Inpatient burden of pediatric dermatology in the United States

Arnold, Justin D.; Yoon, SunJung; Kirkorian, A. Yasmine

doi:10.1111/pde.13549

Cited by 8 publications

(9 citation statements)

References 13 publications

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“…With respect to dermatologists' management, corticoids were the most recommended drugs in consultations (35.7%), with a predominance of topical presentations (59.3%), followed by moisturizers (26.3%) (Table 3). Antibiotics were indicated in 22.7% of the dermatology evaluations, highlighting the systemic of hospital diagnoses, in line with a similar American study, which pointed out a prevalence of 4.2% 14 . Thus, proper management of these cutaneous conditions is essential to prevent complications and poor prognosis.…”

Section: Profile Of Dermatology Consultationssupporting

confidence: 82%

Pediatric dermatology: nosological and consultations profile in a hospital complex in southern Brazil

Ferreira¹,

Kiszewski-Bau²,

Weber³

et al. 2023

PJDV

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Objective:The study aimed to analyze the profile of dermatoses and Dermatology consultations in a pediatric hospital in southern Brazil. Method: This descriptive and quantitative study was conducted from the analysis of admissions, hospital referrals, and dermatology consultations of pediatric inpatients from August 2018 to January 2020. The researchers performed an investigation in three phases: analysis of pediatric hospitalizations with dermatological diagnosis (phase 1), analysis of dermatology consultations referrals (phase 2), and analysis of dermatology consultations (phase 3). Results: Throughout the 18-month period analyzed, the authors identified 12,656 pediatric hospitalizations, 266 hospital referrals, and 167 dermatology consultations. Hospital dermatoses evidenced a prevalence of 6.8%, with "cellulitis" (L03) and "abscess" (L02) as the main conditions. In dermatology consultations, "dermatitis and eczema" and "skin infections" were the main groups of cutaneous disorders, whereas "atopic dermatitis" (L20) and "drug eruptions" (L27) were the main skin diseases. Corticoids, moisturizers, and antibiotics were the most recommended therapies by dermatologists. Conclusion: From this study, authors evidenced the prominence of inflammatory and infectious cutaneous conditions in children and adolescent populations. Moreover, vulnerabilities and shortcomings of the dermatology consultations process were also found, indicating the need for evaluations and enhancements, mainly regarding clinical data of referrals.

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Section: Profile Of Dermatology Consultationssupporting

confidence: 82%

Pediatric dermatology: nosological and consultations profile in a hospital complex in southern Brazil

Ferreira¹,

Kiszewski-Bau²,

Weber³

et al. 2023

PJDV

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“…The most common diagnoses were atopic dermatitis (86.1%), psoriasis (3.7%), and eczema herpeticum (2.8%). In another study performed in the United States, 25 dermatologic diseases were responsible for 4.2% of all admissions in a pediatric ward, and infectious diseases were the leading cause. Dermatology is based primarily on outpatient treatment, but hospital admission may be needed and plays a substantial role in some skin disorders.…”

Section: Discussionmentioning

confidence: 99%

Pediatric dermatoses pattern at a Brazilian reference center

Miotto¹,

Bessa²,

Vasconcelos³

et al. 2021

Jornal de Pediatria

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“…Specialists are less willing to accept Medicaid patients for various reasons, including longer wait times for payments, higher clinic nonattendance rates, and unfavorable fee-for-service reimbursement [14,19,28]; this impacts patient outcomes and healthcare-related costs. For example, Medicaid insurance increases the likelihood of emergency department usage and hospitalization for a skin disease [21 ▪ ,29 ▪▪ ,36].…”

Section: Barriersmentioning

confidence: 99%

Access to pediatric dermatology

Barry

Hawryluk

2022

Current Opinion in Pediatrics

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Purpose of reviewTo identify factors that impact accessibility to pediatric dermatology and review healthcare delivery models that improve access and address these barriers.Recent findingsUp to one-third of pediatric primary care visits include a skin-related problem, yet pediatric dermatology subspecialist services are highly inaccessible. Workforce shortages and geographic, sociocultural, and economic barriers perpetuate inaccessibility. Teledermatology expands care, particularly to underserved or geographically remote communities, and reduces healthcare-related costs. Federal legislation to support telehealth services with adequate reimbursement for providers with parity between live, video, and phone visits will dictate the continued feasibility of virtual visits. Innovative care delivery models, such as language-based clinics, multidisciplinary teleconferencing, or embedded dermatology services within primary care are other promising alternatives.SummaryDespite efforts to expand access, dermatology still ranks among the most underserved pediatric subspecialties. Improving access requires a multipronged approach. Efforts to expand exposure and mentorship within pediatric dermatology, diversify the workforce and clinical curriculum, recruit and retain clinicians in geographically underserved areas, and collaborate with policymakers to ensure adequate reimbursement for teledermatology services are necessary.

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Inpatient burden of pediatric dermatology in the United States

Abstract: Skin disease is a common cause of hospitalizations in children, and there are disparities in these admissions that could reflect inadequate access to outpatient pediatric dermatologists.

Cited by 8 publications

References 13 publications

Pediatric dermatology: nosological and consultations profile in a hospital complex in southern Brazil

Pediatric dermatology: nosological and consultations profile in a hospital complex in southern Brazil

Pediatric dermatoses pattern at a Brazilian reference center

Access to pediatric dermatology

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