From the Journals

Guidelines-based intervention improves pediatrician management of acne

 

Key clinical point: An educational program and ordering tool improves pediatricians’ management of teenage acne.

Major finding: An education program for pediatricians on acne treatment increased retinoid prescribing but decreased referrals to dermatologists.

Study details: Interventional study in 116 pediatricians.

Disclosures: No funding or conflicts of interest were declared.

Source: Borok J et al. J Am Acad Dermatol. 2018 May 9. doi: 10.1016/j.jaad.2018.04.055.


 

FROM THE JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY

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.

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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.

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