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Referrals to Dermatology: Proportion of Banal Disorders
Demanda derivada a Dermatología: peso de la patología banal
M.L. Martínez-Martínez
, L.J. Pérez-García, E. Escario-Travesedo, M. Rodríguez-Vázquez, J.M. Azaña-Defez, M.C. Martín de Hijas Santos
Corresponding author
Servicio de Dermatología, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
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Belmar, E. de Eusebio, C. Sánchez, A. Vergara, A. Martín, A. Juanes, E. Jiménez, E. Diez, M.A. Pastor, M. Olivares" "autores" => array:10 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Belmar" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "de Eusebio" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Sánchez" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Vergara" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Martín" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Juanes" ] 6 => array:2 [ "nombre" => "E." "apellidos" => "Jiménez" ] 7 => array:2 [ "nombre" => "E." "apellidos" => "Diez" ] 8 => array:2 [ "nombre" => "M.A." "apellidos" => "Pastor" ] 9 => array:2 [ "nombre" => "M." "apellidos" => "Olivares" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219011707831?idApp=UINPBA000044" "url" => "/15782190/0000010200000003/v1_201304241541/S1578219011707831/v1_201304241541/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Referrals to Dermatology: Proportion of Banal Disorders" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "193" "paginaFinal" => "198" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.L. Martínez-Martínez, L.J. Pérez-García, E. Escario-Travesedo, M. Rodríguez-Vázquez, J.M. Azaña-Defez, M.C. Martín de Hijas Santos" "autores" => array:6 [ 0 => array:4 [ "nombre" => "M.L." "apellidos" => "Martínez-Martínez" "email" => array:1 [ 0 => "mlmartinezm@sescam.jccm.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "L.J." "apellidos" => "Pérez-García" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Escario-Travesedo" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Rodríguez-Vázquez" ] 4 => array:2 [ "nombre" => "J.M." "apellidos" => "Azaña-Defez" ] 5 => array:2 [ "nombre" => "M.C." "apellidos" => "Martín de Hijas Santos" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Complejo Hospitalario Universitario de Albacete, Albacete, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Demanda derivada a Dermatología: peso de la patología banal" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-04-11" "fechaAceptado" => "2010-10-12" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84879" "palabras" => array:4 [ 0 => "Referrals" 1 => "Primary care" 2 => "Dermatology" 3 => "Cost" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84878" "palabras" => array:4 [ 0 => "Demanda derivada" 1 => "Atención Primaria" 2 => "Dermatología" 3 => "Coste" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background and objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Skin diseases account for a large number of consultations in primary care. The objective of this study was to determine the characteristics and cost of referrals from primary care to a dermatology clinic.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Descriptive cross-sectional study of referrals from a primary care health center to a dermatology clinic. The dermatology clinic was situated in the same health center and was attended by a dermatologist from Complejo Hospitalario Universitario in Albacete, Spain. The study was performed on 10 days selected at random between April 21, 2009, and June 26, 2009. The data gathered included age, sex, use of cryotherapy, and diagnostic group. Patients were divided into 4 diagnostic groups: A) benign degenerative disease or trivial disorders whose treatment may not merit involvement of the national health service; B) diseases resolved with a single dermatology consultation at the health center; C) diseases requiring evaluation in hospital-based dermatology outpatients; and D) diseases referred for surgical treatment.