Treatment of Acne in Daily Clinical Practice: an Opinion Poll Among Spanish Dermatologists
Tratamiento del acné en la práctica clínica habitual: encuesta de opinión entre los dermatólogos españoles
a Servicio de Dermatología, Hospital Universitari de Sabadell, Corporació Parc Taulí, Sabadell, Barcelona, Spain
b Servicio de Dermatología, Hospital Universitario Doce de Octubre, Madrid, Spain
c Servicio de Dermatología, Hospital Universitario Reina Sofía, Córdoba, Spain
d Servicio de Dermatología, Hospital Universitario La Paz, Madrid, Spain
e Servicio de Dermatología, Clínica Dermatológica de Moragas, Barcelona, Spain
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A secondary objective of the study was to compare the practices of Spanish dermatologists with the Acne Global Alliance treatment algorithm and develop a Spanish treatment algorithm for acne.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A multicenter, cross-sectional survey was undertaken among 872 Spanish dermatologists. The study comprised 4 randomly distributed questionnaires. The first 3 contained the following case descriptions: severe acne associated with masculinization (case 1), mild comedonal acne (case 2), and moderate papulopustular acne (case 3). The fourth questionnaire contained 5 photographs of different types of acne and an algorithm containing various treatment options, from which dermatologists were asked to choose the most appropriate.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">For case 1, 55% of dermatologists chose oral antiandrogens/contraceptive drugs plus topical retinoids or topical benzoyl peroxide/antibiotics. In case 2, 62% chose topical retinoids and, in case 3, 68% chose systemic antibiotics plus benzoyl peroxide. Combination therapy was considered the first-line therapy in all types of acne, with topical retinoids as the initial treatment option for mild and moderate forms and the preferred option for maintenance therapy.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In general, Spanish dermatologists treat acne in accordance with the Acne Global Alliance treatment algorithm. The varying opinions reported in response to open questions, however, confirm the need to unify criteria for the treatment of acne.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción y objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El objetivo del estudio fue conocer los hábitos de tratamiento del acné de los dermatólogos españoles. El objetivo secundario fue comparar dichos hábitos con el algoritmo de la Global Alliance y elaborar un algoritmo español de tratamiento del acné.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se diseñó un estudio tipo encuesta, transversal y multicéntrico en el que participaron 872 dermatólogos españoles. El estudio constaba de cuatro encuestas, distribuidas aleatoriamente, con los tres casos clínicos siguientes: acné grave en el seno de un síndrome de androgenización (caso 1), acné comedoniano de intensidad leve (caso 2) y acné moderado papulopustuloso (caso 3). La cuarta encuesta presentaba cinco fotografías de diferentes tipos de acné y un esquema con varias opciones terapéuticas para elegir las más adecuadas.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Para el caso 1 un 55% de los dermatólogos eligieron la opción de antiandrógenos/anticonceptivos orales más retinoides tópicos o más peróxido de benzoilo/antibióticos tópicos. En el caso 2 un 62% escogieron retinoides tópicos, y en el caso 3 un 68% seleccionaron la opción de antibióticos sistémicos más peróxido de benzoilo. La terapia combinada fue considerada de elección en todos los tipos de acné, siendo los retinoides tópicos el tratamiento inicial para las formas leves y moderadas, así como la opción preferida como tratamiento de mantenimiento.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">En general, los dermatólogos españoles tratan el acné de acuerdo con el algoritmo de la Global Alliance, pero las numerosas opiniones recogidas en las preguntas abiertas de las encuestas confirman la necesidad de unificar criterios en el tratamiento del acné.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 7 | 13 |
