10 years quality assurance of the dermatologist's procedure. ABD review board part II: 2003–2009

Voß, H.; Elsner, Peter; Fartasch, Manigé; Köllner, Arno; Richter, Gert; Rothe, A; Schindera, Ingo; Schwanitz, Hans Joachim; Skudlik, Christoph; Stary, A.; Wehrmann, Wolfgang; Worm, Margitta; John, Swen Malte

doi:10.1111/j.1610-0387.2010.07506.x

Cited by 9 publications

(3 citation statements)

References 17 publications

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“…In Germany, within the dermatologist's procedure of the German Social Accident Insurance (DGUV), dermatologists are encouraged to patch test POM from workplaces in the case of suspected OSD at the expenses of the statutory employers' liability insurance funds. 17 The present study aims at assessing the quality of performance and documentation of patch testing POM in patients with suspected OSD throughout Germany.…”

Section: Introductionmentioning

confidence: 99%

“…Not only the adequate execution but also the adequate documentation of patch tests with POM is crucial, as this is the only way to understand afterwards what exactly was tested and whether the test result is plausible. In Germany, within the dermatologist's procedure of the German Social Accident Insurance (DGUV), dermatologists are encouraged to patch test POM from workplaces in the case of suspected OSD at the expenses of the statutory employers' liability insurance funds 17 . The present study aims at assessing the quality of performance and documentation of patch testing POM in patients with suspected OSD throughout Germany.…”

Section: Introductionmentioning

confidence: 99%

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Quality of patch testing patient's own material in patients with suspected occupational skin diseases throughout Germany: Interim results of the German Social Accident Insurance (DGUV) research project FB 317b

Symanzik,

Dicke,

Weinert

et al. 2023

Contact Dermatitis

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BackgroundDue to limited availability of commercial test preparations, patch testing patient's own material (POM) is of great importance to diagnose occupational allergic contact dermatitis.ObjectivesTo assess the quality of performance and documentation of patch testing with POM in patients with suspected occupational skin diseases (OSD) in Germany.MethodsRetrospective‐prospective analysis of protocols of patch tests with POM was conducted between 2013 and 2021 in patients with suspected OSD and submitted to statutory accident insurance institutions. Assessments were done by predefined criteria.ResultsThree thousand and four patch tests with POM from 460 patients were included. A full description of the POM was provided in 73.3% of all tests. The test concentration, test vehicle and pH value were documented in 74.3%, 70.5% and 42.2% of tests, for which the respective parameters were considered relevant. One hundred and sixty‐one positive reactions to POM were documented. In 72%, sufficient patch testing with commercial test substances was conducted to investigate the positive reaction. In 30.4%, consecutive patch testing of all ingredients of the POM was done.ConclusionsThe results not only show considerable shortcomings mainly in documentation but also to some extent performance of patch tests with POM in patients with suspected OSD in Germany.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Quality of patch testing patient's own material in patients with suspected occupational skin diseases throughout Germany: Interim results of the German Social Accident Insurance (DGUV) research project FB 317b

Symanzik,

Dicke,

Weinert

et al. 2023

Contact Dermatitis

Self Cite

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“…Several studies conclude that occupational skin diseases result in a reduced quality of life for patients ( 7 , 8 ), and a number of studies show that intervention provides socio-economic benefits, improving both the state of the patients’ skin disease and their quality of life ( 9 ), as measured by the Dermatological Life Quality Index (DLQI). Investigations have shown that intervention measures given to these patients are cost-effective ( 10 ). Authors generally focused on the effect of intervention on dermatitis and quality of life; in the literature we included, the focus was not on individual professions, except for one article on hairdressers ( 11 ).…”

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confidence: 99%

Occupational skin diseases from 1997 to 2004 at the Department of Dermatology, University Hospital of Northern Norway (UNN): an investigation into the course and treatment of occupational skin disease 10–15 years after first consultations with a dermatologist

Braun

Dotterud

2016

International Journal of Circumpolar Health

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ObjectivesWe investigate the impact of occupational skin disease consultations among outpatients at the Dermatological Department, University Hospital, Northern Norway.Study designFrom 1997 until 2004, 386 patients with occupational skin disease were examined and given advice on skin care, skin disease treatment, skin protection in further work, and on the legal rights of patients with this disease. Ten to fifteen years later, we wanted to look at these patients in terms of their work situation, the current status of their disease, the help they received from the labour offices, and their subjective quality of life.Material and methodsIn the autumn of 2011 until the spring of 2012, a number of the patients examined in the period from 1997 to 2004 were selected and sent a questionnaire, which they were asked to answer and return, regarding their work situation and the progress and current status of their occupational disease.ResultsA total of 153 (77%) patients answered the questionnaire; 71% of these patients were still in work, and further 15% had old-age retired, 13% were working until then; 16% had retired early because of disability; 54% had changed jobs because of their occupational skin disease; 86% of the patients indicated that the skin disease had improved since our previous investigation.ConclusionsOur investigation into patients with occupational skin disease documented that the majority of patients who had received professional dermatological consultation and intervention offers were still in the labour market and had good control of their skin disease 10–15 years later. We discovered that 71% of the patients were still employed. 13% had remained in work until they became old age pensioners. Only 16% dropped out of work because of disability. These high percentages may indicate that our intervention has contributed positively to patients’ work conditions and the course of their skin disease.

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Quality management in occupational dermatology

2015

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It was shown that the optimized dermatologist's procedure and "dermal intervention" are established in Germany. Also, the available preventive and therapeutic measures for OD patients are effective. Despite the increase of cases with suspected OD, the number of cases in which a career change was required is almost constant (3 %); at the same time the percentage of notified cases which, as a result, are covered within the dermatologist's procedure by the UVT is rising (86 %). The measures recently taken have continuously increased quality of health care in occupational dermatology.

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10 years quality assurance of the dermatologist's procedure. ABD review board part II: 2003–2009

Cited by 9 publications

References 17 publications

Quality of patch testing patient's own material in patients with suspected occupational skin diseases throughout Germany: Interim results of the German Social Accident Insurance (DGUV) research project FB 317b

Quality of patch testing patient's own material in patients with suspected occupational skin diseases throughout Germany: Interim results of the German Social Accident Insurance (DGUV) research project FB 317b

Occupational skin diseases from 1997 to 2004 at the Department of Dermatology, University Hospital of Northern Norway (UNN): an investigation into the course and treatment of occupational skin disease 10–15 years after first consultations with a dermatologist

Quality management in occupational dermatology

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