Médecine

Paramédical

Autres domaines


S'abonner

Itch as a patient-reported symptom in ambulatory care visits in the United States - 17/07/13

Doi : 10.1016/j.jaad.2013.05.029 
Melissa Shive, MD, MPH a, c, Eleni Linos, MD, DrPH b, Timothy Berger, MD b, Mackenzie Wehner, MPhil b, d, Mary-Margaret Chren, MD b,
a School of Medicine, University of California, San Francisco, California 
b Department of Dermatology, University of California, San Francisco, California 
c Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 
d Stanford University School of Medicine, Palo Alto, California 

Reprint requests: Mary-Margaret Chren, MD, Department of Dermatology, University of California, San Francisco, Mt Zion Cancer Research Bldg, 2340 Sutter St, Room N412, San Francisco, CA 94143-0808.
Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Wednesday 17 July 2013

Abstract

Background

European studies have shown that itch is a widespread symptom, yet little is known about its frequency in the United States.

Objective

We sought to describe ambulatory care visits to clinicians in the United States for which itch was coded as a patient symptom.

Methods

This study uses retrospective data from the National Ambulatory Medical Care Survey from 1999 through 2009.

Results

Itch was coded as a symptom for an average of 7 million visits per year or approximately 1% of all outpatient visits, which was nearly 40% of the number of visits for the symptom of low back pain. Patients seen in visits for itch were more likely to be black or Asian than other patients (20% vs 14%). They were also more likely than other patients to receive a new medication (68% vs 36%) and were over twice as likely to receive 2 or more new medications (31% vs 14%).

Limitations

Secondary data sets may not optimally capture patient reports and some of the procedures or medications may have been ordered for reasons other than itch.

Conclusion

Visits to clinicians for itch represent a sizeable proportion of ambulatory care visits in the United States, and research on the epidemiology, treatments, and causes of itch should be a priority.

Le texte complet de cet article est disponible en PDF.

Key words : clinic, clinic visits, epidemiology, itch, National Ambulatory Medical Care Survey, outpatient, pruritus, quality of life, skin


Plan


 Supported in part by a grant from the National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health (K24 AR052667, Dr Chren).
 Disclosure: Dr Chren serves as a consultant to Genentech Inc and Dr Berger serves as a consultant to Prescription Solutions. Dr Shive, Dr Linos, and Ms Wehner have no conflicts of interest to declare.
 Presented in abstract form at the symposium entitled Scratching the Surface: Frontier in Itch from Skin to Brain at Washington University in St Louis, September 2012.


© 2013  American Academy of Dermatology, Inc.. Publié par Elsevier Masson SAS. Tous droits réservés.
Ajouter à ma bibliothèque Retirer de ma bibliothèque Imprimer
Export

    Export citations

  • Fichier

  • Contenu

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

;

Mon compte


Plateformes Elsevier Masson

Déclaration CNIL

EM-CONSULTE.COM est déclaré à la CNIL, déclaration n° 1286925.

En application de la loi nº78-17 du 6 janvier 1978 relative à l'informatique, aux fichiers et aux libertés, vous disposez des droits d'opposition (art.26 de la loi), d'accès (art.34 à 38 de la loi), et de rectification (art.36 de la loi) des données vous concernant. Ainsi, vous pouvez exiger que soient rectifiées, complétées, clarifiées, mises à jour ou effacées les informations vous concernant qui sont inexactes, incomplètes, équivoques, périmées ou dont la collecte ou l'utilisation ou la conservation est interdite.
Les informations personnelles concernant les visiteurs de notre site, y compris leur identité, sont confidentielles.
Le responsable du site s'engage sur l'honneur à respecter les conditions légales de confidentialité applicables en France et à ne pas divulguer ces informations à des tiers.