From the Journals

Guidelines-based intervention improves pediatrician management of acne



A guidelines-based educational program on treating acne in teenagers has led to significant improvements in pediatricians’ management of the condition and decreased referrals to dermatologists, new research suggests.

A research letter published online May in the Journal of the American Academy of Dermatology described the results of a study involving 116 pediatricians, who participated in an educational program, including brief live sessions, on how to manage acne in teenagers.

The participants also used an EHR ordering tool that allowed for prescriptions based on the severity of the acne and delivered customized care plans and educational materials.

After 4 months, researchers saw that acne-coded visits to pediatricians increased by 18% (P less than .001), but this did not translate to more work for the physicians involved; instead, three-quarters of those involved said the treatment process involved “minimal to no work.”

At the same time, the intervention was associated with a 26% decrease in the percentage of acne referrals to dermatologists, reported Jenna Borok of the Rady Children’s Hospital in San Diego, and her coauthors.

The researchers saw a fivefold increase in the likelihood of pediatricians prescribing retinoids (P = .003), after controlling for confounding factors such as sex and insurance status, and significantly less topical clindamycin being prescribed.

The study was initiated to address what the authors described as a “practice gap” between pediatricians treating acne, compared with dermatologists treating acne, which included significantly lower prescribing rates of topical retinoids among pediatricians.

Next Article: