Insight into the management of actinic keratosis: a qualitative interview study among general practitioners and dermatologists

The British Journal of Dermatology
E C NoelsM Wakkee

Abstract

The increasing incidence of actinic keratosis (AK) is causing a large burden on healthcare systems. The current management of patients with AK seems to vary within and between primary and secondary care; however, an in-depth understanding of healthcare providers' management of AK is currently lacking. To gain insight into the management of AK by exploring the underlying motives of current practices among general practitioners (GPs) and dermatologists in the Netherlands. A qualitative study was conducted consisting of semistructured individual interviews with 22 GPs and 18 dermatologists focusing on the underlying motives regarding AK management. A predefined topic list was used. All interviews were audiotaped, transcribed verbatim and inductively analysed by two researchers drawing on elements of grounded theory. GPs reported conducting limited proactive clinical assessments of cutaneous photodamage due to a perceived lack of value, varying in their method of diagnosing AK. They mainly applied cryotherapy or referred to secondary care due to lack of experience, varying in their applications and providing mostly patient-driven follow-up care. They also reported a great need for guidelines due to a lack of knowledge of AK managem...Continue Reading

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Citations

Jul 2, 2019·The British Journal of Dermatology·D de Berker, M C Pasch
Sep 9, 2019·Journal of the European Academy of Dermatology and Venereology : JEADV·A UdreaT E C Nijsten
Sep 25, 2020·BJGP Open·Sukhjit DhariwalSimon Tso
Jun 30, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Ahmed Rashid
Jun 23, 2020·The British Journal of Dermatology·M Samimi, N Kelleners-Smeets
Jan 29, 2021·The Journal of Investigative Dermatology·Alexus BazenJunko Takeshita

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BETA
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