[Translated article] Home Self-Applied Daylight Photodynamic Therapy: Current Map in Spain and Management Proposals

Area of Science:

• Dermatology
• Photodynamic Therapy
• Oncology

Background:

• Daylight photodynamic therapy (dPDT) is an effective treatment for actinic keratosis (AK).
• Home self-application of dPDT offers a convenient alternative to in-clinic treatments.
• Understanding current practices is crucial for optimizing dPDT protocols.

Purpose of the Study:

• To assess the current practices and experiences of Spanish dermatologists with self-applied dPDT.
• To identify trends in dPDT application, patient selection, and satisfaction.

Main Methods:

• A retrospective, multicenter, cross-sectional observational study.
• 100 Spanish dermatologists participated via an online questionnaire.
• Data collected included experience, climatology, advantages, disadvantages, and satisfaction.

Main Results:

• 38.4% of dermatologists have over 5 years of dPDT experience; 72.7% alternate clinic and home application.
• 61.1% lack specific self-application protocols, though 69.4% provide personal instructions.
• 50% prefer applying dPDT during months with higher solar activity, and 70.8% recommend morning treatments.

Conclusions:

• Self-applied dPDT is an effective, well-tolerated treatment for AK, particularly with patient adherence and family support.
• Protocolizing self-applied dPDT is necessary to enhance safety and efficacy in home settings.