By Anne Lynn S. Chang
This concise, easy-to-read ebook summarizes the present medical proof and uncomplicated technology when it comes to getting older and the outside, aiding the clinician in addressing epidermis difficulties in older dermatologic sufferers. every one bankruptcy makes a speciality of a selected region within which new wisdom has quickly emerged during the last five years, making sure that the e-book is totally updated.
Recent insights into getting older epidermis from uncomplicated and translational technology are first mentioned, masking the underlying genetics and the aptitude position of topical brokers and techniques in reversing the getting older approach. Evidence-based prescribing in older sufferers is then defined, and the facts when it comes to remedies for psoriasis, reviewed. extra chapters in Geriatric Dermatology address non-surgical treatments for basal mobile carcinoma, the rise in and administration of sexually transmitted ailments in older dermatology sufferers, and cutaneous symptoms of elder mistreatment. Case vignettes and informative illustrations support the reader in fast greedy the relationship among an age-related technique and its scientific influence. Geriatric Dermatology is written for dermatologists, examine scientists with translational curiosity, geriatricians, and gerontologists.
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Extra info for Advances in Geriatric Dermatology
73. Stockl KM, Le L, Zhang S, Harada AS. Clinical and economic outcomes associated with potentially inappropriate prescribing in the elderly. Am J Manag Care. 2010;16(1):e1–10. 74. Goldstein R, Thompson FE, McKendry RJ. Diagnostic and predictive value of the lupus band test in undifferentiated connective tissue disease. A followup study. J Rheumatol. 1985;12(6):1093–6. 75. Gupta MA, Gupta AK, Fink NH. Polypharmacy in dermatology: analysis of a nationally representative sample of 46,273 dermatology patient visits in the United States from 1995 to 2009.
Unfortunately, patients are not necessarily reliable reporters of non-adherence. One study found that 6 % of dermatology patients self-reported non-adherence, although almost half of prescriptions were unfilled at 2 weeks . Nonadherence is a major problem that can lead to iatrogenesis and increased health-care cost in the elderly population. Up to 21 % of ADEs in older adults in the ambulatory setting were associated with non-adherence in one study . Nonadherence results in drug wastage, which is estimated at more than US$1 billion [90, 91].
Pertinent examples of dermatologic medications that should be avoided, dosed differently, or prescribed cautiously with close monitoring were also listed. Recommendations for infection, osteoporosis, and peptic ulcer disease prophylaxis were given. The main geropharmacology research gap is the lack of medication safety, efficacy, and costeffectiveness data for older adult patients (particularly frail older individuals who are often excluded or underrepresented in clinical trials). Dermato-pharmacology in Older Patients Appendix: Additional Resources Complementary and Alternative Medicine (CAM) 1.