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Saenz-Guirado S, Ayen-Rodriguez A, Galvez-Moreno M, Velasco-Amador JP, Llamas-Molina JM, Ruiz-Villaverde R, Molina-Leyva A. Home- vs clinic-based daylight photodynamic therapy with 5-aminolevulinic acid nanoemulsion (BF-200 ALA) for actinic keratosis: A randomized, single-blind, prospective study. Photodiagnosis Photodyn Ther 2024; 46:104031. [PMID: 38438001 DOI: 10.1016/j.pdpdt.2024.104031] [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: 01/10/2024] [Revised: 02/25/2024] [Accepted: 02/26/2024] [Indexed: 03/06/2024]
Abstract
BACKGROUND Daylight photodynamic therapy (DL-PDT) has become one of the most effective treatments for the resolution of actinic keratosis (AK) of Olsen grade 1 and 2. Generally, PDT it is carried out in a clinic setting, which involves the patient's and their caregivers commuting to the hospital as well as a significant use of resources to carry it out within the clinic setting. OBJECTIVES To determine the efficacy and safety of a home-based treatment of AK with DL-PDT with the BF-200 ALA gel compared to a clinic-based setting. METHODS The study was performed as a randomized, single-center, non-inferiority clinical trial with two parallel groups. 9 patients received one clinic-based DL-PDT (group 1) and 11 patients received one session of home-based DL-PDT (group 2). The primary endpoints were the mean AK clearance per patient and the total AK lesion clearance rate 12 weeks after treatment. The secondary endpoints were the number of remaining AKs and new AKs appearing in the treatment field 12 weeks after one PDT session. The pain during and 24 h after PDT as well as the local skin reactions were also assessed. RESULTS The overall reduction of AK lesions per patient was similar in both groups with one PDT session. An overall AK clearance per patient of 10 ± 4.33 for group 1 versus 9.73 ± 2.9 for group 2 without statistically significant differences (p = 0.868). Regarding the clearance rate, although it was slightly higher in group 2 (71.58 ± 22.51 vs 82.1 ± 11.13), the analysis did not show statistically significant differences. The mild pain recorded during the treatment course and the mild local skin reactions were similar in both groups. Patient satisfaction was high for both groups without statistically significant differences. CONCLUSION Self-performed home-based DL-PDT with BF-200 ALA gel is as effective as the one performed in a clinic-based setting, with a comparable safety profile, high levels of patient satisfaction and with advantages for the patients and their caregivers that can enhance patient´s adherence to the treatment.
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Affiliation(s)
- S Saenz-Guirado
- Department of Dermatology, University Hospital San Cecilio, Granada, Spain.
| | - A Ayen-Rodriguez
- Department of Dermatology, University Hospital San Cecilio, Granada, Spain
| | - M Galvez-Moreno
- Department of Dermatology, University Hospital San Cecilio, Granada, Spain
| | - J P Velasco-Amador
- Department of Dermatology, University Hospital San Cecilio, Granada, Spain
| | - J M Llamas-Molina
- Department of Dermatology, University Hospital San Cecilio, Granada, Spain
| | - R Ruiz-Villaverde
- Department of Dermatology, University Hospital San Cecilio, Granada, Spain; Biosanitary Institute of Granada, IBS, Granada, Spain
| | - A Molina-Leyva
- Biosanitary Institute of Granada, IBS, Granada, Spain; Department of Dermatology, University Hospital Virgen de las Nieves, Granada. Spain; Facultad de Medicina. Universidad de Granada, Spain
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2
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Soto-Moreno A, Ureña-Paniego C, Montero-Vílchez T, Sánchez-Díaz M, Díaz-Calvillo P, Rodríguez-Pozo JA, Molina-Leyva A, Martínez-López A, Buendía-Eisman A, Arias-Santiago S. Quality of Professional Life Among Dermatologists: Impact of the COVID-19 Pandemic and Suggestions for Improvement. Actas Dermosifiliogr 2024; 115:231-236. [PMID: 37884261 DOI: 10.1016/j.ad.2023.10.012] [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: 02/22/2023] [Revised: 09/28/2023] [Accepted: 10/09/2023] [Indexed: 10/28/2023] Open
Abstract
BACKGROUND AND OBJECTIVE Quality of professional life (QPL) is defined as a sense of well-being derived from a balance between the challenges of work and the resources available to deal with them. Impaired QPL can contribute to burnout. The aim of this study was to evaluate QPL in Spanish dermatologists using a validated questionnaire. MATERIAL AND METHODS We designed a cross-sectional study in which Spanish dermatologists were invited to complete an online questionnaire sent out by messaging applications. The dermatologists were asked to provide sociodemographic information, answer 3 open questions, and complete the 35-item Spanish QPL questionnaire (Spanish abbreviation, CVP-35). RESULTS We analyzed the information submitted by 106 dermatologists (62 women, 58%) with a mean age of 41 years (95% CI, 43.3-38.8 years). Women and department heads scored significantly higher in the workload domain of the questionnaire (P=.02 and P=.005, respectively). A heavy caseload was mentioned as the main factor contributing to impaired QPL and the main change in the wake of the COVID-19 pandemic. CONCLUSIONS Female dermatologists reported heavier workloads. Heavy caseloads and more remote work were the main changes identified after the COVID-19 pandemic. Heavy caseloads have a significant impact on the QPL of dermatologists in Spain. Reducing caseloads would improve general job satisfaction and quality of care provision.
