A study published in Journal of Investigative Dermatology, investigated whether differences exist in the way pediatricians and dermatologists prescribe acne treatments to patients.first

The study was a population-based, cross-sectional analysis using data from the 2002 to 2016 National Emergency Medical Care Survey for pediatric patients 18 years of age and younger.

There were 45.8 million outpatient acne visits for pediatric patients. With the data broken down, 54% of visits were performed by dermatologists, 28% by pediatricians, and 18% by other providers. Compared with pediatricians, dermatologists treated older patients on average 15.4 years versus 13.1 years.

Dermatologists also saw proportions of Caucasian patients (92.8 percent versus 79.7 percent), non-Hispanic patients (86.8% versus 76.9%) and patients with private insurance (83.1% versus 69.5%) is higher than that of pediatricians.

The medications most frequently prescribed by both dermatologists and pediatricians included topical retinoids at 41% and topical combination therapies at 20.1%.

Compared with patients seen by a dermatologist, patients seen by a pediatrician were 71% less likely to receive topical retinoids, 48% less likely to receive topical antibiotics, and 53% less likely to receive topical retinoids. get oral antibiotics.1

Pediatricians prescribe topical retinoids, topical antibiotics, and oral antibiotics less often than dermatologists do. According to the study’s authors, it is important to understand these differences in prescribing models of acne care and to identify potential educational gaps.

This article was originally published in Dermatology Times.


1. Jones M, Pourali S, Kohn AH, et al. 240 Differences in Acne Treatment Prescribing Patterns Between Pediatricians and Dermatologists. J Invest Dermatol. In 2021; 141 (5): S43. doi: 10.1016 / j.jid.2021.02.262


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