Miot Hélio Amante, Penna Gerson de Oliveira, Ramos Andréa Machado Coelho, Penna Maria Lúcia Fernandes, Schmidt Sílvia Maria, Luz Flávio Barbosa, Sousa Maria Auxiliadora Jeunon, Palma Sérgio Luiz Lira, Sanches Junior José Antonio
Brazilian Society of Dermatology (SBD) - Rio de Janeiro (RJ), Brazil.
Board of directors of the Sociedade Brasileira de Dermatologia, Rio de Janeiro (RJ), Brasil.
An Bras Dermatol. 2018 Nov/Dec;93(6):916-928. doi: 10.1590/abd1806-4841.20188802.
Dermatological diseases are among the primary causes of the demand for basic health care. Studies on the frequency of dermatoses are important for the proper management of health planning.
To evaluate the nosological and behavioral profiles of dermatological consultations in Brazil.
The Brazilian Society of Dermatology invited all of its members to complete an online form on patients who sought consultations from March 21-26, 2018. The form contained questions about patient demographics, consultation type according to the patient's funding, the municipality of the consultation, diagnosis, treatments and procedures. Diagnostic and therapeutic decisions were compared between subgroups.
Data from 9629 visits were recorded. The most frequent causes for consultation were acne (8.0%), photoaging (7.7%), nonmelanoma skin cancer (5.4%), and actinic keratosis (4.7%). The identified diseases had distinct patterns with regard to gender, skin color, geographic region, type of funding for the consultation, and age group. Concerning the medical conducts, photoprotection was indicated in 44% of consultations, surgical diagnostic procedures were performed in 7.3%, surgical therapeutic procedures were conducted in 19.2%, and cosmetic procedures were performed in 7.1%.
Nonrandomized survey, with a sample period of one week.
This research allowed us to identify the epidemiological profiles of the demands of outpatients for dermatologists in various contexts. The results also highlight the importance of aesthetic demands in privately funded consultations and the significance of diseases such as acne, nonmelanoma skin cancer, leprosy, and psoriasis to public health.
皮肤病是基本医疗保健需求的主要原因之一。皮肤病发病率的研究对于卫生规划的合理管理很重要。
评估巴西皮肤科会诊的病种和行为特征。
巴西皮肤病学会邀请其所有成员填写一份关于2018年3月21日至26日前来就诊患者的在线表格。该表格包含有关患者人口统计学、根据患者资金来源的会诊类型、会诊所在城市、诊断、治疗和程序的问题。比较了各亚组之间的诊断和治疗决策。
记录了9629次就诊的数据。最常见的会诊原因是痤疮（8.0%）、光老化（7.7%）、非黑色素瘤皮肤癌（5.4%）和光化性角化病（4.7%）。所确定的疾病在性别、肤色、地理区域、会诊资金类型和年龄组方面具有不同模式。关于医疗行为，44%的会诊中提到了光防护，7.3%进行了手术诊断程序，19.2%进行了手术治疗程序，7.1%进行了美容程序。
非随机调查，样本期为一周。
这项研究使我们能够确定不同情况下门诊患者对皮肤科医生需求的流行病学特征。结果还突出了私人资助会诊中美学需求的重要性以及痤疮、非黑色素瘤皮肤癌、麻风病和银屑病等疾病对公共卫生的意义。