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Affiliation(s)
- A Soto-Moreno
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - C Ureña-Paniego
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - T Montero-Vílchez
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - M Sánchez-Díaz
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - P Díaz-Calvillo
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - J A Rodríguez-Pozo
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - A Molina-Leyva
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España
| | - A Martínez-López
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España.
| | - A Buendía-Eisman
- Departamento de Medicina, Facultad de Medicina, Universidad de Granada, Granada, España
| | - S Arias-Santiago
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, España; Instituto de Investigación Biosanitaria de Granada, Granada, España; Departamento de Medicina, Facultad de Medicina, Universidad de Granada, Granada, España
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3
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Soto-Moreno A, Ureña-Paniego C, Montero-Vílchez T, Sánchez-Díaz M, Díaz-Calvillo P, Rodríguez-Pozo JA, Molina-Leyva A, Martínez-López A, Buendía-Eisman A, Arias-Santiago S. [Translated article] Quality of Professional Life Among Dermatologists: Impact of the COVID-19 Pandemic and Suggestions for Improvement. Actas Dermosifiliogr 2024; 115:T231-T236. [PMID: 38242430 DOI: 10.1016/j.ad.2024.01.017] [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: 02/22/2023] [Accepted: 10/09/2023] [Indexed: 01/21/2024] Open
Abstract
BACKGROUND AND OBJECTIVE Quality of professional life (QPL) is defined as a sense of well-being derived from a balance between the challenges of work and the resources available to deal with them. Impaired QPL can contribute to burnout. The aim of this study was to evaluate QPL in Spanish dermatologists using a validated questionnaire. MATERIAL AND METHODS We designed a cross-sectional study in which Spanish dermatologists were invited to complete an online questionnaire sent out by messaging applications. The dermatologists were asked to provide sociodemographic information, answer 3 open questions, and complete the 35-item Spanish QPL questionnaire (Spanish abbreviation, CVP-35). RESULTS We analyzed the information submitted by 106 dermatologists (62 women, 58%) with a mean age of 41 years (95% CI, 43.3-38.8 years). Women and department heads scored significantly higher in the workload domain of the questionnaire (P=.02 and P=.005, respectively). A heavy caseload was mentioned as the main factor contributing to impaired QPL and the main change in the wake of the COVID-19 pandemic. CONCLUSIONS Female dermatologists reported heavier workloads. Heavy caseloads and more remote work were the main changes identified after the COVID-19 pandemic. Heavy caseloads have a significant impact on the QPL of dermatologists in Spain. Reducing caseloads would improve general job satisfaction and quality of care provision.
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Affiliation(s)
- A Soto-Moreno
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - C Ureña-Paniego
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - T Montero-Vílchez
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - M Sánchez-Díaz
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - P Díaz-Calvillo
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - J A Rodríguez-Pozo
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - A Molina-Leyva
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - A Martínez-López
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain.
| | - A Buendía-Eisman
- Departamento de Medicina, Facultad de Medicina, Universidad de Granada, Granada, Spain
| | - S Arias-Santiago
- Servicio de Dermatología, Hospital Universitario Virgen de Las Nieves, Granada, Spain; Instituto de Investigación Biosanitaria de Granada, Granada, Spain; Departamento de Medicina, Facultad de Medicina, Universidad de Granada, Granada, Spain
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4
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Ureña-Paniego C, Haselgruber S, Soto-Moreno A, Cuenca-Barrales C, Arias-Santiago S, Molina-Leyva A. Eligibility in a cohort of patients with hidradenitis suppurativa treated with bimekizumab: Lessons and pitfalls in a real-world setting. J Eur Acad Dermatol Venereol 2024. [PMID: 38411288 DOI: 10.1111/jdv.19921] [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: 12/09/2023] [Accepted: 02/15/2024] [Indexed: 02/28/2024]
Affiliation(s)
- C Ureña-Paniego
- Dermatology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - S Haselgruber
- Dermatology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - A Soto-Moreno
- Dermatology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - C Cuenca-Barrales
- Dermatology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain
- Hidradenitis Suppurativa Clinic, Hospital Universitario Virgen de las Nieves, Granada, Spain
- Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain
| | - S Arias-Santiago
- Dermatology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain
- Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain
| | - A Molina-Leyva
- Dermatology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain
- Hidradenitis Suppurativa Clinic, Hospital Universitario Virgen de las Nieves, Granada, Spain
- Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain
- European Hidradenitis Suppurativa Foundation, Dessau-Roßlau, Germany
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5
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Montero-Vilchez T, Molina-Leyva A, Buendía-Eisman A, Arias-Santiago S. How do Medical Students Actually See Dermatology? A Cross-Sectional Study Using the Mentimeter App. Actas Dermosifiliogr 2024:S0001-7310(24)00139-X. [PMID: 38373611 DOI: 10.1016/j.ad.2023.09.026] [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: 04/11/2023] [Accepted: 09/15/2023] [Indexed: 02/21/2024] Open
Affiliation(s)
- T Montero-Vilchez
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España; Departamento de Dermatología. Facultad de Medicina. Universidad de Granada, Granada, España; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, España
| | - A Molina-Leyva
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España; Departamento de Dermatología. Facultad de Medicina. Universidad de Granada, Granada, España; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, España
| | - A Buendía-Eisman
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España; Departamento de Dermatología. Facultad de Medicina. Universidad de Granada, Granada, España; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, España.
| | - S Arias-Santiago
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España; Departamento de Dermatología. Facultad de Medicina. Universidad de Granada, Granada, España; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, España
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6
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Martin-Gorgojo A, Del Boz J, Descalzo-Gallego MÁ, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Buendía-Eisman A, García-Doval I. What Proportion of the Spanish Dermatology Caseload Corresponds to Pediatric Dermatoses? Results From the DIADERM National Random Sampling Survey. Actas Dermosifiliogr 2023; 114:858-864. [PMID: 37286080 DOI: 10.1016/j.ad.2023.05.020] [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: 04/26/2023] [Revised: 05/22/2023] [Accepted: 05/23/2023] [Indexed: 06/09/2023] Open
Abstract
BACKGROUND Visits for skin conditions are very common in pediatric primary care, and many of the patients seen in outpatient dermatology clinics are children or adolescents. Little, however, has been published about the true prevalence of these visits or about their characteristics. MATERIAL AND METHODS Observational cross-sectional study of diagnoses made in outpatient dermatology clinics during 2 data-collection periods in the anonymous DIADERM National Random Survey of dermatologists across Spain. All entries with an International Classification of Diseases, Tenth Revision code related to dermatology in the 2 periods (84 diagnoses) were collected for patients younger than 18 years and classified into 14 categories to facilitate analysis and comparison. RESULTS In total, the search found 20 097 diagnoses made in patients younger than 18 years (12% of all coded diagnoses in the DIADERM database). Viral infections, acne, and atopic dermatitis were the most common, accounting for 43.9% of all diagnoses. No significant differences were observed in the proportions of diagnoses in the respective caseloads of specialist vs. general dermatology clinics or public vs. private clinics. Seasonal differences in diagnoses (January vs. May) were also nonsignificant. CONCLUSIONS Pediatric care accounts for a significant proportion of the dermatologist's caseload in Spain. Our findings are useful for identifying opportunities for improving communication and training in pediatric primary care and for designing training focused on the optimal treatment of acne and pigmented lesions (with instruction on basic dermoscopy use) in these settings.
