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Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,014
Online ISSN 1827-1820
PHYSICIANS’ POINT OF VIEW ON ACTINIC KERATOSIS
Peris K. 1, Neri L. 2, Calzavara Pinton P. 3, Catricalà C. 4, Pellacani G. 5, Pimpinelli N. 6, Peserico A. 7
1 Department of General Oncological Dermatology, L’Aquila University, L’Aquila, Italy;
2 Department of Clinical Community Sciences, University of Milan, Milan, Italy;
3 Dermatologic Clinic, University of Brescia, Brescia, Italy;
4 IFO-Istituto Dermatologico Santa Maria e San Gallicano IRCCS, Rome, Italy;
5 Operative Unit of Dermatology, Policlinico di Modena University Hospital, Modena, Italy;
6 Unit of Dermatology and Dermatologic Physiotherapy, Azienda Sanitaria di Firenze, Department of Surgery and Transational Medicine, University of Florence, Florence, Italy;
7 DIMED Department of Medicine Dermatologic Clinic, University of Padua, Padua, Italy
AIM: We report dermatologists’ opinions and clinical practice patterns about clinical factors driving decision making in the management of actinic keratosis (AK) in Italy.
METHODS: We carried out a cross-sectional survey among 33 Italian dermatologists. Physicians were asked to report their management choices in consecutive patients with AK seen at their practice within 2 weeks since study initiation. We collected patients’ clinical and socio-demographic characteristics with a standardized data collection form and assessed physicians’ opinions on AK management with a self-reported questionnaire.
RESULTS: Six hundred fifty-seven patients with new, single AK lesions without evidence of photo-damaged skin in the surrounding areas, were predominantly treated with lesion-directed therapies (primarily cryotherapy). In contrast, physicians preferentially prescribed field-directed therapies to patients with multiple lesions and evidence of photo-damaged skin in AK surrounding areas. However we observed a wide variation in treatment choices and physicians’ opinions on AK management. Dermatologists underlined the importance of fostering patients’ adherence and minimize therapy side effects.
CONCLUSION: Overall, our results show that current guidelines regarding management of AK are only partially integrated in dermatology practice. The active dissemination of up-to-date national guidelines might help harmonize clinical decision making in this complex and fast growing therapeutic area.