Demanda derivada a Dermatología: peso de la patología banal

Martínez-Martínez, M.L.; Pérez-García, L.J.; Escario-Travesedo, E.; Rodríguez-Vázquez, María; Azaña-Defez, J.M.; Santos, Melissa Costa

doi:10.1016/j.ad.2010.10.006

Cited by 2 publications

(2 citation statements)

References 11 publications

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“… 11 Martínez-Martínez et al , in another study in Spain, analyzed the proportion of what were considered ordinary diseases in referrals from primary care to dermatologists, divided into a group of benign degenerative diseases and trivial lesions that mainly included acrochordons, seborrheic keratoses, and intradermal nevi, concluding that 19.1% of the referrals did not justify specialized care. 12 However, although all of the above are benign lesions, we feel that the precise diagnosis should be made by a dermatologist, since such lesions can represent differential diagnoses with malignant skin cancers and thus require detailed evaluation. In the current study, as shown in the data in Table 1 , except for the simple forms of superficial mycoses, the authors believe that the other skin diseases that were prevalent during the study period actually require evaluation by a specialist.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of dermatoses in patients referred for evaluation in an outpatient clinic of specialties

Avancini

Zucchi

2018

An. Bras. Dermatol.

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BackgroundBrazilian Unified Health System presents a long waiting period for a dermatology appointment, varying from 34 to 239 days.ObjectivesAnalyze the prevalence of cutaneous diseases evaluated by dermatologists in a specialized center, in patients referred from the primary care, and to present possible interventions for the primary units.MethodsRetrospective analyses of the International Codes of Diseases (ICD-10) described in every dermatology appointment in a specialty center in Sao Paulo from January 2014 to August 2015.ResultsA total of 7.350 consultations were included. Superficial mycosis corresponded to 1,058 (14.4%) of the main complaints and dermatophytosis was the most frequently used ICD, corresponding to 481 individual consultations (6.5%), followed by onychomycosis, responsible for 464 consultations (6.3%), acne in 347 (4,7%). and contact dermatitis in 311 consultations (4,2%).Study limitationsThe study was based on retrospective analysis of ICD described and no previous orientation for a solid use of the codes was performed to the dermatology team; consultations in which the ICD was not informed or a non-especific ICD was used were excluded; different dermatologists were responsible for the consultations.ConclusionSuperficial mycosis corresponded to 14.4% of the chief complaints in the studied period and was the most frequent cause of reference from primary care doctors to dermatologists. Prevalence data obtained in the present study could assist the capacitation policies in the primary care system, focusing the dermatology teaching in the most prevalent dermatological disorders.

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Section: Discussionmentioning

confidence: 99%

Prevalence of dermatoses in patients referred for evaluation in an outpatient clinic of specialties

Avancini

Zucchi

2018

An. Bras. Dermatol.

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“…They concluded that, in the great majority of cases, they were prevalent cutaneous diseases that the nonspecialist physician should be able to diagnose and treat. 6 …”

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Prevalence of dermatoses in dermatologic evaluation requests from patients admitted to a tertiary hospital for 10 years

Dantas

Bakos

Balbinot

et al. 2015

An. Bras. Dermatol.

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Skin diseases are common in hospitalized patients. However, there is a lack of data concerning their frequency. The objective of this study is to evaluate the prevalence of dermatological diagnoses in hospitalized patients after consultation requested by nondermatologist physicians to the Department of Dermatology, Hospital de Clinicas de Porto Alegre period of 10 years. A total of 5685 patients were evaluated, representing an average of 48.2 patients per month. The five most frequent groups were infectious dermatoses(33.25%), eczematous dermatoses (11.49%), drug reactions (11.43%), vascular dermatoses (6.81%) and group of pruritus, prurigo nodularis and urticaria (hives) (4.71%).

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Demanda derivada a Dermatología: peso de la patología banal

Cited by 2 publications

References 11 publications

Prevalence of dermatoses in patients referred for evaluation in an outpatient clinic of specialties

Prevalence of dermatoses in patients referred for evaluation in an outpatient clinic of specialties

Prevalence of dermatoses in dermatologic evaluation requests from patients admitted to a tertiary hospital for 10 years

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