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Affiliation(s)
- A Martin-Gorgojo
- Servicio de ITS/Dermatología, Sección de Especialidades Médicas. Ayuntamiento de Madrid, Madrid, España; Unidad de Investigación. Fundación Piel Sana AEDV, Madrid, España.
| | - J Del Boz
- Unidad de Investigación. Fundación Piel Sana AEDV, Madrid, España; Servicio de Dermatología, Hospital Regional Universitario de Málaga, Málaga, España
| | | | - S Arias-Santiago
- Servicio de Dermatología. Hospital Virgen de las Nieves, Granada, España
| | - A Molina-Leyva
- Servicio de Dermatología. Hospital Virgen de las Nieves, Granada, España
| | - Y Gilaberte
- Servicio de Dermatología. Hospital Universitario Miguel Servet, IIS Aragón, Zaragoza, España
| | - P Fernández-Crehuet
- Servicio de Dermatología. Hospital Universitario Reina Sofía, Córdoba, España
| | - H Husein-ElAhmed
- Servicio de Dermatología. Hospital General de Baza, Granada, España
| | - A Viera-Ramírez
- Servicio de Dermatología. Hospital Santa Catalina, Las Palmas de Gran Canaria, España
| | - P Fernández-Peñas
- The University of Sydney, Department of Dermatology, Westmead Hospital, Westmead, New South Wales, Australia
| | - R Taberner
- Departamento de Dermatología. Hospital de Son Llàtzer, Palma de Mallorca, España
| | | | - I García-Doval
- Unidad de Investigación. Fundación Piel Sana AEDV, Madrid, España
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7
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Martin-Gorgojo A, Del Boz J, Descalzo-Gallego MÁ, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Buendía-Eisman A, García-Doval I. [Translated article] What Proportion of the Spanish Dermatology Caseload Corresponds to Pediatric Dermatoses? Results From the DIADERM National Random Sampling Survey. Actas Dermosifiliogr 2023; 114:T858-T864. [PMID: 37734543 DOI: 10.1016/j.ad.2023.09.009] [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: 04/26/2023] [Revised: 05/22/2023] [Accepted: 05/23/2023] [Indexed: 09/23/2023] Open
Abstract
BACKGROUND Visits for skin conditions are very common in pediatric primary care, and many of the patients seen in outpatient dermatology clinics are children or adolescents. Little, however, has been published about the true prevalence of these visits or about their characteristics. MATERIAL AND METHODS Observational cross-sectional study of diagnoses made in outpatient dermatology clinics during 2 data-collection periods in the anonymous DIADERM National Random Survey of dermatologists across Spain. All entries with an International Classification of Diseases, Tenth Revision code related to dermatology in the 2 periods (84 diagnoses) were collected for patients younger than 18 years and classified into 14 categories to facilitate analysis and comparison. RESULTS In total, the search found 20 097 diagnoses made in patients younger than 18 years (12% of all coded diagnoses in the DIADERM database). Viral infections, acne, and atopic dermatitis were the most common, accounting for 43.9% of all diagnoses. No significant differences were observed in the proportions of diagnoses in the respective caseloads of specialist vs. general dermatology clinics or public vs. private clinics. Seasonal differences in diagnoses (January vs. May) were also nonsignificant. CONCLUSIONS Pediatric care accounts for a significant proportion of the dermatologist's caseload in Spain. Our findings are useful for identifying opportunities for improving communication and training in pediatric primary care and for designing training focused on the optimal treatment of acne and pigmented lesions (with instruction on basic dermoscopy use) in these settings.
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Affiliation(s)
- A Martin-Gorgojo
- Servicio de ITS/Dermatología, Sección de Especialidades Médicas. Ayuntamiento de Madrid, Madrid, Spain; Unidad de Investigación. Fundación Piel Sana AEDV, Madrid, Spain.
| | - J Del Boz
- Unidad de Investigación. Fundación Piel Sana AEDV, Madrid, Spain; Servicio de Dermatología, Hospital Regional Universitario de Málaga, Málaga, Spain
| | | | - S Arias-Santiago
- Servicio de Dermatología. Hospital Virgen de las Nieves, Granada, Spain
| | - A Molina-Leyva
- Servicio de Dermatología. Hospital Virgen de las Nieves, Granada, Spain
| | - Y Gilaberte
- Servicio de Dermatología. Hospital Universitario Miguel Servet, IIS Aragón, Zaragoza, Spain
| | - P Fernández-Crehuet
- Servicio de Dermatología. Hospital Universitario Reina Sofía, Córdoba, Spain
| | - H Husein-ElAhmed
- Servicio de Dermatología. Hospital General de Baza, Granada, Spain
| | - A Viera-Ramírez
- Servicio de Dermatología. Hospital Santa Catalina, Las Palmas de Gran Canaria, Spain
| | - P Fernández-Peñas
- The University of Sydney, Department of Dermatology, Westmead Hospital, Westmead, New South Wales, Australia
| | - R Taberner
- Departamento de Dermatología. Hospital de Son Llàtzer, Palma de Mallorca, Spain
| | | | - I García-Doval
- Unidad de Investigación. Fundación Piel Sana AEDV, Madrid, Spain
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Pulido-Pérez A, Descalzo-Gallego MA, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Buendía-Eisman A, García-Doval I. Nonvenereal Infections in Spanish Dermatology Clinics: Results of the DIADERM Study. Actas Dermosifiliogr 2023:S0001-7310(23)00351-4. [PMID: 37172892 DOI: 10.1016/j.ad.2023.05.012] [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: 02/28/2023] [Accepted: 03/16/2023] [Indexed: 05/15/2023] Open
Abstract
BACKGROUND AND OBJECTIVE The burden of nonvenereal infections in Spanish dermatology practice has not yet been evaluated. The aim of this study was to analyze the overall weight of these infections in outpatient dermatology caseloads. MATERIAL AND METHODS Observational cross-sectional study of diagnoses made by a random selection of dermatologists from the Spanish Association of Dermatology and Venereology (AEDV) working in outpatient dermatology clinics. The data were obtained through the anonymous DIADERM survey. Diagnoses of infectious diseases were selected using codes from the International Classification of Diseases, Tenth Revision. After excluding sexually transmitted infections, the diagnoses were classified into 22 groups. RESULTS Spanish dermatologists diagnosed an estimated 16 190 (95% CI, 9338-23 042) nonvenereal infections on average per week, a figure that accounted for 9.33% of the dermatology caseload. The most common diagnostic groups were nonanogenital viral warts (7475 diagnoses, 46.17% of nonvenereal infections), dermatophytosis (3336, 20.61%), and other viral infections (1592, 9.84%), which included Molluscum contagiosum infections. Nonvenereal infections were more common than noninfectious dermatologic conditions in private clinics (P < .0020) and adults (P <.00001). Patients with these infections were also more likely to be discharged than those with other conditions in both public (P < .0004) and private (P < .0002) practices. CONCLUSIONS Nonvenereal infections are frequent in dermatology. They are the third most common reason for outpatient visits, behind actinic keratosis and nonmelanoma skin cancer. By enhancing the participation of dermatologists in the management of skin infections and encouraging interactions with other specialists, we will be able to carve out a niche in an area we have scarcely ventured into to date.