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Data were gathered on 257 patients with a mean age of 41.18 years and there was a larger proportion of female patients. The majority of patients were in diagnostic group B (53.7%), followed by groups A (19.1%), C (19.1%), and D (8.2%). The total estimated cost of these 257 visits was €29 750.32, of which €5672.24 was for trivial disorders.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The current high prevalence of trivial disorders in the caseload of dermatology clinics makes it necessary to control referrals from primary care more strictly.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Las enfermedades dermatológicas ocupan un lugar importante en las consultas de Atención Primaria (AP). Nuestro objetivo fue conocer las características y costes de la demanda derivada a Dermatología desde AP.</p> <span class="elsevierStyleSectionTitle">Material y método</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo transversal de los pacientes remitidos a Dermatología por un centro de salud de AP, realizado en una consulta de Dermatología ubicada en el propio centro de salud y atendida por un dermatólogo del Complejo Hospitalario Universitario de Albacete durante 10 días aleatorios desde el 21 de abril de 2009 al 26 de junio de 2009. Se recogieron los datos de edad, sexo, aplicación o no de crioterapia y grupo diagnóstico. En función de esta última variable se dividieron los pacientes en 4 categorías: A) patología degenerativa benigna o entidades banales, cuyo tratamiento podría no ser apropiado en el Sistema Nacional de Salud; B) enfermedades resueltas en una visita única realizada por el dermatólogo en el centro de AP; C) enfermedades derivadas a la consulta externa de Dermatología; y D) entidades que precisan tratamiento quirúrgico y son derivadas a quirófano.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se recogieron los datos de 257 pacientes, con una media de edad de 41,18 años y ligero predominio femenino. El grupo diagnóstico más frecuente fue el B (53,7%), seguido del grupo A (19,1%), C (19,1%) y D (8,2%). El coste total estimado de las 257 consultas fue de 29.750,32 euros, de los que 5.672,24 euros representarían el gasto en entidades cutáneas banales.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">La actual saturación de las consultas de Dermatología por motivos banales hace necesario un mayor control de la demanda derivada desde AP.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Skin disease in a primary care practice" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Fien" 1 => "B. Berman" 2 => "B. 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Carrascosa" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2007" "volumen" => "98" "paginaInicial" => "236" "paginaFinal" => "239" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17506954" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Real Decreto 63/1995 sobre ordenación de prestaciones sanitarias, anexo III, epígrafe «Prestaciones que no son financiables con cargo a la Seguridad Social o fondos estatales destinados a la asistencia sanitaria»." ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 12 | 9 | 21 |
| 2024 October | 70 | 47 | 117 |
| 2024 September | 58 | 24 | 82 |
| 2024 August | 87 | 65 | 152 |
| 2024 July | 90 | 39 | 129 |
| 2024 June | 73 | 34 | 107 |
| 2024 May | 49 | 26 | 75 |
| 2024 April | 64 | 33 | 97 |
| 2024 March | 53 | 26 | 79 |
| 2024 February | 42 | 39 | 81 |
| 2024 January | 33 | 50 | 83 |
| 2023 December | 47 | 44 | 91 |
