Evidence map›Paper›PMID 34409351›Full record

ArticleJAAD international2021

Use of primary care services among patients with chronic skin disease seen by dermatologists.

John S Barbieri, Arash Mostaghimi, Megan H Noe, David J Margolis, Joel M Gelfand

Abstract read
In one paragraph

Article in JAAD international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
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  4. Review
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  9. Article
  10. Review
  11. Diabetes Detection and Prevention in Dermatology.Dermatology practical & conceptual · 2021
    Review
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

John S BarbieriDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Arash MostaghimiDepartment of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts.
Megan H NoeDepartment of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts.
David J MargolisDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Joel M GelfandDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

Funding

Study Design and Data AnalysisP30AR069589 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice · 2016 to 2026
$8.6M
Respiratory infections and vaccination behaviors in patients with chronic inflammatory skin diseasesK23AR073932 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI NOE, MEGAN H · 2018 to 2022
$766k
NIAMS NIH HHS K23 AR073932NIAMS NIH HHS P30 AR069589
6 · The paper itself

Abstract

backgroundSkin diseases, such as psoriasis, hidradenitis suppurativa, acne, and alopecia areata, have increasingly been linked to systemic and mental health comorbidities, such as depression. Although identification and management of these comorbidities is typically a part of primary care, some patients might not have an established relationship with a primary care provider and may only be seeing their dermatologist.

objectiveTo examine the frequency with which dermatologists are the main contact within a health care system for patients with these chronic skin conditions.

methodsWe performed a retrospective cohort study using Optum's deidentified Clinformatics Data Mart Database. The primary outcome was the proportion of patients who established care with a dermatologist and had no encounters with a primary care provider during the subsequent year after this dermatology encounter.

resultsAcross each of the skin diseases evaluated, 21.6%-31.2% of men and 16.9%-26.2% of women had no primary care visits in the subsequent year after establishing care with their dermatologist. CONCLUSION AND RELEVANCE: For many patients with chronic skin diseases, their dermatologist might be their only source of contact with the health care system. There may be an opportunity for dermatologists to improve the quality of care for our patients by screening for associated comorbidities.

Indexed as

acnealopecia areatacardiovascular diseasecholesteroldepressiondomestic violencegeneral dermatologyhidradenitismedical dermatologyprimary care providerpsoriasispublic healthscreeningvaccination

Identifiers

PMID34409351
PMCPMC8362270

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.