Integrated multidisciplinary approach to hidradenitis suppurativa in clinical practice
| Autor: | Yvon Gall, Carle Paul, Rose Marie Rouquet, Emilie Montastier, J. Mazereeuw, Marie Claude Marguery, Assia Timila Touhouche, Serge Boulinguez, Françoise Giordano-Labadie, Benoit Chaput, Philippe Caron, Maria Polina Konstantinou, Christian Aquilina |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Dermatology Overweight Article 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Patient satisfaction Internal medicine medicine Medical history Hidradenitis suppurativa Depression (differential diagnoses) Multidisciplinary approach business.industry Retrospective cohort study medicine.disease Comorbidity Adherence 030220 oncology & carcinogenesis RL1-803 Smoking cessation medicine.symptom business |
| Zdroj: | International Journal of Women's Dermatology, Vol 6, Iss 3, Pp 164-168 (2020) International Journal of Women's Dermatology |
| ISSN: | 2352-6475 |
| Popis: | Background The European hidradenitis suppurativa (HS) guidelines recommend a multidisciplinary approach for patients with HS and management of comorbidities. Objective We aimed to describe the organization of a multidisciplinary HS program and characterize the patient population. Methods We conducted a retrospective study of patients with HS undergoing prospectively defined multidisciplinary work-up including examinations by a dermatologist, plastic surgeon, smoking specialist, and nutritionist in our outpatient unit between October 2015 and January 2017. Results The study included 49 patients with a sex ratio of 1:1. A total of 73.4% of patients were smokers, 20.4% were overweight, 48.9% were obese, and 30.6% had symptoms of depression. The mean Sartorius score was 30.4 (±17.6). The outcome of plastic surgery consultation was as follows: 16 patients had operations, 5 were excluded based on medical history, 9 refused surgery, and 16 remained undecided. The refusal rates for consulting with the smoking cessation and nutrition specialists were 55.8% and 69.5%, respectively. Twelve patients received antibiotics, 9 received biologics, 9 underwent medico-surgical treatment, 9 underwent surgery, and 10 were lost to follow-up. The mean visual analogue scale score for satisfaction was 8.3 (±1.6; n = 28). Conclusion An integrated multidisciplinary care model for HS is associated with high patient satisfaction. Adherence to the proposed comorbidity management was higher in female patients and related to empathetic interactions with physicians. |
| Databáze: | OpenAIRE |
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