| 2024 October | 82 | 74 | 156 |
| 2024 September | 72 | 45 | 117 |
| 2024 August | 109 | 66 | 175 |
| 2024 July | 94 | 45 | 139 |
| 2024 June | 71 | 49 | 120 |
| 2024 May | 82 | 55 | 137 |
| 2024 April | 66 | 40 | 106 |
| 2024 March | 76 | 59 | 135 |
| 2024 February | 66 | 48 | 114 |
| 2024 January | 76 | 37 | 113 |
| 2023 December | 70 | 53 | 123 |
| 2023 November | 77 | 61 | 138 |
| 2023 October | 74 | 42 | 116 |
| 2023 September | 69 | 44 | 113 |
| 2023 August | 34 | 28 | 62 |
| 2023 July | 47 | 51 | 98 |
| 2023 June | 69 | 39 | 108 |
| 2023 May | 49 | 43 | 92 |
| 2023 April | 48 | 35 | 83 |
| 2023 March | 23 | 31 | 54 |
| 2023 February | 34 | 25 | 59 |
| 2023 January | 24 | 31 | 55 |
| 2022 December | 27 | 49 | 76 |
| 2022 November | 17 | 34 | 51 |
| 2022 October | 18 | 21 | 39 |
| 2022 September | 26 | 44 | 70 |
| 2022 August | 19 | 49 | 68 |
| 2022 July | 17 | 43 | 60 |
| 2022 June | 18 | 21 | 39 |
| 2022 May | 24 | 54 | 78 |
| 2022 April | 33 | 53 | 86 |
| 2022 March | 29 | 56 | 85 |
| 2022 February | 20 | 56 | 76 |
| 2022 January | 25 | 39 | 64 |
| 2021 December | 21 | 47 | 68 |
| 2021 November | 31 | 53 | 84 |
| 2021 October | 20 | 49 | 69 |
| 2021 September | 22 | 94 | 116 |
| 2021 August | 21 | 35 | 56 |
| 2021 July | 18 | 36 | 54 |
| 2021 June | 18 | 42 | 60 |
| 2021 May | 22 | 28 | 50 |
| 2021 April | 43 | 42 | 85 |
| 2021 March | 45 | 23 | 68 |
| 2021 February | 60 | 25 | 85 |
| 2021 January | 48 | 18 | 66 |
| 2020 December | 21 | 18 | 39 |
| 2020 November | 12 | 23 | 35 |
| 2020 October | 35 | 12 | 47 |
| 2020 September | 32 | 25 | 57 |
| 2020 August | 24 | 16 | 40 |
| 2020 July | 11 | 13 | 24 |
| 2020 June | 21 | 20 | 41 |
| 2020 May | 27 | 26 | 53 |
| 2020 April | 12 | 20 | 32 |
| 2020 March | 19 | 21 | 40 |
| 2020 February | 2 | 8 | 10 |
| 2020 January | 0 | 13 | 13 |
| 2019 December | 0 | 12 | 12 |
| 2019 November | 0 | 4 | 4 |
| 2019 October | 0 | 3 | 3 |
| 2019 September | 0 | 6 | 6 |
| 2019 August | 0 | 2 | 2 |
| 2019 July | 0 | 16 | 16 |
| 2019 June | 0 | 10 | 10 |
| 2019 May | 1 | 47 | 48 |
| 2019 April | 0 | 2 | 2 |
| 2019 March | 0 | 8 | 8 |
| 2018 March | 3 | 1 | 4 |
| 2018 February | 11 | 2 | 13 |
| 2018 January | 15 | 7 | 22 |
| 2017 December | 19 | 8 | 27 |
| 2017 November | 15 | 2 | 17 |
| 2017 October | 25 | 3 | 28 |
| 2017 September | 17 | 3 | 20 |
| 2017 August | 27 | 6 | 33 |
| 2017 July | 19 | 6 | 25 |
| 2017 June | 22 | 7 | 29 |
| 2017 May | 24 | 4 | 28 |
| 2017 April | 15 | 6 | 21 |
| 2017 March | 21 | 8 | 29 |
| 2017 February | 20 | 11 | 31 |
| 2017 January | 13 | 11 | 24 |
| 2016 December | 30 | 8 | 38 |
| 2016 November | 27 | 10 | 37 |
| 2016 October | 28 | 8 | 36 |
| 2016 September | 50 | 13 | 63 |
| 2016 August | 43 | 14 | 57 |
| 2016 July | 39 | 10 | 49 |
| 2016 June | 9 | 12 | 21 |
| 2016 May | 4 | 14 | 18 |
| 2016 April | 4 | 12 | 16 |
| 2016 March | 2 | 1 | 3 |
| 2016 February | 10 | 1 | 11 |
| 2016 January | 9 | 2 | 11 |
| 2015 December | 7 | 2 | 9 |
| 2015 November | 11 | 3 | 14 |
| 2015 October | 6 | 2 | 8 |
| 2015 September | 3 | 6 | 9 |
| 2015 August | 7 | 3 | 10 |
| 2015 July | 64 | 8 | 72 |
| 2015 June | 41 | 10 | 51 |
| 2015 May | 92 | 20 | 112 |
| 2015 April | 61 | 18 | 79 |
| 2015 March | 60 | 9 | 69 |
| 2015 February | 61 | 10 | 71 |
| 2015 January | 65 | 11 | 76 |
| 2014 December | 64 | 14 | 78 |
| 2014 November | 35 | 10 | 45 |
| 2014 October | 63 | 21 | 84 |
| 2014 September | 48 | 7 | 55 |
| 2014 August | 56 | 15 | 71 |
| 2014 July | 55 | 14 | 69 |
| 2014 June | 57 | 11 | 68 |
| 2014 May | 52 | 9 | 61 |
| 2014 April | 63 | 7 | 70 |
| 2014 March | 71 | 17 | 88 |
| 2014 February | 36 | 23 | 59 |
| 2014 January | 34 | 15 | 49 |
| 2013 December | 40 | 9 | 49 |
| 2013 November | 30 | 23 | 53 |
| 2013 October | 45 | 21 | 66 |
| 2013 September | 34 | 28 | 62 |
| 2013 August | 52 | 33 | 85 |
| 2013 July | 44 | 27 | 71 |
| 2013 June | 45 | 49 | 94 |
| 2013 May | 30 | 19 | 49 |
| 2013 April | 34 | 38 | 72 |
| 2013 March | 39 | 24 | 63 |
| 2013 February | 4 | 4 | 8 |
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