美国脱发区域的治疗模式
Hemin Lee1,2, Kathie P Huang3,4, Arash Mostaghimi3,4
1Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
JAMA dermatology
|September 20, 2023
概括
从2015年到2020年,皮质类固醇是最常见的脱发区 (AA) 治疗方法. 然而,超过三分之二的AA患者在诊断后365天没有接受治疗,这突出了护理上的差距.
科学领域:
- 皮肤病学 皮肤病学
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 形脱发 (AA) 呈现出多样化的脱发,没有关于最佳治疗策略的共识.
- 了解当前的治疗模式对于识别需求和制定AA的护理标准至关重要,包括总体脱发症 (AT) 和普遍脱发症 (AU).
研究的目的:
- 分析2015年至2020年期间在美国被诊断患有大发性脱发症 (AA) 的成年患者的治疗模式.
主要方法:
- 一项回顾性队列研究使用了IBM MarketScan研究数据库对商业保险成年人 (≥18岁) 的索赔,这些人最近接受了AA治疗 (ICD-10代码L63.x).
- 该研究评估了诊断后第一年的治疗模式,包括AT/AU的子组和皮肤科医生看的子组.
- 在2019年至2023年期间,对45,483名持续入学的人群进行了统计分析.
主要成果:
- 皮质类固醇是最常见的治疗方法:内伤 (41.8%),局部 (40.9%),肌内 (38.1%) 和口服 (20.6%).
- 与没有广泛疾病的患者相比,患有AT/AU的患者表现出不同的类固醇使用模式.
- 显著比例的患者 (47.2%) 在诊断之日没有接受任何治疗,71.8%在12个月内没有接受治疗.
结论:
- 从2015年到2020年,皮质类固醇是美国成年人患白发病 (AA) 的主要治疗方法.
- 大多数AA患者在诊断后的一年内没有接受治疗,这表明潜在的未满足需求.
- 进一步的研究是有必要的,以探索背后的原因高率的未经治疗的脱发率.
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