Factors associated with follow-up adherence in patients seen at a referral-based dermatology clinic for the homeless

Truong, Amanda; Laggis, Caroline; Annis, Trevor D.; Secrest, Aaron M.; Fino, Nora; Powell, D. L.; Gardner, Laura; Gregory, Tiffiny; Hull, Christopher M.; Lewis, Bethany K.H.

doi:10.1016/j.jaad.2019.09.078

Cited by 8 publications

(10 citation statements)

References 3 publications

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“…This study highlights patterns in less diagnostic inquiry, less aggressive intervention and fewer recommendations for follow‐up for common skin conditions in homeless populations vs. nonhomeless populations, despite the same dermatologists treating both groups. As we reported previously, these trends may contribute to disparities associated with homelessness . Potential explanations for these differing dermatologist behaviours may include lack of knowledge of available resources at the homeless clinic, implicit biases, concern for patient adherence or resource stewardship, or tendency to over‐medicalize nonhomeless patients .…”

Section: Comparison Of Treatment For Common Skin Conditions Overall mentioning

confidence: 71%

“…It has been reported that magnolol is a potential candidate for adipocyte differentiation in 3T3-L1 mouse preadipocytes. 5 Magnolol is one of main bioactive neolignans of Magnolia bark extracts, which have been used for traditional medicines in Asia. 6 We here examined whether or not magnolol could induce the adipogenic differentiation of human adipose-derived mesenchymal stem cells (ADMSCs) and have an effect on human skin.…”

Section: Conflicts Of Interestmentioning

confidence: 99%

“…As we reported previously, these trends may contribute to disparities associated with homelessness. 5 Potential explanations for these differing dermatologist behaviours may include lack of knowledge of available resources at the homeless clinic, implicit biases, concern for patient adherence or resource stewardship, or tendency to over-medicalize nonhomeless patients. 6,7 Adopting available guidelines for treating common skin conditions or improving physician training about homelessness and its effects may reduce treatment disparities.…”

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confidence: 99%

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Homeless status and associations with treatment disparities for common skin conditions

et al. 2020

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Study limitations include the retrospective design, data obtained from a single centre possibly being biased for patients with more severe AGA, lack of blinding and proper control, and operator-dependent variation in hair counting. Although PRP is reported as a monotherapy for AGA, it is likely that patients are using multiple treatment modalities by the time they or their physician decide to pursue adjuvant PRP. Hair specialists disagree on the number of PRP treatments needed before assessing clinical efficacy; 1,3 however, these arguments are often based on anecdotes. Our data reveal that it is possible to use quantitative trichoscopy to stratify therapeutic response to adjuvant PRP after two treatment sessions (i.e. 2 months after initial PRP injections). Many factors affecting PRP efficacy and treatment response (e.g. platelet and growth factor concentration, leucocyte content, platelet activation, centrifugation protocols, total treatment sessions, duration between sessions, and maintenance therapy) are unknown, and it is possible that initial 'nonresponders' may respond to PRP therapy with continued sessions. Future directions include further characterization of patient response to adjuvant PRP based on response to prior AGA therapies, disease duration prior to PRP initiation, and the amount of PRP delivered per treatment. We hope our findings will help physicians counsel patients on the therapeutic benefit(s) of adjuvant PRP, and inform patient decisions regarding further treatment.

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Section: Comparison Of Treatment For Common Skin Conditions Overall mentioning

confidence: 71%

Section: Conflicts Of Interestmentioning

confidence: 99%

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confidence: 99%

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Homeless status and associations with treatment disparities for common skin conditions

et al. 2020

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“…Although limited by sample size, self-reporting bias, and generalizability to homeless populations outside of Utah, we identify important demographics and barriers to dermatologic care in this homeless population. As homelessness rates continue to increase and we continue to highlight disparities in dermatologic care, 4,5 dermatologists should recognize the impact of skin disease on HRQL and the resource limitations specific to this medically vulnerable population. z Chronic homelessness was defined as being homeless for longer than 1 year or having lived in 3 or more nonpermanent housing arrangements in the past year.…”

Section: A Survey Of Dermatologic Healthrelated Quality Of Life and Resource Access In Patients Experiencing Homelessnessmentioning

confidence: 99%

A survey of dermatologic health-related quality of life and resource access in patients experiencing homelessness

Truong

Secrest

Zhang

et al. 2021

Journal of the American Academy of Dermatology

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“…Findings from existing ophthalmic screening programs, especially among underserved, low-income communities, suggest that follow-up rates are relatively low with some additional loss of adherence for patients who did follow up 3 – 6 . Similar dermatology screening programs indicate that most patients are unable to receive timely follow-up care 7 . Potential barriers to healthcare access include socioeconomic, geographic, and cultural factors 8 .…”

Section: Introductionmentioning

confidence: 99%

Assessment of patient follow-up from student-run free eye clinic to county ophthalmology clinic

Scheive

Rowe

Tso

et al. 2022

Sci Rep

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The Ophthalmology Student Interest Group at Indiana University School of Medicine provides a free student-run eye screening clinic for an underserved community in Indianapolis. Patients with abnormal findings are referred to the ophthalmology service of the local county hospital for further evaluation. This retrospective chart review studied 180 patients referred from our free eye clinic to follow up at the ophthalmology service of a local county hospital from October 2013 to February 2020. This study investigated factors impacting follow-up of patients by analyzing demographics, medical history, insurance coverage, and final diagnoses at follow-up. Thirty-five (19.4%) of 180 patients successfully followed up at the local county hospital with an average time to follow-up of 14.4 (± 15.9) months. Mean patient age was 51 (± 13.6) with nearly equal numbers of males and females. The most common diagnoses at follow-up included refractive error (51.4%), cataract (45.7%), and glaucoma (28.6%). Patients with diabetes diagnoses or Healthy Indiana Plan insurance coverage had increased probability of follow-up. This study reveals gaps in timely follow-up to the local county hospital, demonstrating the current limitations of our free clinic in connecting patients to more definitive care and the need for an improved referral process.

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Factors associated with follow-up adherence in patients seen at a referral-based dermatology clinic for the homeless

Cited by 8 publications

References 3 publications

Homeless status and associations with treatment disparities for common skin conditions

Homeless status and associations with treatment disparities for common skin conditions

A survey of dermatologic health-related quality of life and resource access in patients experiencing homelessness

Assessment of patient follow-up from student-run free eye clinic to county ophthalmology clinic

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