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Affiliation(s)
- A Pulido-Pérez
- Servicio de Dermatología, Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, España.
| | - M A Descalzo-Gallego
- Unidad de Investigación, Academia Española de Dermatología y Venereología, Madrid, España
| | - S Arias-Santiago
- Servicio de Dermatología, Hospital Virgen de las Nieves, Granada, España. Instituto de investigación Biosanitaria ibsGranada, España
| | - A Molina-Leyva
- Servicio de Dermatología, Hospital Virgen de las Nieves, Granada, España. Instituto de investigación Biosanitaria ibsGranada, España
| | - Y Gilaberte
- Servicio de Dermatología, Hospital Universitario Miguel Servet, IIS Aragón, Zaragoza, España
| | - P Fernández-Crehuet
- Servicio de Dermatología. Hospital Universitario Reina Sofía, Córdoba, España
| | - H Husein-ElAhmed
- Servicio de Dermatología, Hospital General de Baza, Baza, Granada, España
| | - A Viera-Ramírez
- Servicio de Dermatología, Hospital Santa Catalina, Las Palmas de Gran Canaria, España
| | - P Fernández-Peñas
- Department of Dermatology, Westmead Hospital, The University of Sydney, Westmead, New South Wales, Australia
| | - R Taberner
- Departamento de Dermatología, Hospital de Son Llàtzer, Palma de Mallorca, España
| | | | - I García-Doval
- Unidad de Investigación, Academia Española de Dermatología y Venereología, Madrid, España
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9
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Pulido-Pérez A, Descalzo-Gallego MA, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Buendía-Eisman A, García-Doval I. Nonvenereal Infections in Spanish Dermatology Clinics: Results of the DIADERM Study. Actas Dermosifiliogr 2023:S0001-7310(23)00222-3. [PMID: 36965772 DOI: 10.1016/j.ad.2023.03.002] [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: 02/28/2023] [Revised: 03/13/2023] [Accepted: 03/16/2023] [Indexed: 03/27/2023] Open
Abstract
BACKGROUND AND OBJECTIVE The burden of nonvenereal infections in Spanish dermatology practice has not yet been evaluated. The aim of this study was to analyze the overall weight of these infections in outpatient dermatology caseloads. MATERIAL AND METHODS Observational cross-sectional study of diagnoses made by a random selection of dermatologists from the Spanish Association of Dermatology and Venereology (AEDV) working in outpatient dermatology clinics. The data were obtained through the anonymous DIADERM survey. Diagnoses of infectious diseases were selected using codes from the International Classification of Diseases, Tenth Revision. After excluding sexually transmitted infections, the diagnoses were classified into 22 groups. RESULTS Spanish dermatologists diagnosed an estimated 16 190 (95% CI, 9338-23 042) nonvenereal infections on average per week, a figure that accounted for 9.33% of the dermatology caseload. The most common diagnostic groups were nonanogenital viral warts (7475 diagnoses, 46.17% of nonvenereal infections), dermatophytosis (3336, 20.61%), and other viral infections (1592, 9.84%), which included Molluscum contagiosum infections. Nonvenereal infections were more common than noninfectious dermatologic conditions in private clinics (P < .0020) and adults (P <.00001). Patients with these infections were also more likely to be discharged than those with other conditions in both public (P < .0004) and private (P < .0002) practices. CONCLUSIONS Nonvenereal infections are frequent in dermatology. They are the third most common reason for outpatient visits, behind actinic keratosis and nonmelanoma skin cancer. By enhancing the participation of dermatologists in the management of skin infections and encouraging interactions with other specialists, we will be able to carve out a niche in an area we have scarcely ventured into to date.
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Affiliation(s)
- A Pulido-Pérez
- Servicio de Dermatología, Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, España.
