Molino Arlene C, Fleischer Alan B, Feldman Steven R
Duke University School of Medicine, Durham, North Carolina, USA.
Pediatr Dermatol. 2004 Nov-Dec;21(6):628-32. doi: 10.1111/j.0736-8046.2004.21602.x.
Our objective was to describe the demographics of molluscum contagiosum patients and physician utilization patterns in the United States. We obtained weighted data for office visits throughout the United States for molluscum contagiosum and common warts from the National Ambulatory Medical Care Survey (NAMCS) from 1990 to 1999. Outpatient visit data for patients diagnosed with molluscum contagiosum were analyzed using statistical software and compared to those for patients diagnosed with common warts. The main outcome measures studied were physician office visits by patients with molluscum contagiosum and patient demographic parameters including age, gender, and race. We found that health care utilization for molluscum contagiosum was the greatest for patients <or=9 years of age (51%). Ninety-three percent of patients diagnosed with molluscum contagiosum were white. The number of visits for molluscum contagiosum was evenly divided between males and females. Visits to dermatologists comprised the majority of health care utilization units for molluscum contagiosum (71%). In conclusion, visits for molluscum contagiosum are frequent and are most often handled by dermatologists. When compared to those for common warts, molluscum contagiosum visits are less common and have an age distribution more limited to children.
我们的目标是描述美国传染性软疣患者的人口统计学特征以及医生的诊疗模式。我们从1990年至1999年的国家门诊医疗调查(NAMCS)中获取了美国各地传染性软疣和寻常疣门诊就诊的加权数据。使用统计软件对诊断为传染性软疣患者的门诊就诊数据进行分析,并与诊断为寻常疣患者的数据进行比较。研究的主要结局指标是传染性软疣患者的医生门诊就诊情况以及患者的人口统计学参数,包括年龄、性别和种族。我们发现,9岁及以下的传染性软疣患者的医疗利用率最高(51%)。93%诊断为传染性软疣的患者为白人。传染性软疣的就诊次数在男性和女性之间平均分布。皮肤科医生的诊疗占传染性软疣医疗利用单位的大部分(71%)。总之,传染性软疣的就诊频繁,且大多由皮肤科医生处理。与寻常疣相比,传染性软疣的就诊较少见,年龄分布更局限于儿童。