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ISSN 0210-5187 (Electronic)

2013, Number 1

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Med Cutan Iber Lat Am 2013; 41 (1)

Trends in banal dermatologic request in the are of Baix Llobregat, Barcelona

Graells J, Ojeda RM, Notario J, Gallego I

Language: Spanish
References: 12
Page: 7-12
PDF size: 213.30 Kb.


ABSTRACT

Introduction: In the speciality of Dermatology, a percentage of the request is for banal or cosmetic reasons. Although there exist the perception that this request is increasing, there are no studies in our setting that analyze its trend over time.
Material and methods: First visits attended in the Dermatology Department of the Hospital Comarcal de Sant Boi de Llobregat between 1996 and 2008 were retrospectively studied. Seborreic keratosis, skin tags, capillary hemangioma, solar lentigo and millia were included as banal diagnoses. This request was compared to other variables.
Results: Along 13 years, 74.994 first appointments were attended, acomplishing criteria for banal 11,833 (15,78%) of them. The percentage of these diagnoses raised from 3.64% in 1996 to 19.43% in 2008 (Chi square of Mantel-Haenszel; p < 0.001), although in the last five years (2004-2008) this stabilized (p = 0.977). In older patients (more than 40 years), independently of prevalence, the percentage of banal visits grew faster than in younger ones.
Comment:The banal request has increased fivefold in the last 13 years. Althoug it has stabilized in the last five years, it has done so in a high percentage of dermatological request.


REFERENCES

  1. Real Decreto 63/1995 de 20 de Enero, sobre Ordenación de prestaciones sanitarias del Sistema Nacional de Salud, BOE 10 febrero 1995.

  2. Carrascosa JM. ¿Deben tratarse las lesiones cutáneas benignas y banales en el Sistema Público de Salud? Actas Dermosifiliogr 2007; 98: 236-9.

  3. Macaya-Pascual A, López-Canos R, Lopez- Piqueras S, Gómez S. Análisis de los motivos de consulta y de su coste en la asistencia dermatológica en un centro de Atención Primaria. Actas Dermosifiliogr 2006; 97: 569-72.

  4. Carrascosa JM, Fuente MJ, Mangas C. Evaluación de la implementación de una cartera de servicios de Dermatología para Atención Primaria. Actas Dermosifiliogr 2007; 98: 506-12.

  5. Betlloch-Mas I. Patología cutánea benigna banal y sistema público. Experiencia en el Departamento de Salud 19 de la Comunidad Valenciana. Actas Dermosifiliogr 2008; 99: 233-4.

  6. Tejera-Vaquerizo A, Huertas-Aguayo MC, Perez I, Illescas-Estévez M. Estudio de los motivos de consulta adicionales en una consulta ambulatoria de dermatología: “Doctor, pues ya que estoy aquí...”. Piel 2008; 23: 540-3.

  7. Tan E, Levell NJ, Garioch JJ. The effect of a dermatology restricted-referral list upon the volume of referrals. Clin Exp Dermatol 2006; 32: 114-5.

  8. Benton EC, Kerr OA, Fisher A, Fraser SJ, McCormack SKA, Tidman MJ. The changing face of dermatological practice: 25 years’ experience. Br J Dermatol 2008; 159: 413-8.

  9. Dalgard F, Finlay AY. Need and Greed in Dermatology: Disease and outcome measures in Dermatological Healthcare Planning. Dermatology 2006; 213: 279-83.

  10. Izikson L, Sober AJ, Mihm MC Jr, Zembowicz A. Prevalence of melanoma clinically resembling seborrheic keratosis: analysis of 9204 cases. Arch Dermatol 2002; 138: 1562-6.

  11. Tuneu A, Piera C. Tratamientos estéticos. ¿Por qué y hasta cuándo? Piel 2007; 22: 317-9.

  12. Carrascosa JM. Réplica: “Patología cutánea benigna banal y sistema público. Experiencia en el Departamento de Salud 19 de la Comunidad Valenciana”. Actas Dermosifiliogr 2008; 99: 234-5.




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