| | - M A Descalzo-Gallego
- Unidad de Investigación, Academia Española de Dermatología y Venereología, Madrid, España
| | - S Arias-Santiago
- Servicio de Dermatología, Hospital Virgen de las Nieves, Granada, España. Instituto de investigación Biosanitaria ibsGranada, España
| | - A Molina-Leyva
- Servicio de Dermatología, Hospital Virgen de las Nieves, Granada, España. Instituto de investigación Biosanitaria ibsGranada, España
| | - Y Gilaberte
- Servicio de Dermatología, Hospital Universitario Miguel Servet, IIS Aragón, Zaragoza, España
| | - P Fernández-Crehuet
- Servicio de Dermatología. Hospital Universitario Reina Sofía, Córdoba, España
| | - H Husein-ElAhmed
- Servicio de Dermatología, Hospital General de Baza, Baza, Granada, España
| | - A Viera-Ramírez
- Servicio de Dermatología, Hospital Santa Catalina, Las Palmas de Gran Canaria, España
| | - P Fernández-Peñas
- Department of Dermatology, Westmead Hospital, The University of Sydney, Westmead, New South Wales, Australia
| | - R Taberner
- Departamento de Dermatología, Hospital de Son Llàtzer, Palma de Mallorca, España
| | | | - I García-Doval
- Unidad de Investigación, Academia Española de Dermatología y Venereología, Madrid, España
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Martin-Gorgojo A, Comunión-Artieda A, Descalzo-Gallego M, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Buendía-Eisman A, García-Doval I. [Translated article] What Proportion of the Spanish Dermatology Caseload Corresponds to Primarily Sexually Transmitted Infections and Other Anogenital Dermatoses? Results From the DIADERM National Random Survey. Actas Dermo-Sifiliográficas 2022. [DOI: 10.1016/j.ad.2021.05.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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11
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Martin-Gorgojo A, Comunión-Artieda A, Descalzo-Gallego M, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Buendía-Eisman A, García-Doval I. What Proportion of the Spanish Dermatology Caseload Corresponds to Primarily Sexually Transmitted Infections and Other Anogenital Dermatoses? Results From the DIADERM National Random Survey. Actas Dermo-Sifiliográficas (English Edition) 2021. [DOI: 10.1016/j.adengl.2021.07.014] [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] [Indexed: 10/20/2022] Open
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12
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Montero-Vilchez T, Cuenca-Barrales C, Martinez-Lopez A, Molina-Leyva A, Arias-Santiago S. Skin adverse events related to personal protective equipment: a systematic review and meta-analysis. J Eur Acad Dermatol Venereol 2021; 35:1994-2006. [PMID: 34077565 DOI: 10.1111/jdv.17436] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 05/21/2021] [Indexed: 01/03/2023]
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a global pandemic that has spread all over the word. To avoid the virus transmission, healthcare workers must wear adequate personal protective equipment (PPE). PPE is associated with several side events, including skin reactions. The objective of this study was to summarize the prevalence, type and risk factors for cutaneous adverse events related to PPE and prevention measures to avoid them. A systematic review and meta-analysis was conducted using MEDLINE, Scopus and EMBASE databases from conception to 21 January 2021. All types of epidemiological studies regarding skin adverse events related to PPE were included. The literature search identified 1007 references, 35 of them met the eligible criteria and were included for analysis, representing 31 453 participants. The media of skin side events related to PPE was 75.13%. The rate of cutaneous adverse events related to mask was 57.71%, and those associated with gloves and hand hygiene products was 49.16%. Most common skin adverse events were contact dermatitis, acne and itching. The most damaged anatomical regions were the nasal bridge, the cheeks and the hands. The duration of PPE wearing was the most common risk factor. Frequent handwashing, gloves and masks were the agents most frequently related to skin reactions. N95 respirators were the most harmful mask type for the skin. Hydrocolloid use prevented from developing skin adverse events related to masks. In conclusion, the rate of cutaneous adverse events related to PPE use is high. A longer duration of PPE wearing was the most common risk factor. Using hydrocolloid could prevent from skin injuries related to mask use.
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Affiliation(s)
- T Montero-Vilchez
- Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain.,Biosanitary Institute of Granada (ibs.GRANADA), Granada, Spain
| | - C Cuenca-Barrales
- Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain.,Biosanitary Institute of Granada (ibs.GRANADA), Granada, Spain
| | - A Martinez-Lopez
- Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain.,Biosanitary Institute of Granada (ibs.GRANADA), Granada, Spain
| | - A Molina-Leyva
- Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain.,Biosanitary Institute of Granada (ibs.GRANADA), Granada, Spain
| | - S Arias-Santiago
- Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain.,Biosanitary Institute of Granada (ibs.GRANADA), Granada, Spain.,Cell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, Andalusian Network of Design and Translation of Advanced Therapies, Granada, Spain.,Department of Dermatology, Faculty of Medicine, University of Granada, Granada, Spain
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13
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Martin-Gorgojo A, Descalzo-Gallego M, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Buendía-Eisman A, García-Doval I. What Proportion of the Caseload at Dermatology Outpatient Clinics in Spain Do Skin Tumors Account for? Results from the DIADERM National Random Sampling Project. Actas Dermo-Sifiliográficas (English Edition) 2021. [DOI: 10.1016/j.adengl.2021.05.009] [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] [Indexed: 10/21/2022] Open
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14
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Montero-Vilchez T, Molina-Leyva A, Martinez-Lopez A, Buendia-Eisman A, Ortega-Olmo R, Serrano-Ortega S, Arias-Santiago S. Specialized Dermatology Training in Spain: Opinions of 53 Third-Year Dermatology Residents Surveyed in 2019. Actas Dermo-Sifiliográficas (English Edition) 2021. [DOI: 10.1016/j.adengl.2021.01.017] [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] [Indexed: 10/22/2022] Open
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15
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Martin-Gorgojo A, Descalzo-Gallego MÁ, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Buendía-Eisman A, García-Doval I. What Proportion of the Caseload at Dermatology Outpatient Clinics in Spain Do Skin Tumors Account for? Results from the DIADERM National Random Sampling Project. Actas Dermosifiliogr (Engl Ed) 2021; 112:S0001-7310(21)00089-2. [PMID: 33621560 DOI: 10.1016/j.ad.2021.02.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 01/27/2021] [Accepted: 02/10/2021] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION AND OBJECTIVE A significant part of a dermatologist's activity involves the diagnosis and management of tumors. The aim of this study was to analyze the caseload at public and private dermatology outpatient clinics in Spain to determine the proportion of tumor diagnoses. MATERIAL AND METHOD Observational cross-sectional study of diagnoses made in dermatology outpatient clinics during 2 data-collection periods in the DIADERM study, an anonymous survey of a random, representative sample of dermatologists across Spain. Diagnoses made during the 2 periods were coded according to the CIE-10. There were 165 tumor-related codes, classified into 24 groups. For the purpose of this study, these groups were then reduced to benign melanocytic lesions, malignant melanocytic lesions, benign nonmelanocytic lesions, and malignant nonmelanocytic lesions. RESULTS Tumors accounted for 46.2% of all diagnoses; 18.5% of the tumors were malignant (a category that included in situ forms of keratinocyte cancers). Four of the 10 most common diagnoses were of malignant tumors: in situ keratinocyte cancers, basal cell carcinoma, melanoma, and squamous cell carcinoma. Significant differences were observed between malignant and benign tumors according to type of practice (public vs. private) and geographic region. CONCLUSION Skin cancer accounts for a significant part of the dermatologist's caseload in Spain. Differences can be observed depending on the public/private healthcare setting and other factors.
