儿科医生和皮肤科医生痤疮治疗处方模式的差异：基于全国代表性数据的分析
Differences in acne treatment prescribing patterns of pediatricians and dermatologists: an analysis of nationally representative data.
作者信息
Yentzer Brad A, Irby Cynthia E, Fleischer Alan B, Feldman Steven R
机构信息
Center for Dermatology Research, Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1071, USA.
出版信息
Pediatr Dermatol. 2008 Nov-Dec;25(6):635-9. doi: 10.1111/j.1525-1470.2008.00790.x.
BACKGROUND
Acne vulgaris is a very common disease process that is seen frequently by both pediatricians and dermatologists. However, treatment may be different depending on specialty.
OBJECTIVES
To compare pediatricians' and dermatologists' patterns of treatment for acne vulgaris.
METHODS
National Ambulatory Medical Care Survey data on office visits to pediatricians and dermatologists for acne vulgaris were analyzed from 1996 to 2005.
RESULTS
During this 10-year time period, dermatologists managed an estimated 18.1 million acne visits and pediatricians managed an estimated 4.6 million acne visits. Dermatologists prescribed topical retinoids considerably more frequently than did pediatricians (46.1% of acne visits for dermatologists vs 12.1% for pediatricians).
CONCLUSIONS
There is an opportunity for pediatricians to play a greater role in the management of patients with acne. A shift toward greater use of topical retinoids by pediatricians would be more in line with the practice of dermatologists and with current acne treatment consensus guidelines.
背景
寻常痤疮是一种非常常见的疾病过程，儿科医生和皮肤科医生都经常见到。然而，治疗方法可能因专业不同而有所差异。
目的
比较儿科医生和皮肤科医生对寻常痤疮的治疗模式。
方法
分析了1996年至2005年期间全国门诊医疗护理调查中有关儿科医生和皮肤科医生诊治寻常痤疮的门诊数据。
结果
在这10年期间，皮肤科医生诊治的痤疮门诊估计有1810万次，儿科医生诊治的痤疮门诊估计有460万次。皮肤科医生比儿科医生更频繁地开具外用维甲酸类药物（皮肤科医生诊治的痤疮门诊中有46.1%开具此类药物，而儿科医生为12.1%）。
结论
儿科医生在痤疮患者管理中发挥更大作用存在机会。儿科医生更多地使用外用维甲酸类药物将更符合皮肤科医生的做法以及当前的痤疮治疗共识指南。
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