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Low Rates of Psychosocial Screening and Lifestyle Counseling in Hidradenitis Suppurativa Patients in the USA.
Shih, Terri; De, Devea R; Rick, Jonathan; Shi, Vivian Y; Hsiao, Jennifer L.
Afiliación
  • Shih T; David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.
  • De DR; University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
  • Rick J; Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
  • Shi VY; Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
  • Hsiao JL; Department of Dermatology, University of Southern California, Los Angeles, California, USA.
Skin Appendage Disord ; 9(2): 94-98, 2023 Mar.
Article en En | MEDLINE | ID: mdl-36937161
Introduction: 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. Methods: 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). T 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. Results: 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. Conclusion: 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies / Screening_studies Idioma: En Revista: Skin Appendage Disord Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies / Screening_studies Idioma: En Revista: Skin Appendage Disord Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza