Dermatology, Cleveland, Ohio, USA
| | - M Laurin Council
- Division of Dermatology, Center for Dermatologic and Cosmetic Surgery, Washington University in Saint Louis, Saint Louis, Missouri, USA
| | - Ian Maher
- Department of Dermatology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Kishwer Nehal
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA
| | - David G Brodland
- Zitelli & Brodland, P.C. Skin Cancer Center, Pittsburgh, Pennsylvania, USA.,Departments of Dermatology, Otolaryngology and Plastic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Ann F Haas
- Sutter Health/Department of Dermatology, University of California-Davis, Sacramento, California, USA
| | - Bianca Y Kang
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
| | - Sarah A Ibrahim
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
| | - Rachel E Christensen
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
| | - Emily Poon
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
| | - Brandon Worley
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.,Florida Dermatology and Skin Cancer Centers, Lake Wales, UK
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.,Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.,Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.,Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
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47
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Thorlacius L, Alam M. A milestone reached for lichen sclerosus trial outcome standardisation. Br J Dermatol 2023; 188:587-588. [PMID: 36703233 DOI: 10.1093/bjd/ljad025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 02/23/2023] [Indexed: 01/28/2023]
Affiliation(s)
- Linnea Thorlacius
- Department of Dermatology, Zealand University Hospital, Roskilde, Denmark
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
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48
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Minkis K, Bolotin D, Council ML, Bar A, Farah RS, Kibbi N, Miest RYN, Orringer JS, Ortiz A, Suozzi KC, Vashi NA, Yoo SS, Albrecht J, Blalock TW, Bruce AJ, Deng M, Desai S, Eshaq M, Fiessinger LA, Ghareeb E, Greywal T, Hebert AA, Hooper D, Hordinsky M, Hu JC, Jibbe A, Joo J, Kelly KM, Kenkare S, Khetarpal S, Kole LCS, Kourosh AS, Kuhn H, Lee KC, Lucas R, Luke J, Mafee M, Mayo TT, Nawas ZY, Olasz Harken EB, Pearlstein MV, Petronic-Rosic V, Robinson CA, Rogge MN, Sachs DL, Saikaly SK, Schenck OL, Schlick CA, Shahabi L, Shipp DM, Shive M, Silapunt S, Suggs AK, Tolaymat L, Ward KHM, Weinstein Velez M, Zeichner J, Kang BY, Ibrahim SA, Christensen RE, Anvery N, Dirr MA, Lawrence N, Alam M. The association of academic cosmetic dermatology: improving cosmetic dermatology education through collaboration, research, and advocacy. Arch Dermatol Res 2022; 315:1449-1452. [DOI: 10.1007/s00403-022-02489-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 07/10/2022] [Accepted: 11/18/2022] [Indexed: 12/04/2022]
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49
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Worley B, Harikumar V, Reynolds K, Dirr MA, Christensen RE, Anvery N, Yi MD, Poon E, Alam M. Treatment of actinic keratosis: a systematic review. Arch Dermatol Res 2022; 315:1099-1108. [DOI: 10.1007/s00403-022-02490-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 11/14/2022] [Accepted: 11/18/2022] [Indexed: 12/05/2022]
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50
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Wilson BN, Shah R, Menzer C, Aleisa A, Sun MD, Kwong BY, Kaffenberger BH, Seminario-Vidal L, Barker CA, Stubblefield MD, Romesser PB, Fabbrocini G, Alam M, Abdulla F, Dulmage B, Sibaud V, Anadkat M, Mazer JM, Parikh D, McLellan B, Cartier H, Pugliese S, Wolkerstorfer A, Laubach HJ, LeBoeuf N, Leventhal J, Wan DC, Choi J, Tran TN, Anderson RR, Markova A, Rossi A. Consensus on the clinical management of chronic radiation dermatitis and radiation fibrosis: a Delphi survey. Br J Dermatol 2022; 187:1054-1056. [PMID: 36047980 PMCID: PMC10087782 DOI: 10.1111/bjd.21852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2022] [Revised: 08/22/2022] [Accepted: 08/30/2022] [Indexed: 12/24/2022]
Affiliation(s)
| | - Rohan Shah
- Rutgers New Jersey Medical School, Newark, NJ, USA
| | - Christian Menzer
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Abdullah Aleisa
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Mary D Sun
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Bernice Y Kwong
- Department of Surgery, Stanford University, Palo Alto, CA, USA
| | - Ben H Kaffenberger
- Division of Dermatology, Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Lucia Seminario-Vidal
- Department of Cutaneous Oncology, Moffitt Cancer Center, Dermatology Department, University of South Florida, Tampa, FL, USA
| | - Christopher A Barker
- Department of Radiation Oncology, Early Drug Development; Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | | | - Paul B Romesser
- Department of Radiation Oncology, Early Drug Development; Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Department of Medicine, Early Drug Development; Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Gabriella Fabbrocini
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.,Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.,Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.,Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | | | - Brittany Dulmage
- Division of Dermatology, Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Vincent Sibaud
- Department of Dermatology, Cancer University Institute, Toulouse Oncopole, 31059, Toulouse, CEDEX, France
| | - Milan Anadkat
- Division of Dermatology, Washington University School of Medicine, St Louis, MO, USA
| | - Jean-Michel Mazer
- Centre Laser International de la Peau Paris, Paris, France.,Centre Medical Saint-Jean, Arras, France
| | - Dhwani Parikh
- Department of Radiation Oncology, Early Drug Development; Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Beth McLellan
- Division of Dermatology, Department of Medicine, Albert Einstein College of Medicine, New York, NY, USA
| | | | | | - Albert Wolkerstorfer
- Department of Dermatology, University Medical Centre Amsterdam, Amsterdam, the Netherlands
| | - Hans-Joachim Laubach
- Department of Dermatology, Laser Unit, University of Geneva, Geneva, Switzerland
| | - Nicole LeBoeuf
- Department of Dermatology, Center for Cutaneous Oncology, Dana-Farber/Brigham and Women's Cancer Center, Harvard Medical School, Boston, MA, USA
| | - Jonathan Leventhal
- Department of Dermatology, Yale University School of Medicine, New Haven, CT, USA
| | - Derrick C Wan
- Department of Surgery, Stanford University, Palo Alto, CA, USA
| | - Jennifer Choi
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Thanh Nga Tran
- Massachusetts General Hospital, Wellman Center for Photomedicine, Boston, MA, USA
| | - R Rox Anderson
- Massachusetts General Hospital, Wellman Center for Photomedicine, Boston, MA, USA
| | - Alina Markova
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Anthony Rossi
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA
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