Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; Drexel University College of Medicine, Philadelphia, Pennsylvania.
Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; Department of Dermatology, Eastern Virginia Medical School, Norfolk, Virginia.
J Am Acad Dermatol. 2021 Nov;85(5):1367-1368. doi: 10.1016/j.jaad.2021.04.088. Epub 2021 May 2.
Hospitalized oncology patients often require multidisciplinary care. Inpatient consultative dermatologists can provide expertise in the management of cutaneous complications that patients with cancer may experience. The goal of this study was to quantify the types of consults received by hospitalized oncology patients to better understand the utilization of dermatology consults in this population. Hospital billing codes were used to identify inpatient oncology patients and the types of consults they received at a single quaternary care hospital center. Between July 1, 2015, and January 31, 2020, 14,175 patients were admitted to an oncology service for more than 24 hours, and 5,243 (37%) of these patients received at least 1 consultation during their hospital admission. These patients received a total of 10,492 consults from 101 different services. Dermatology had the fifth-highest number of consults (n = 623; 5.9%). Among patients receiving consults, 608 (11.6%) received inpatient dermatology consults. Infectious disease was the service with the most consults (n = 1,485; 14.2%) and was also the service most commonly co-consulted with dermatology (n = 262; 42.1%). The inpatient consultative dermatology service is highly utilized among hospitalized oncology patients, suggesting that expertise in dermatologic care is valued by oncology teams.
住院肿瘤科患者通常需要多学科护理。住院会诊皮肤科医生可以为癌症患者可能经历的皮肤并发症管理提供专业知识。本研究的目的是量化住院肿瘤科患者接受的咨询类型，以更好地了解皮肤科咨询在该人群中的利用情况。使用医院计费代码识别在一家四级保健中心住院的肿瘤科患者和他们接受的咨询类型。在 2015 年 7 月 1 日至 2020 年 1 月 31 日期间，14175 名患者因超过 24 小时住院接受肿瘤科服务，其中 5243 名（37%）患者在住院期间至少接受了 1 次咨询。这些患者总共接受了来自 101 个不同科室的 10492 次咨询。皮肤科的咨询数量排名第五（n=623；5.9%）。在接受咨询的患者中，有 608 名（11.6%）接受了住院皮肤科咨询。传染病是咨询量最多的科室（n=1485；14.2%），也是与皮肤科共同咨询最多的科室（n=262；42.1%）。住院会诊皮肤科服务在住院肿瘤科患者中得到高度利用，这表明皮肤科护理专业知识受到肿瘤团队的重视。
