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Outpatient utilization patterns for atopic dermatitis in the United States
Partik Singh1, Jonathan I Silverberg2
1University of Rochester Medical Center, Rochester, NY.
Outpatient visits for atopic dermatitis (AD) increased overall in the US, with more visits to primary care physicians but fewer to dermatologists. Dermatologists manage chronic AD cases, requiring tailored treatment strategies.
Area of Science:
- Dermatology
- Public Health
- Health Services Research
Background:
- The prevalence and demographics of atopic dermatitis (AD) in the United States have evolved.
- Understanding trends and factors influencing outpatient healthcare utilization for AD is limited.
Purpose of the Study:
- To determine the trends and determinants of outpatient healthcare utilization for atopic dermatitis (AD) in US adults and children.
Main Methods:
- Analysis of data from the National Ambulatory Medical Care Survey (1993-2015).
- Inclusion of data from 110,095 pediatric and 642,140 adult outpatient visits for atopic dermatitis.
Main Results:
- Overall AD outpatient visits increased from 1996-1999 to 2012-2015, particularly to primary care physicians (PCPs).
- Visits to dermatologists for AD decreased during the study period.
- AD visits to PCPs were more common in children aged 0-4 years and often for acute conditions, while dermatologist visits were more likely for chronic conditions.
Conclusions:
- Outpatient visits for atopic dermatitis in the US have increased overall, but visits to dermatologists have declined.
- Dermatologists predominantly manage chronic AD cases, necessitating appropriate treatment tailoring.
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