目标:随着全球平均寿命的延长,包括老年人皮肤病在内的疾病越来越重要。该年龄组合并症的存在可能会影响治疗策略;随访的依从性和对药物的依从性可能较差。这项研究的目的是评估65岁及以上患者的皮肤病学疾病,并确定他们对皮肤病学治疗的依从性。
方法:在2021年4月至2022年4月期间,对65岁及以上的患者进行了回顾性和横断面研究,该研究适用于一家三级皮肤科诊所。诊断是仅在必要时进行临床和诊断测试。
结果:共评估了135名患者的207名皮肤科门诊入院。湿疹(23.05%)和感染(25.2%)是最常见的皮肤病学诊断。癌前病变和癌变患者的比例为11.9%。在123名至少需要随访的患者中,只有37名患者(30.1%)按照建议申请随访,其中23例(62.2%)定期服用药物。男性(OR0.365,95%CI0.160-0.834,p=0.02)和仅接受局部治疗药物治疗的患者(OR0.345,95%CI0.138-0.863,p=0.20)的随访依从性较低。
结论:湿疹和感染是本研究中老年患者最常见的皮肤病学诊断。大多数有皮肤状况的老年患者没有申请随访。接受全身性治疗药物治疗的妇女和患者的依从性更高。基底细胞癌的患病率不低,这强调了仔细的皮肤病学检查的重要性,无论该年龄组的主要投诉。
OBJECTIVE: With the prolongation of the average life expectancy worldwide, diseases including dermatological disorders of the elderly are gaining importance. The presence of comorbidities in this age group may affect the treatment strategies; compliance with follow-up and adherence to medication can be poor. The aim of this
study is to evaluate the dermatological disorders of patients aged 65 and over and determine their adherence to dermatologic treatment.
METHODS: A retrospective and cross-sectional
study was conducted on patients aged 65 and over applied to a single tertiary dermatology clinic between April 2021 and April 2022. Diagnoses were that clinical and diagnostic tests were performed when only necessary.
RESULTS: A total of 207 admissions to the dermatology clinic by 135 patients were evaluated. Eczema (23.05%) and infections (25.2%) were the most common dermatological diagnoses. The percentage of patients with precancerous and cancerous lesions was 11.9%. Among 123 patients who need at least a follow-up visit, only 37 patients (30.1%) applied for follow-up as advised, and medicines were taken regularly by 23 of these patients (62.2%). Compliance with follow-up was lower among men (OR 0.365, 95% CI 0.160-0.834, and p=0.02) and patients who were treated only with local therapy agents (OR 0.345, 95% CI 0.138-0.863, and p=0.20).
CONCLUSIONS: Eczema and infections were the most common dermatological diagnoses among geriatric patients in the present
study. The majority of geriatric patients with skin conditions were not applying for follow-up visits. Women and patients treated with systemic therapy agents were more compliant. The prevalence of basal cell carcinoma was not low, and this emphasizes the importance of a careful dermatological examination regardless of primary complaint in this age group.