Case and Research letter
Results of a 2-Year Study of Outpatient Activity in the Dermatology Department of a University Hospital
Resultados de un estudio de la actividad realizada durante 2 años en consultas de dermatología de un hospital universitario
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Martínez-Morán, S. Córdoba, R. Navalón, J. Borbujo" "autores" => array:4 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Martínez-Morán" "email" => array:2 [ 0 => "cmmoran@salud.madrid.org" 1 => "crismmoran@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Córdoba" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "R." "apellidos" => "Navalón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "J." "apellidos" => "Borbujo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Área de Gestión de Pacientes, Hospital Universitario de Fuenlabrada, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resultados de un estudio de la actividad realizada durante 2 años en consultas de dermatología de un hospital universitario" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Dermatology is a medical-surgical specialty in which most of the day-to-day work is performed in outpatient clinics. However, the few studies that have recorded the activity of dermatology outpatient clinics<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1–3</span></a> only analyzed short periods.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Knowing which diseases consume the most resources facilitates decision making and the order in which decisions should be taken to improve outcomes in terms of health, efficiency, use of technology, and management of human resources.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Studies have recently been published on diseases managed in the emergency department<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5,6</span></a> in various Spanish hospitals. Data were obtained from sources other than the electronic clinical history (ECH) and without using controlled language. Studies on surgical activity based on the ECH have also been published.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7,8</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">We present the most relevant results of a registry of activity at the outpatient clinic of the Dermatology Department of Hospital Universitario de Fuenlabrada, Fuenlabrada, Spain in 2009 and 2010 (all activity takes place in the hospital). The data used in the study were obtained from a purpose-designed database retrieved from the ECH and with diagnoses adjusted to a local vocabulary created in December 2008 and based on the Systematized Nomenclature of Medicine, Clinical Terms. The local vocabulary list for diagnoses and treatments was created jointly with the hospital Coding Unit and enabled health problems to be combined for subsequent data analysis.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Between January 1, 2009 and December 31, 2010, we analyzed the number of visits per year, the number of visits per disease, the number of visits per patient and disease, and the number of procedures performed overall and for individual diseases. A procedure was considered any class of activity provided by a health professional or by a health care organization for the benefit of the person receiving the care; therefore, phototherapy was included as a procedure.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The distribution by sex, the total number of contacts and procedures, and the number of procedures per disease were very similar during the study period.</p><p id="par0035" class="elsevierStylePara elsevierViewall">The diseases for which most resources were consumed (number of visits per year) were psoriasis, acquired melanocytic nevus, and common warts. However, each new diagnosis of nevus generated few checkups, in contrast with psoriasis or warts, which generated a larger number of checkups. Psoriasis was the disease that generated the largest number of procedures, followed by common warts.</p><p id="par0040" class="elsevierStylePara elsevierViewall">The data obtained in this study confirm that psoriasis consumes the most resources, since it is responsible for 1 in 10 visits to the dermatology department of our hospital, even though its incidence and prevalence are lower than those of other diseases, such as acquired melanocytic nevus, seborrheic and actinic keratosis, and acne.