Yentzer Brad A, Hick Jeff, Reese Erin L, Uhas Adam, Feldman Steven R, Balkrishnan Rajesh
Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157- 1071, USA.
Cutis. 2010 Aug;86(2):94-9.
While acne vulgaris is a common skin disease, many misconceptions still exist. The purpose of this study is to provide epidemiologic data to accurately describe the US population affected with acne and its associated comorbidities. Patient information was obtained from a third-party database of administrative claims from more than 80 public and private healthcare plans, representing approximately 9.6 million unique patients, and analyzed using the Total Resource Utilization Benchmarks process. Benchmarks in this study included sex, age, comorbidities, medication, and cost. Nearly two-thirds of visits were made by females (65.2%). Teenagers (age range, 12-17 years) comprised only 36.5% of patients with acne, while patients 18 years or older comprised 61.9%. Depression was reported in 10.6% of females with acne. The average total episode cost across all age groups was determined to be $689.06, with a range of $361.25 (age range, 0-11 years) to $869.06 (age range, 15-17 years). The older patients (age 65+ years) more often were prescribed different medications than younger individuals. This analysis only included patients who sought treatment of their acne and may underestimate the total prevalence of acne in the population. Acne is a disease that affects all age groups, not just adolescents. Differences in age are associated with differences in pharmaceutical treatment as well as total healthcare utilization. Depression is a substantial comorbidity and patients seeking treatment of acne should be screened for depression.
虽然寻常痤疮是一种常见的皮肤病，但仍存在许多误解。本研究的目的是提供流行病学数据，以准确描述美国受痤疮及其相关合并症影响的人群。患者信息来自一个第三方管理索赔数据库，该数据库涵盖80多个公共和私人医疗保健计划，代表约960万独特患者，并使用总资源利用基准流程进行分析。本研究中的基准包括性别、年龄、合并症、药物治疗和费用。近三分之二的就诊者为女性（65.2%）。青少年（年龄范围为12 - 17岁）仅占痤疮患者的36.5%，而18岁及以上的患者占61.9%。有痤疮的女性中，10.6%报告有抑郁症。所有年龄组的平均总发作费用确定为689.06美元，范围从361.25美元（年龄范围为0 - 11岁）到869.06美元（年龄范围为15 - 17岁）。老年患者（65岁及以上）比年轻个体更常被开不同的药物。该分析仅包括寻求痤疮治疗的患者，可能低估了人群中痤疮的总体患病率。痤疮是一种影响所有年龄组的疾病，而不仅仅是青少年。年龄差异与药物治疗差异以及总医疗保健利用率差异相关。抑郁症是一种重要的合并症，寻求痤疮治疗的患者应接受抑郁症筛查。
