Shih Terri, De Devea R, Rick Jonathan, Shi Vivian Y, Hsiao Jennifer L
David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.
University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
Skin Appendage Disord. 2023 Mar;9(2):94-98. doi: 10.1159/000528253. Epub 2023 Jan 5.
Although hidradenitis suppurativa (HS) is associated with psychosocial comorbidities such as depression as well as modifiable comorbidities such as obesity, rates of psychosocial screening and lifestyle counseling in the USA have not been characterized.
This cross-sectional study utilized publicly available data from the National Ambulatory Medical Care Survey (NAMCS) between 2008 and 2018 to identify visits with a diagnosis of HS (ICD-9 code 705.83, ICD-10 code L73.2). tests and multivariate logistic regressions analyzed trends in rates of screening and counseling while controlling for race, sex, and age. Survey weights are applied to each visit to represent a national sample.
Depression screening was completed in only 2% of reported visits. No visits reported screening for alcohol misuse, substance abuse, or domestic violence. There were low rates of counseling for weight reduction (7.8%), diet and nutrition (3.3%), exercise (2.4%), smoking (1.0%), and substance abuse (0.7%). Black patients and individuals with public health insurance received less screening and counseling overall.
Rates of psychosocial screening and counseling on lifestyle modifications are low in ambulatory clinic visits for HS patients, and there are disparities based on race and insurance status. Implementing strategies to incorporate routine psychosocial screening and lifestyle counseling into visits may improve HS patient outcomes.
尽管化脓性汗腺炎（HS）与诸如抑郁症等心理社会合并症以及诸如肥胖症等可改变的合并症相关，但美国心理社会筛查和生活方式咨询的比率尚未得到描述。
这项横断面研究利用了2008年至2018年期间美国国家门诊医疗调查（NAMCS）的公开数据，以识别诊断为HS的就诊病例（国际疾病分类第九版代码705.83，国际疾病分类第十版代码L73.2）。检验和多变量逻辑回归分析了在控制种族、性别和年龄的同时筛查和咨询比率的趋势。调查权重应用于每次就诊，以代表全国样本。
在报告的就诊病例中，只有2%完成了抑郁症筛查。没有就诊病例报告对酒精滥用、药物滥用或家庭暴力进行筛查。减肥咨询率（7.8%）、饮食和营养咨询率（3.3%）、运动咨询率（2.4%）、吸烟咨询率（1.0%）和药物滥用咨询率（0.7%）都很低。黑人患者和有公共医疗保险的人总体上接受的筛查和咨询较少。
在HS患者的门诊就诊中，心理社会筛查和生活方式改变咨询的比率较低，并且存在基于种族和保险状况的差异。实施将常规心理社会筛查和生活方式咨询纳入就诊中的策略可能会改善HS患者的治疗结果。