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Affiliation(s)
- A Martin-Gorgojo
- Sección de Especialidades Médicas, Servicio de ITS/Dermatología, Ayuntamiento de Madrid, Madrid, España; Unidad de Investigación, Fundación Piel Sana, Academia Española de Dermatología y Venereología, Madrid, España.
| | - M Á Descalzo-Gallego
- Unidad de Investigación, Fundación Piel Sana, Academia Española de Dermatología y Venereología, Madrid, España
| | - S Arias-Santiago
- Servicio de Dermatología, Hospital Virgen de las Nieves, Granada, España
| | - A Molina-Leyva
- Servicio de Dermatología, Hospital Virgen de las Nieves, Granada, España
| | - Y Gilaberte
- Servicio de Dermatología, Hospital Universitario Miguel Servet, IIS Aragón, Zaragoza, España
| | - P Fernández-Crehuet
- Servicio de Dermatología, Hospital Universitario Reina Sofía, Córdoba, España
| | - H Husein-ElAhmed
- Servicio de Dermatología, Hospital General de Baza, Baza, Granada, España
| | - A Viera-Ramírez
- Servicio de Dermatología, Hospital Santa Catalina, Las Palmas de Gran Canaria, Canarias, España
| | - P Fernández-Peñas
- Department of Dermatology, Westmead Hospital, The University of Sydney, Westmead, New South Wales, Australia
| | - R Taberner
- Departamento de Dermatología, Hospital de Son Llàtzer, Palma de Mallorca, Baleares, España
| | | | - I García-Doval
- Unidad de Investigación, Fundación Piel Sana, Academia Española de Dermatología y Venereología, Madrid, España
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16
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Montero-Vilchez T, Pozo-Román T, Sánchez-Velicia L, Vega-Gutiérrez J, Arias-Santiago S, Molina-Leyva A. Ustekinumab in the treatment of patients with hidradenitis suppurativa: multicenter case series and systematic review. J DERMATOL TREAT 2020; 33:348-353. [PMID: 32279593 DOI: 10.1080/09546634.2020.1755008] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Background: Hidradenitis suppurativa (HS) is a chronic debilitating autoinflammatory skin disease. Adalimumab is the only biologic agent available to treat HS, but lack of response is observed in some patients. Ustekinumab may be useful to treat patients with HS who do not respond to adalimumab.Objective: The objectives of this study were: (1) to retrospectively evaluate the therapeutic outcomes of ustekinumab in a multicenter series of patients with HS and (2) to assess all published scientific evidence on its utilization in patients with HS.Methods: We evaluated the therapeutic outcomes of 10 patients with HS treated with ustekinumab and conducted a systematic review of published epidemiological studies on ustekinumab-treated patients with HS.Results: In the case series, an improvement in the Physician Global Assessment score was observed in 70% (7/10) patients and an improvement in the Numerical Pain Rating Scale in 80% (8/10). In the systematic review, clinical improvement in disease severity was reported in 76% (34/45) patients and symptomatic improvement in 84% (38/45). No severe ustekinumab-related adverse event was recorded.Conclusion: These findings suggest that ustekinumab may be an effective and safe option for patients with HS who fail to respond to first-line therapies.
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Affiliation(s)
- T Montero-Vilchez
- Hidradenitis Suppurativa Clinic, Dermatology Unit, Hospital Universitario Virgen de las Nieves, Granada, Spain.,Instituto de Investigación Biosanitaria IBS, Granada, Spain
| | - T Pozo-Román
- Servicio de Dermatología, Hospital Universitario Rio Ortega, Valladolid, Spain
| | - L Sánchez-Velicia
- Servicio de Dermatología, Hospital Universitario Rio Ortega, Valladolid, Spain
| | - J Vega-Gutiérrez
- Servicio de Dermatología, Hospital Universitario Rio Ortega, Valladolid, Spain
| | - S Arias-Santiago
- Hidradenitis Suppurativa Clinic, Dermatology Unit, Hospital Universitario Virgen de las Nieves, Granada, Spain.,Instituto de Investigación Biosanitaria IBS, Granada, Spain
| | - A Molina-Leyva
- Hidradenitis Suppurativa Clinic, Dermatology Unit, Hospital Universitario Virgen de las Nieves, Granada, Spain.,Instituto de Investigación Biosanitaria IBS, Granada, Spain.,European Hidradenitis Suppurativa Foundation (EHSF), Dessau-Roßlau, Germany
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17
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González-Cruz C, Descalzo M, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Buendía-Eisman A, García-Doval I, García-Patos V. Análisis de la proporción de derivaciones potencialmente evitables desde Atención Primaria a Dermatología por lesiones quísticas o tumorales benignas en España. Datos del estudio DIADERM. Actas Dermo-Sifiliográficas 2019; 110:659-665. [DOI: 10.1016/j.ad.2019.02.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Revised: 02/03/2019] [Accepted: 02/07/2019] [Indexed: 11/25/2022] Open
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18
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González-Cruz C, Descalzo M, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, Buendía-Eisman A, García-Doval I, García-Patos V. Proportion of Potentially Avoidable Referrals From Primary Care to Dermatologists for Cystic Lesions or Benign Neoplasms in Spain: Analysis of Data From the DIADERM Study. Actas Dermo-Sifiliográficas (English Edition) 2019. [DOI: 10.1016/j.adengl.2019.02.023] [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] [Indexed: 10/26/2022] Open
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19
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Gutiérrez-González E, Descalzo MA, Molina-Leyva A, Kueder-Pajares T, Buendía-Eisman A, García-Doval I. Matching burden of skin diseases, demand for dermatological consultations and clinical research activity: results from three national studies. Br J Dermatol 2019; 182:225-227. [PMID: 31301228 DOI: 10.1111/bjd.18337] [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: 11/29/2022]
Affiliation(s)
- E Gutiérrez-González
- Public Health & Preventive Medicine Teaching Unit, National School of Public Health, Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), Carlos III Institute of Health, Madrid, Spain
| | - M A Descalzo
- Research Unit, Fundación Piel Sana de la Academia Española de Dermatología y Venereología, Spain
| | - A Molina-Leyva
- Department of Dermatology, Hospital Virgen de las Nieves, Granada, Spain
| | - T Kueder-Pajares
- Department of Dermatology, Hospital de Fuenlabrada, Madrid, Spain
| | | | - I García-Doval
- Research Unit, Fundación Piel Sana de la Academia Española de Dermatología y Venereología, Spain.,Department of Dermatology, Complexo Hospitalario Universitario de Vigo (CHUVI), Vigo, Spain
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20
