Did Dermatological Hospital Referrals and Practice of Dermatologists Change in Between Pre-covid and Covid Era? A Short-term Preliminary Evaluation.

Objective: In this descriptive study, we aimed to evaluate features of dermatology referrals before and after Covid-19 pandemic. Materials and Methods: The patients referred to dermatology outpatient clinics of Acıbadem Group Hospitals in Istanbul between the time intervals 2019 March 1st and August...

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Publicado en:Turkish Journal of Dermatology / Türk Dermatoloji Dergisi Vol. 16; no. 2; pp. 57 - 62
Autores principales: Kavak, Ayşe, Erfan, Gamze, Aydıngöz, İkbal Esen, Demir, Figen, Tükenmez-Demirci, Gülşen, Bıyık-Özkaya, Dilek, Demircioğlu, Deniz, Yılmaz, Murat, Karapıçak, Rabia, Şahin, Sedef
Formato: research tables/charts Journal Article
Publicado: Galenos Yayinevi Tic. LTD. STI Apr-Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr-Jun2022
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      pub: Galenos Yayinevi Tic. LTD. STI
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        atl: Did Dermatological Hospital Referrals and Practice of Dermatologists Change in Between Pre-covid and Covid Era? A Short-term Preliminary Evaluation.
      aug:
        au:
          Kavak, Ayşe
          Erfan, Gamze
          Aydıngöz, İkbal Esen
          Demir, Figen
          Tükenmez-Demirci, Gülşen
          Bıyık-Özkaya, Dilek
          Demircioğlu, Deniz
          Yılmaz, Murat
          Karapıçak, Rabia
          Şahin, Sedef
        affil: Acıbadem Mehmet Ali Aydınlar University, School of Medicine, Department of Dermatology, Atakent Hospital, İstanbul
      sug:
        subj:
          Dermatology Turkiye
          Referral and Consultation
          Medical Practice
          Dermatologists
          COVID-19 Pandemic
          Health Care Delivery
          Ambulatory Care Facilities
          Descriptive Research
          Turkiye
          Odds Ratio
          Confidence Intervals
          Dermatitis Classification
          Human
          Male
          Female
          Adolescence
          Young Adult
          Adult
          Middle Age
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objective: In this descriptive study, we aimed to evaluate features of dermatology referrals before and after Covid-19 pandemic. Materials and Methods: The patients referred to dermatology outpatient clinics of Acıbadem Group Hospitals in Istanbul between the time intervals 2019 March 1st and August 31st (Group G1) and 2020 March 1st and August 31st (Group G2) were included in this study. G1 and G2 groups were compared in terms of age, gender, mean duration of complaints, the most common five anatomic regions and the most common five dermatoses. Results: Referral rate after Covid-19 pandemic was decreased by 40%. Face (p=.0013, OR= 1.20, 95% CI=1.07-1.34), scalp (p=.02, OR=1.23, 95% CI=1.02-1.48) and hand (p=.04, 95% OR=1.24, 95% CI=1.00-1.54) were more common locations in 2020 (group G2) than in 2019 (G2 group). The most common five dermatoses were contact dermatitis (8.3%), acne (8,1%), wart (7,0%), seborrheic dermatitis (5,7%) and pyoderma (5,5%) in G1 (2019), while the order was contact dermatitis (10,6%), acne (7,5%), seborrheic dermatitis (6,5%), wart (6,4%) and pyoderma (4,9%) in G2 (2020). Contact dermatitis showed a significant increase after pandemic (p=.0017, OR=1.29, 95% CI=1.10-1.51). In 2020, psoriasis and lichen planus showed a two-fold increases (P<.001, OR=2.00, 95% CI=1.43-2.79 and p=.03, OR=1.92, 95% CI=1.09-3.38, respectively), whereas frequency of molluscum contagiosum decreased significantly (p=.03, OR=0.49, 95% CI=0.26-0.92). Conclusion: Although we found some remarkable results, relatively short-term period design with the limited patient population of this study needs to be verified in more comprehensive studies.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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