Creation and assessment of a computerized modelling tool for optimizing planning of home and hospital-based phototherapy

Arzpayma, P.; Jones, Hywel; Harper, Paul Robert; Knight, Vincent A.; Shipley, Debbie; Edwards, Chris; Anstey, Alexander Vincent

doi:10.1111/bjd.14994

Cited by 2 publications

(2 citation statements)

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“…More widespread use of home phototherapy would not only improve patient care but also reduce health care cost by decreasing intake of expensive drugs and less utilisation of office-based phototherapy. 17,46,47…”

Section: Resultsmentioning

confidence: 99%

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Prescribing Home Narrowband UVB Phototherapy: A Review of Current Approaches

2018

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Conventional, full-body phototherapy equipment is costly and therefore patients are usually treated in dermatology centres. Such office-based therapy is often not feasible for those patients who live far away from a phototherapy centre due to lost time and wages, inability to travel because of extensive skin disease, or prohibitive travel costs. Home phototherapy has emerged as a modality that meets the needs of those patients. Our aim was to review available studies on UV sources, treatment protocols, efficacy, and safety of home phototherapy. A literature review was conducted on PubMed using the terms "home" AND "phototherapy" AND ("guide" OR "approach" OR "review" OR "protocol"). From the data extracted, narrowband UVB (311 nm) offers the best balance between safety and efficacy and is recommended for home phototherapy by most authors. Treatment is safe and possible adverse effects are related to overexposure (erythema, blistering). The usual treatment protocol was administering treatments on alternating days, including weekends, with dosing based on the patient's Fitzpatrick skin type. We also provide information on the available home phototherapy systems in Canada and their reimbursement. Home phototherapy is underused in Canada. Narrowband UVB phototherapy sources equipped with a 3-dimensional panel provides a practical and safe option.

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Section: Resultsmentioning

confidence: 99%

“…12 This situation mirrors the steady decline in utilization of phototherapy by dermatologists over the past 20 years and is unfortunate because feasibility studies document that self-administered phototherapy is safe, is effective, and saves health care cost. [13][14][15][16][17]…”

Section: Introductionmentioning

confidence: 99%

Prescribing Home Narrowband UVB Phototherapy: A Review of Current Approaches

2018

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Phototherapy of Psoriasis, a Chronic Inflammatory Skin Disease

Rácz

Prens

2017

Advances in Experimental Medicine and Biology

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Phototherapy is an effective treatment modality for several skin diseases which has been in use from the era of the Egyptians. Insight into its mode of action has gradually accumulated over the past decades. A crucial biological effect of ultraviolet radiation is the induction of apoptosis in T lymphocytes and in keratinocytes in the epidermis. Via this mechanism inflammation-induced pathological changes characteristic of psoriasis are counteracted.Phototherapy remains the only therapeutic option for certain patient groups where modification of the systemic immune reactions is contraindicated, such as by HIV, internal malignancy or pregnancy. UVB treatment is highly cost-effective, which is important in this age of increasing health care costs.

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Creation and assessment of a computerized modelling tool for optimizing planning of home and hospital-based phototherapy

Cited by 2 publications

References 5 publications

Prescribing Home Narrowband UVB Phototherapy: A Review of Current Approaches

Prescribing Home Narrowband UVB Phototherapy: A Review of Current Approaches

Phototherapy of Psoriasis, a Chronic Inflammatory Skin Disease

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