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González-López G, Descalzo-Gallego M, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-El Ahmed H, Viera-Ramírez A, Fernández-Peñas P, Taberner R, García-Doval I, Buendía-Eisman A, Buendía A, Fernández-Crehuet P, Husein-ElAhmed H, Vega J, Viera A, Manuel Carrascosa J, Ferrán M, Gómez E, Ascanio L, García Doval I, Arias S, Gilaberte Y, Sánchez JA, Serrano A, Castillo R, Fernandez R, Armario J, Lluc Cantalejo C, Albarrán C, Cruz Martín M, Martín JA, Barabash R, Pérez L, Salamanca M, Hernández C, Millán JF, Ruiz I, Armesto S, González M, Beteta V, Cuadrado de Valles C, Cristóbal P, Roth MM, Garcias J, Fernandez de Misa R, García E, Rivero MDP, Suárez J, Farthmann B, Álvarez A, García I, Morales CE, Zemba MC, Repiso T, Sastre C, Ubals M, Fernández A, González U, Grimalt R, Gómez S, López I, Gemigniani FA, Izquierdo MJ, Alfageme F, Barrientos N, Pericet LM, Vidal S, Camarero C, Lázaro P, García C, de Pablo MP, Herranz P, del Olmo N, Castellanos M, Jiménez N, Aboín S, Aldanondo I, Juanes A, Arranz DM, González O, Casas L, Vázquez JJ, Peña C, Cubero JL, Feal C, Mayo ME, Iglesias N, Rojo R, Aniz E, Kindem S, Barrado N, Tirado M, Quecedo E, Hernández I, Sahuquillo A, Bella R, García R, Calle A, Messeguer F, Alfaro A, Casanova L, Aspe L, Moreno MP, Trébol I, Serrano G, Alcalde VM, García P, Coscojuela C. Referral of Patients to Dermatology and Teledermatology Consultations in Spain. DIADERM Study. Actas Dermo-Sifiliográficas (English Edition) 2019. [DOI: 10.1016/j.adengl.2019.01.004] [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] [Indexed: 10/27/2022] Open
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Molina-Leyva A, Salvador-Rodriguez L, Martinez-Lopez A, Cuenca-Barrales C. Effectiveness, safety and tolerability of drainage and punch-trocar-assisted cryoinsufflation (cryopunch) in the treatment of inflammatory acute fluid collections in hidradenitis suppurativa patients. J Eur Acad Dermatol Venereol 2019; 33:e221-e223. [PMID: 30811686 DOI: 10.1111/jdv.15406] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A Molina-Leyva
- Dermatology, Hidradenitis Suppurativa Clinic, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - L Salvador-Rodriguez
- Dermatology, Hidradenitis Suppurativa Clinic, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - A Martinez-Lopez
- Dermatology, Hidradenitis Suppurativa Clinic, Hospital Universitario Virgen de las Nieves, Granada, Spain
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22
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Molina-Leyva A, Cuenca-Barrales C, Vega-Castillo JJ, Ruiz-Carrascosa JC, Ruiz-Villaverde R. Adherence to Mediterranean diet in Spanish patients with psoriasis: Cardiovascular benefits? Dermatol Ther 2019; 32:e12810. [PMID: 30632241 DOI: 10.1111/dth.12810] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [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: 09/25/2018] [Revised: 10/07/2018] [Accepted: 01/05/2019] [Indexed: 12/26/2022]
Abstract
Several studies have evaluated the role of individual nutrients on psoriasis. Only a few of them have evaluated the benefits of healthy dietary patterns and the effect of the Mediterranean diet on psoriasis with promising results. Moderate-severe psoriasis is associated with chronic systemic inflammation and increased cardiovascular risk. In this study the present authors measure the adherence to the Mediterranean diet to determine the grade of association with severity of psoriasis, a cardiovascular profile, and systemic inflammation. Our aim was to determine a cut-off point that approximates the real clinical practice by differentiating patients with systemic or biological treatment.
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Affiliation(s)
- A Molina-Leyva
- Dermatology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - C Cuenca-Barrales
- Dermatology Department, Hospital Unversitario San Cecilio, Granada, Spain
| | - J J Vega-Castillo
- Dermatology Department, Hospital Unversitario San Cecilio, Granada, Spain
| | | | - R Ruiz-Villaverde
- Dermatology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain
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23
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González-López G, García-Doval I, Molina-Leyva A, Descalzo-Gallego M, Taberner R, Gilaberte Y, Buendía-Eisman A, Fernández-Peñas P. Difficulties Coding Dermatological Disorders Using the ICD-10: The DIADERM Study. Actas Dermo-Sifiliográficas (English Edition) 2018. [DOI: 10.1016/j.adengl.2018.10.010] [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] [Indexed: 10/27/2022] Open
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24
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González-López G, García-Doval I, Molina-Leyva A, Descalzo-Gallego MA, Taberner R, Gilaberte Y, Buendía-Eisman A, Fernández-Peñas P. Difficulties Coding Dermatological Disorders Using the ICD-10: The DIADERM Study. Actas Dermosifiliogr (Engl Ed) 2018; 109:893-899. [PMID: 30268517 DOI: 10.1016/j.ad.2018.06.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [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: 05/15/2018] [Revised: 06/10/2018] [Accepted: 06/14/2018] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND AND OBJECTIVES The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) has some shortcomings when it comes to coding certain dermatological disorders. To overcome these shortcomings, a compatible version of the ICD-10 specifically adapted to dermatology was produced in Spain in 1999. The recent DIADERM study recorded 10 999 dermatological diagnoses using a representative sample of dermatologists working at outpatient clinics in Spain. The aims of the current study were to identify diagnoses from the DIADERM study that could not be coded using the adapted ICD-10, determine why, and check if they could be coded using the draft ICD-11. MATERIAL AND METHODS We included all dermatological diagnoses from the DIADERM study that could not be assigned a code from the adapted ICD-10. We then quantified and recorded all the diagnoses that could not be coded using either the adapted ICD-10 or the draft ICD-11. RESULTS Of the 10 999 diagnoses analyzed, 41 had not been assigned a code. Of these, 19 were assigned an adapted ICD-10 code on reassessment. However, the adapted ICD-10 and the draft ICD-11 lacked specific codes for 22 and 17 diagnoses, respectively. CONCLUSIONS The adapted ICD-10 can be used to correctly code the vast majority of dermatological diagnoses seen in routine clinical practice. Nevertheless, the system does have some minor shortcomings when it comes to coding certain diseases, particularly newly discovered and emerging diseases. Some of these problems, however, were resolved with the new ICD-11. Based on our findings, we propose some modifications to the ICD-11.