| 2023 November | 54 | 48 | 102 |
| 2023 October | 60 | 29 | 89 |
| 2023 September | 49 | 42 | 91 |
| 2023 August | 30 | 18 | 48 |
| 2023 July | 25 | 45 | 70 |
| 2023 June | 30 | 28 | 58 |
| 2023 May | 32 | 33 | 65 |
| 2023 April | 20 | 31 | 51 |
| 2023 March | 21 | 31 | 52 |
| 2023 February | 25 | 35 | 60 |
| 2023 January | 26 | 30 | 56 |
| 2022 December | 24 | 54 | 78 |
| 2022 November | 20 | 41 | 61 |
| 2022 October | 13 | 28 | 41 |
| 2022 September | 14 | 30 | 44 |
| 2022 August | 18 | 25 | 43 |
| 2022 July | 18 | 35 | 53 |
| 2022 June | 18 | 28 | 46 |
| 2022 May | 15 | 42 | 57 |
| 2022 April | 27 | 46 | 73 |
| 2022 March | 29 | 43 | 72 |
| 2022 February | 16 | 34 | 50 |
| 2022 January | 22 | 40 | 62 |
| 2021 December | 17 | 41 | 58 |
| 2021 November | 21 | 54 | 75 |
| 2021 October | 31 | 52 | 83 |
| 2021 September | 21 | 53 | 74 |
| 2021 August | 20 | 26 | 46 |
| 2021 July | 20 | 36 | 56 |
| 2021 June | 12 | 35 | 47 |
| 2021 May | 19 | 25 | 44 |
| 2021 April | 38 | 36 | 74 |
| 2021 March | 26 | 24 | 50 |
| 2021 February | 30 | 29 | 59 |
| 2021 January | 14 | 8 | 22 |
| 2020 December | 29 | 15 | 44 |
| 2020 November | 11 | 21 | 32 |
| 2020 October | 32 | 5 | 37 |
| 2020 September | 24 | 15 | 39 |
| 2020 August | 24 | 19 | 43 |
| 2020 July | 17 | 12 | 29 |
| 2020 June | 18 | 23 | 41 |
| 2020 May | 18 | 27 | 45 |
| 2020 April | 19 | 15 | 34 |
| 2020 March | 11 | 22 | 33 |
| 2020 February | 2 | 6 | 8 |
| 2020 January | 0 | 7 | 7 |
| 2019 December | 0 | 12 | 12 |
| 2019 November | 0 | 4 | 4 |
| 2019 October | 0 | 2 | 2 |
| 2019 September | 0 | 2 | 2 |
| 2019 August | 0 | 2 | 2 |
| 2019 July | 0 | 4 | 4 |
| 2019 June | 0 | 8 | 8 |
| 2019 May | 0 | 86 | 86 |
| 2019 April | 0 | 14 | 14 |
| 2019 March | 0 | 11 | 11 |
| 2019 February | 0 | 3 | 3 |
| 2019 January | 0 | 4 | 4 |
| 2018 December | 0 | 4 | 4 |
| 2018 November | 0 | 3 | 3 |
| 2018 August | 0 | 1 | 1 |
| 2018 July | 0 | 1 | 1 |
| 2018 March | 6 | 4 | 10 |
| 2018 February | 8 | 2 | 10 |
| 2018 January | 13 | 5 | 18 |
| 2017 December | 15 | 11 | 26 |
| 2017 November | 9 | 1 | 10 |
| 2017 October | 10 | 12 | 22 |
| 2017 September | 22 | 3 | 25 |
| 2017 August | 33 | 8 | 41 |
| 2017 July | 39 | 4 | 43 |
| 2017 June | 24 | 17 | 41 |
| 2017 May | 24 | 9 | 33 |
| 2017 April | 25 | 8 | 33 |
| 2017 March | 11 | 5 | 16 |
| 2017 February | 12 | 11 | 23 |
| 2017 January | 8 | 5 | 13 |
| 2016 December | 23 | 5 | 28 |
| 2016 November | 24 | 8 | 32 |
| 2016 October | 28 | 24 | 52 |
| 2016 September | 23 | 3 | 26 |
| 2016 August | 28 | 10 | 38 |
| 2016 July | 27 | 7 | 34 |
| 2016 June | 8 | 10 | 18 |
| 2016 May | 8 | 10 | 18 |
| 2016 April | 3 | 4 | 7 |
| 2016 March | 4 | 2 | 6 |
| 2016 February | 6 | 5 | 11 |
| 2016 January | 8 | 0 | 8 |
| 2015 December | 11 | 0 | 11 |
| 2015 November | 5 | 3 | 8 |
| 2015 October | 5 | 2 | 7 |
| 2015 September | 4 | 3 | 7 |
| 2015 August | 10 | 1 | 11 |
| 2015 July | 31 | 12 | 43 |
| 2015 June | 27 | 1 | 28 |
| 2015 May | 78 | 11 | 89 |
| 2015 April | 39 | 8 | 47 |
| 2015 March | 37 | 2 | 39 |
| 2015 February | 31 | 8 | 39 |
| 2015 January | 19 | 8 | 27 |
| 2014 December | 33 | 10 | 43 |
| 2014 November | 14 | 7 | 21 |
| 2014 October | 23 | 15 | 38 |
| 2014 September | 33 | 12 | 45 |
| 2014 August | 25 | 15 | 40 |
| 2014 July | 32 | 16 | 48 |
| 2014 June | 38 | 13 | 51 |
| 2014 May | 46 | 15 | 61 |
| 2014 April | 34 | 14 | 48 |
| 2014 March | 37 | 17 | 54 |
| 2014 February | 22 | 14 | 36 |
| 2014 January | 30 | 16 | 46 |
| 2013 December | 39 | 8 | 47 |
| 2013 November | 22 | 18 | 40 |
| 2013 October | 33 | 19 | 52 |
| 2013 September | 34 | 23 | 57 |
| 2013 August | 23 | 14 | 37 |
| 2013 July | 32 | 19 | 51 |
| 2013 June | 20 | 25 | 45 |
| 2013 May | 32 | 16 | 48 |
| 2013 April | 30 | 19 | 49 |
| 2013 March | 6 | 5 | 11 |
| 2013 February | 5 | 4 | 9 |
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