</p><p id="par0045" class="elsevierStylePara elsevierViewall">We think that the health system could be streamlined by means of specific interventions against diseases that consume such a large quantity of resources owing to the number of visits and procedures, rather than to their severity or to the complaint itself.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Martínez-Morán C, Córdoba S, Navalón R, Borbujo J. Resultados de un estudio de la actividad realizada durante 2 años en consultas de dermatología de un hospital universitario. Actas Dermosifiliogr. 2014;105:426–427.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Grupos diagnósticos ambulatorios en dermatología. Estudio en un hospital comarcal" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Graells" 1 => "D. 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| 2023 December | 44 | 21 | 65 |
| 2023 November | 59 | 26 | 85 |
| 2023 October | 58 | 11 | 69 |
| 2023 September | 68 | 32 | 100 |
| 2023 August | 46 | 17 | 63 |
| 2023 July | 60 | 37 | 97 |
| 2023 June | 64 | 26 | 90 |
| 2023 May | 53 | 28 | 81 |
| 2023 April | 60 | 30 | 90 |
| 2023 March | 75 | 28 | 103 |
| 2023 February | 37 | 18 | 55 |
| 2023 January | 28 | 38 | 66 |
| 2022 December | 46 | 54 | 100 |
| 2022 November | 23 | 29 | 52 |
| 2022 October | 27 | 20 | 47 |
| 2022 September | 25 | 43 | 68 |
| 2022 August | 25 | 43 | 68 |
| 2022 July | 25 | 39 | 64 |
| 2022 June | 37 | 24 | 61 |
| 2022 May | 48 | 43 | 91 |
| 2022 April | 59 | 49 | 108 |
| 2022 March | 80 | 65 | 145 |
| 2022 February | 51 | 40 | 91 |
| 2022 January | 51 | 52 | 103 |
| 2021 December | 39 | 49 | 88 |
| 2021 November | 36 | 41 | 77 |
| 2021 October | 37 | 48 | 85 |
| 2021 September | 24 | 43 | 67 |
| 2021 August | 18 | 28 | 46 |
| 2021 July | 17 | 25 | 42 |
| 2021 June | 32 | 17 | 49 |
| 2021 May | 24 | 31 | 55 |
| 2021 April | 57 | 34 | 91 |
| 2021 March | 75 | 6 | 81 |
| 2021 February | 51 | 24 | 75 |
| 2021 January | 25 | 14 | 39 |
| 2020 December | 29 | 13 | 42 |
| 2020 November | 23 | 13 | 36 |
| 2020 October | 14 | 10 | 24 |
| 2020 September | 39 | 14 | 53 |
| 2020 August | 23 | 13 | 36 |
| 2020 July | 28 | 12 | 40 |
| 2020 June | 27 | 19 | 46 |
| 2020 May | 38 | 20 | 58 |
| 2020 April | 38 | 13 | 51 |
| 2020 March | 37 | 14 | 51 |
| 2020 February | 6 | 1 | 7 |
| 2020 January | 0 | 2 | 2 |
| 2019 December | 2 | 3 | 5 |
| 2019 October | 0 | 1 | 1 |
| 2019 September | 4 | 0 | 4 |
| 2019 August | 0 | 7 | 7 |
| 2019 July | 0 | 3 | 3 |
| 2019 June | 2 | 7 | 9 |
| 2019 May | 0 | 12 | 12 |
| 2019 April | 0 | 6 | 6 |
| 2019 March | 2 | 8 | 10 |
| 2019 February | 0 | 1 | 1 |
| 2019 January | 2 | 1 | 3 |
| 2018 December | 0 | 6 | 6 |
| 2018 November | 1 | 0 | 1 |
| 2018 October | 2 | 0 | 2 |
| 2018 September | 3 | 0 | 3 |
| 2018 April | 0 | 1 | 1 |
| 2018 March | 2 | 0 | 2 |
| 2018 February | 15 | 2 | 17 |
| 2018 January | 24 | 6 | 30 |
| 2017 December | 30 | 6 | 36 |
| 2017 November | 18 | 3 | 21 |
| 2017 October | 24 | 2 | 26 |
| 2017 September | 29 | 6 | 35 |
| 2017 August | 35 | 5 | 40 |
| 2017 July | 32 | 8 | 40 |
| 2017 June | 31 | 7 | 38 |
| 2017 May | 20 | 6 | 26 |
| 2017 April | 23 | 5 | 28 |
| 2017 March | 19 | 33 | 52 |
| 2017 February | 25 | 7 | 32 |
| 2017 January | 21 | 8 | 29 |
| 2016 December | 26 | 9 | 35 |
| 2016 November | 37 | 3 | 40 |
| 2016 October | 33 | 15 | 48 |
| 2016 September | 33 | 3 | 36 |
| 2016 August | 26 | 2 | 28 |
| 2016 July | 23 | 4 | 27 |
| 2016 June | 10 | 3 | 13 |
| 2016 May | 5 | 6 | 11 |
| 2016 April | 3 | 7 | 10 |
| 2016 March | 4 | 2 | 6 |
| 2016 February | 10 | 1 | 11 |
| 2016 January | 6 | 1 | 7 |
| 2015 December | 9 | 0 | 9 |
| 2015 November | 2 | 1 | 3 |
| 2015 October | 5 | 1 | 6 |
| 2015 September | 3 | 1 | 4 |
| 2015 August | 7 | 2 | 9 |
| 2015 July | 21 | 7 | 28 |
| 2015 June | 18 | 3 | 21 |
| 2015 May | 38 | 2 | 40 |
| 2015 April | 20 | 2 | 22 |
| 2015 March | 13 | 3 | 16 |
| 2015 February | 10 | 1 | 11 |
| 2015 January | 9 | 2 | 11 |
| 2014 December | 12 | 2 | 14 |
| 2014 November | 10 | 5 | 15 |
| 2014 October | 9 | 4 | 13 |
| 2014 September | 4 | 2 | 6 |
| 2014 August | 8 | 7 | 15 |
| 2014 July | 1 | 3 | 4 |
| 2014 June | 17 | 5 | 22 |
| 2014 May | 13 | 6 | 19 |
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