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Affiliation(s)
- G González-López
- Servicio de Dermatología, Hospital Universitario La Paz, Madrid, España.
| | - I García-Doval
- Unidad de Investigación, Fundación Piel Sana AEDV, Madrid, España; Servicio de Dermatología, Complejo Hospitalario de Vigo, Vigo, Pontevedra, España
| | - A Molina-Leyva
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España
| | | | - R Taberner
- Servicio de Dermatología, Hospital Son Llàtzer, Palma de Mallorca, Baleares, España
| | - Y Gilaberte
- Unidad de Dermatología, Hospital San Jorge de Huesca, Huesca, España
| | | | - P Fernández-Peñas
- The University of Sydney, Department of Dermatology, Westmead Hospital, Westmead, Sídney, New South Wales, Australia
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Rodríguez-Lago L, Molina-Leyva A, Pereiro-Ferreirós M, García-Doval I. Influence of Article Type on the Impact Factor of Dermatology Journals. Actas Dermo-Sifiliográficas (English Edition) 2018. [DOI: 10.1016/j.adengl.2018.04.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Rodríguez-Lago L, Molina-Leyva A, Pereiro-Ferreirós M, García-Doval I. Influencia de los distintos tipos de artículo en el factor de impacto de las revistas dermatológicas. Actas Dermo-Sifiliográficas 2018; 109:432-438. [DOI: 10.1016/j.ad.2018.01.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Revised: 01/16/2018] [Accepted: 01/17/2018] [Indexed: 11/29/2022] Open
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Martinez-Lopez A, Ruiz-Villaverde R, Molina-Leyva A. Google search trends in psoriasis: a pilot evaluation of global population interests. J Eur Acad Dermatol Venereol 2018; 32:e370-e372. [DOI: 10.1111/jdv.14944] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- A. Martinez-Lopez
- Dermatology Unit; Hospital Universitario Virgen de las Nieves; Granada Spain
| | - R. Ruiz-Villaverde
- Dermatology Unit; Hospital Universitario Campus de la Salud; Granada Spain
| | - A. Molina-Leyva
- Dermatology Unit; Hospital Universitario Virgen de las Nieves; Granada Spain
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Molina-Leyva A, Descalzo MA, García-Doval I. A Map of Clinical Dermatology Research Centers in Spain: Results of the MaIND Study. Actas Dermosifiliogr 2017; 108:830-835. [PMID: 28669411 DOI: 10.1016/j.ad.2017.05.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [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: 04/05/2017] [Revised: 05/07/2017] [Accepted: 05/14/2017] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND AND OBJECTIVE Bibliometric indicators and analyses of clinical research articles can help to quantify the scientific production of hospitals and institutions and identify their main areas of research. The aim of this study was to draw up a bibliometric map of clinical research in dermatology by Spanish hospitals and institutions through an analysis of quantitative, qualitative, and topic-based variables. MATERIAL AND METHOD Bibliometric study of clinical research articles that met the inclusion criteria and had a definitive publication date between 2005 and 2014 in PubMed or Embase in which the corresponding author's affiliation was a Spanish dermatology department or institution. RESULTS Barcelona and Madrid were the provinces with the highest number of articles and citations. The centers with the most articles and citations were Hospital Clínic and Instituto Valenciano de Oncología. Those 2 hospitals also produced the highest number of articles on the most common research topic identified: melanoma. Because the articles were selected on the basis of the affiliation of the corresponding author to a Spanish dermatology center, this analysis does not include collaborative studies or clinical research studies led by nondermatology centers. CONCLUSIONS We have created a bibliometric map of clinical dermatology research in Spain that shows the distribution of scientific production and the main areas of research by province and hospital/institution. This map could be useful for education and research purposes.
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Affiliation(s)
- A Molina-Leyva
- Fundación Piel Sana AEDV, Unidad de investigación de la Academia Española de Dermatología y Venereología, Madrid, España.
| | - M A Descalzo
- Fundación Piel Sana AEDV, Unidad de investigación de la Academia Española de Dermatología y Venereología, Madrid, España
| | - I García-Doval
- Fundación Piel Sana AEDV, Unidad de investigación de la Academia Española de Dermatología y Venereología, Madrid, España
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Molina-Leyva A, Caparros-delMoral I, Ruiz-Carrascosa J, Naranjo-Sintes R, Jimenez-Moleon J. Elevated prevalence of Type D (distressed) personality in moderate to severe psoriasis is associated with mood status and quality of life impairment: a comparative pilot study. J Eur Acad Dermatol Venereol 2015; 29:1710-7. [DOI: 10.1111/jdv.12960] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Accepted: 12/09/2014] [Indexed: 01/09/2023]
Affiliation(s)
- A. Molina-Leyva
- Department of Dermatology; Hospital Torrecardenas; Almería Spain
| | | | | | | | - J.J. Jimenez-Moleon
- CIBER de Epidemiología y Salud Pública (CIBERESP); Granada Spain
- Dpto. de Medicina Preventiva y Salud Pública; Instituto de Investigación Biosanitaria ibs; Hospitales Universitarios de Granada/Universidad de Granada; Granada Spain
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Molina-Leyva A, Jiménez-Moleón J, Naranjo-Sintes R, Ruiz-Carrascosa J. Sexual dysfunction in psoriasis: a systematic review. J Eur Acad Dermatol Venereol 2014; 29:649-55. [DOI: 10.1111/jdv.12845] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2014] [Accepted: 10/13/2014] [Indexed: 11/27/2022]
Affiliation(s)
- A. Molina-Leyva
- Servicio de Dermatología médico-quirúrgica y Venereología; Hospital Torrecárdenas; Almería Spain
| | - J.J. Jiménez-Moleón
- Dpto de Medicina Preventiva y Salud Pública; Instituto de Investigación Biosanitaria ibs; GRANADA, Hospitales Universitarios de Granada/Universidad de Granada; Granada Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP); Granada Spain
| | - R. Naranjo-Sintes
- Servicio de Dermatología médico-quirúrgica y Venereología; Hospital Universitario Granada; Granada Spain
| | - J.C. Ruiz-Carrascosa
- Servicio de Dermatología médico-quirúrgica y Venereología; Hospital Universitario Granada; Granada Spain
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