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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| 2024 Febrero | 54 | 27 | 81 |
| 2024 Enero | 41 | 27 | 68 |
| 2023 Diciembre | 44 | 21 | 65 |
| 2023 Noviembre | 59 | 26 | 85 |
| 2023 Octubre | 58 | 11 | 69 |
| 2023 Septiembre | 68 | 32 | 100 |
| 2023 Agosto | 46 | 17 | 63 |
| 2023 Julio | 60 | 37 | 97 |
| 2023 Junio | 64 | 26 | 90 |
| 2023 Mayo | 53 | 28 | 81 |
| 2023 Abril | 60 | 30 | 90 |
| 2023 Marzo | 75 | 28 | 103 |
| 2023 Febrero | 37 | 18 | 55 |
| 2023 Enero | 28 | 38 | 66 |
| 2022 Diciembre | 46 | 54 | 100 |
| 2022 Noviembre | 23 | 29 | 52 |
| 2022 Octubre | 27 | 20 | 47 |
| 2022 Septiembre | 25 | 43 | 68 |
| 2022 Agosto | 25 | 43 | 68 |
| 2022 Julio | 25 | 39 | 64 |
| 2022 Junio | 37 | 24 | 61 |
| 2022 Mayo | 48 | 43 | 91 |
| 2022 Abril | 59 | 49 | 108 |
| 2022 Marzo | 80 | 65 | 145 |
| 2022 Febrero | 51 | 40 | 91 |
| 2022 Enero | 51 | 52 | 103 |
| 2021 Diciembre | 39 | 49 | 88 |
| 2021 Noviembre | 36 | 41 | 77 |
| 2021 Octubre | 37 | 48 | 85 |
| 2021 Septiembre | 24 | 43 | 67 |
| 2021 Agosto | 18 | 28 | 46 |
| 2021 Julio | 17 | 25 | 42 |
| 2021 Junio | 32 | 17 | 49 |
| 2021 Mayo | 24 | 31 | 55 |
| 2021 Abril | 57 | 34 | 91 |
| 2021 Marzo | 75 | 6 | 81 |
| 2021 Febrero | 51 | 24 | 75 |
| 2021 Enero | 25 | 14 | 39 |
| 2020 Diciembre | 29 | 13 | 42 |
| 2020 Noviembre | 23 | 13 | 36 |
| 2020 Octubre | 14 | 10 | 24 |
| 2020 Septiembre | 39 | 14 | 53 |
| 2020 Agosto | 23 | 13 | 36 |
| 2020 Julio | 28 | 12 | 40 |
| 2020 Junio | 27 | 19 | 46 |
| 2020 Mayo | 38 | 20 | 58 |
| 2020 Abril | 38 | 13 | 51 |
| 2020 Marzo | 37 | 14 | 51 |
| 2020 Febrero | 6 | 1 | 7 |
| 2020 Enero | 0 | 2 | 2 |
| 2019 Diciembre | 2 | 3 | 5 |
| 2019 Octubre | 0 | 1 | 1 |
| 2019 Septiembre | 4 | 0 | 4 |
| 2019 Agosto | 0 | 7 | 7 |
| 2019 Julio | 0 | 3 | 3 |
| 2019 Junio | 2 | 7 | 9 |
| 2019 Mayo | 0 | 12 | 12 |
| 2019 Abril | 0 | 6 | 6 |
| 2019 Marzo | 2 | 8 | 10 |
| 2019 Febrero | 0 | 1 | 1 |
| 2019 Enero | 2 | 1 | 3 |
| 2018 Diciembre | 0 | 6 | 6 |
| 2018 Noviembre | 1 | 0 | 1 |
| 2018 Octubre | 2 | 0 | 2 |
| 2018 Septiembre | 3 | 0 | 3 |
| 2018 Abril | 0 | 1 | 1 |
| 2018 Marzo | 2 | 0 | 2 |
| 2018 Febrero | 15 | 2 | 17 |
| 2018 Enero | 24 | 6 | 30 |
| 2017 Diciembre | 30 | 6 | 36 |
| 2017 Noviembre | 18 | 3 | 21 |
| 2017 Octubre | 24 | 2 | 26 |
| 2017 Septiembre | 29 | 6 | 35 |
| 2017 Agosto | 35 | 5 | 40 |
| 2017 Julio | 32 | 8 | 40 |
| 2017 Junio | 31 | 7 | 38 |
| 2017 Mayo | 20 | 6 | 26 |
| 2017 Abril | 23 | 5 | 28 |
| 2017 Marzo | 19 | 33 | 52 |
| 2017 Febrero | 25 | 7 | 32 |
| 2017 Enero | 21 | 8 | 29 |
| 2016 Diciembre | 26 | 9 | 35 |
| 2016 Noviembre | 37 | 3 | 40 |
| 2016 Octubre | 33 | 15 | 48 |
| 2016 Septiembre | 33 | 3 | 36 |
| 2016 Agosto | 26 | 2 | 28 |
| 2016 Julio | 23 | 4 | 27 |
| 2016 Junio | 10 | 3 | 13 |
| 2016 Mayo | 5 | 6 | 11 |
| 2016 Abril | 3 | 7 | 10 |
| 2016 Marzo | 4 | 2 | 6 |
| 2016 Febrero | 10 | 1 | 11 |
| 2016 Enero | 6 | 1 | 7 |
| 2015 Diciembre | 9 | 0 | 9 |
| 2015 Noviembre | 2 | 1 | 3 |
| 2015 Octubre | 5 | 1 | 6 |
| 2015 Septiembre | 3 | 1 | 4 |
| 2015 Agosto | 7 | 2 | 9 |
| 2015 Julio | 21 | 7 | 28 |
| 2015 Junio | 18 | 3 | 21 |
| 2015 Mayo | 38 | 2 | 40 |
| 2015 Abril | 20 | 2 | 22 |
| 2015 Marzo | 13 | 3 | 16 |
| 2015 Febrero | 10 | 1 | 11 |
| 2015 Enero | 9 | 2 | 11 |
| 2014 Diciembre | 12 | 2 | 14 |
| 2014 Noviembre | 10 | 5 | 15 |
| 2014 Octubre | 9 | 4 | 13 |
| 2014 Septiembre | 4 | 2 | 6 |
| 2014 Agosto | 8 | 7 | 15 |
| 2014 Julio | 1 | 3 | 4 |
| 2014 Junio | 17 | 5 | 22 |
| 2014 Mayo | 13 | 6 | 19 |
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