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特应性皮炎的临床管理模式:中东地区三个医学专业的调查

Patterns of Clinical Management of Atopic Dermatitis: A Survey of Three Physician Specialties in the Middle East.

作者信息

Ammoury Alfred, Ameen Ahmed, El Sayed Mahira Hamdy, Al-Khenaizan Sultan, Hassan Nehal, Ghoubar Marcelle

机构信息

Division of Dermatology, Saint George Hospital University Medical Center, Beirut, Lebanon.

NMC Specialty Hospital, Abu Dhabi, United Arab Emirates.

出版信息

Dermatol Ther (Heidelb). 2023 Mar;13(3):769-785. doi: 10.1007/s13555-023-00891-6. Epub 2023 Feb 7.

DOI:10.1007/s13555-023-00891-6
PMID:36750545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9984640/
Abstract

INTRODUCTION

Atopic dermatitis (AD) is a complex inflammatory disease of the skin that has a significant impact on the well-being of patients and their families. The prevalence of AD has increased in developing countries and regions, including the Middle East. Despite similarities in the presentation of the disease, there is a lack of consistent management and treatment guidelines for AD. The objective of this survey was to develop further insight into the management patterns of AD from dermatologists, pediatricians, and primary care/family medicine physicians in the Middle Eastern nations of Egypt, Lebanon, the United Arab Emirates, and Saudi Arabia.

METHODS

The survey was composed of 47 closed-ended, multiple-choice questions. These questions assessed physician and patient characteristics and treatment familiarity and approach.

RESULTS

A total of 400 physicians, including 200 dermatologists, 100 pediatricians, and 100 primary care physicians, participated in the survey. The findings provide insight into the management of AD by physician specialty within the region. A diverse array of management approaches was observed for both referral patterns and treatments for AD in the Middle East.

CONCLUSION

The diversity of management tactics highlights the lack of a standard approach for the management of AD throughout the Middle East.

摘要

引言

特应性皮炎(AD)是一种复杂的皮肤炎症性疾病,对患者及其家庭的健康有重大影响。在包括中东在内的发展中国家和地区,AD的患病率有所上升。尽管该病的表现相似,但缺乏针对AD的一致管理和治疗指南。本次调查的目的是进一步深入了解埃及、黎巴嫩、阿拉伯联合酋长国和沙特阿拉伯等中东国家皮肤科医生、儿科医生以及初级保健/家庭医学医生对AD的管理模式。

方法

该调查由47个封闭式多项选择题组成。这些问题评估了医生和患者的特征以及治疗熟悉程度和方法。

结果

共有400名医生参与了调查,其中包括200名皮肤科医生、100名儿科医生和100名初级保健医生。研究结果揭示了该地区不同专科医生对AD的管理情况。在中东地区,对于AD的转诊模式和治疗方法,观察到了各种各样的管理方式。

结论

管理策略的多样性凸显了整个中东地区缺乏AD管理的标准方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/9984640/bbed2c889784/13555_2023_891_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/9984640/fcb666bf835d/13555_2023_891_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/9984640/c91c2ad5cdcf/13555_2023_891_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/9984640/3ef9feb644e6/13555_2023_891_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/9984640/bbed2c889784/13555_2023_891_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/9984640/fcb666bf835d/13555_2023_891_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/9984640/c91c2ad5cdcf/13555_2023_891_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/9984640/3ef9feb644e6/13555_2023_891_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2773/9984640/bbed2c889784/13555_2023_891_Fig4_HTML.jpg

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Abrocitinib versus Placebo or Dupilumab for Atopic Dermatitis.阿泊替尼对比安慰剂或度普利尤单抗治疗特应性皮炎。
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