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        "resumen" => "<span class="elsevierStyleSectionTitle">Background and objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to determine the approaches used to treat acne in clinical practice by Spanish dermatologists&#46; A secondary objective of the study was to compare the practices of Spanish dermatologists with the Acne Global Alliance treatment algorithm and develop a Spanish treatment algorithm for acne&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A multicenter&#44; cross-sectional survey was undertaken among 872 Spanish dermatologists&#46; The study comprised 4 randomly distributed questionnaires&#46; The first 3 contained the following case descriptions&#58; severe acne associated with masculinization &#40;case 1&#41;&#44; mild comedonal acne &#40;case 2&#41;&#44; and moderate papulopustular acne &#40;case 3&#41;&#46; The fourth questionnaire contained 5 photographs of different types of acne and an algorithm containing various treatment options&#44; from which dermatologists were asked to choose the most appropriate&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">For case 1&#44; 55&#37; of dermatologists chose oral antiandrogens&#47;contraceptive drugs plus topical retinoids or topical benzoyl peroxide&#47;antibiotics&#46; In case 2&#44; 62&#37; chose topical retinoids and&#44; in case 3&#44; 68&#37; chose systemic antibiotics plus benzoyl peroxide&#46; Combination therapy was considered the first-line therapy in all types of acne&#44; with topical retinoids as the initial treatment option for mild and moderate forms and the preferred option for maintenance therapy&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In general&#44; Spanish dermatologists treat acne in accordance with the Acne Global Alliance treatment algorithm&#46; The varying opinions reported in response to open questions&#44; however&#44; confirm the need to unify criteria for the treatment of acne&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n y objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El objetivo del estudio fue conocer los h&#225;bitos de tratamiento del acn&#233; de los dermat&#243;logos espa&#241;oles&#46; El objetivo secundario fue comparar dichos h&#225;bitos con el algoritmo de la Global Alliance y elaborar un algoritmo espa&#241;ol de tratamiento del acn&#233;&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se dise&#241;&#243; un estudio tipo encuesta&#44; transversal y multic&#233;ntrico en el que participaron 872 dermat&#243;logos espa&#241;oles&#46; El estudio constaba de cuatro encuestas&#44; distribuidas aleatoriamente&#44; con los tres casos cl&#237;nicos siguientes&#58; acn&#233; grave en el seno de un s&#237;ndrome de androgenizaci&#243;n &#40;caso 1&#41;&#44; acn&#233; comedoniano de intensidad leve &#40;caso 2&#41; y acn&#233; moderado papulopustuloso &#40;caso 3&#41;&#46; La cuarta encuesta presentaba cinco fotograf&#237;as de diferentes tipos de acn&#233; y un esquema con varias opciones terap&#233;uticas para elegir las m&#225;s adecuadas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Para el caso 1 un 55&#37; de los dermat&#243;logos eligieron la opci&#243;n de antiandr&#243;genos&#47;anticonceptivos orales m&#225;s retinoides t&#243;picos o m&#225;s per&#243;xido de benzoilo&#47;antibi&#243;ticos t&#243;picos&#46; En el caso 2 un 62&#37; escogieron retinoides t&#243;picos&#44; y en el caso 3 un 68&#37; seleccionaron la opci&#243;n de antibi&#243;ticos sist&#233;micos m&#225;s per&#243;xido de benzoilo&#46; La terapia combinada fue considerada de elecci&#243;n en todos los tipos de acn&#233;&#44; siendo los retinoides t&#243;picos el tratamiento inicial para las formas leves y moderadas&#44; as&#237; como la opci&#243;n preferida como tratamiento de mantenimiento&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">En general&#44; los dermat&#243;logos espa&#241;oles tratan el acn&#233; de acuerdo con el algoritmo de la Global Alliance&#44; pero las numerosas opiniones recogidas en las preguntas abiertas de las encuestas confirman la necesidad de unificar criterios en el tratamiento del acn&#233;&#46;</p>"
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Vol. 102. Núm. 2.
Páginas 121-131 (marzo 2011)
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Vol. 102. Núm. 2.
Páginas 121-131 (marzo 2011)
Acceso a texto completo
Treatment of Acne in Daily Clinical Practice: an Opinion Poll Among Spanish Dermatologists
Tratamiento del acné en la práctica clínica habitual: encuesta de opinión entre los dermatólogos españoles
Visitas
7369
M. Riberaa,
Autor para correspondencia
miquel.ribera@uab.cat

Corresponding author.
, A. Guerrab, J.C. Moreno-Giménezc, R. de Lucasd, M. Pérez-Lópeze
a Servicio de Dermatología, Hospital Universitari de Sabadell, Corporació Parc Taulí, Sabadell, Barcelona, Spain
b Servicio de Dermatología, Hospital Universitario Doce de Octubre, Madrid, Spain
c Servicio de Dermatología, Hospital Universitario Reina Sofía, Córdoba, Spain
d Servicio de Dermatología, Hospital Universitario La Paz, Madrid, Spain
e Servicio de Dermatología, Clínica Dermatológica de Moragas, Barcelona, Spain
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Abstract
Background and objectives

The aim of this study was to determine the approaches used to treat acne in clinical practice by Spanish dermatologists. A secondary objective of the study was to compare the practices of Spanish dermatologists with the Acne Global Alliance treatment algorithm and develop a Spanish treatment algorithm for acne.

Patients and methods

A multicenter, cross-sectional survey was undertaken among 872 Spanish dermatologists. The study comprised 4 randomly distributed questionnaires. The first 3 contained the following case descriptions: severe acne associated with masculinization (case 1), mild comedonal acne (case 2), and moderate papulopustular acne (case 3). The fourth questionnaire contained 5 photographs of different types of acne and an algorithm containing various treatment options, from which dermatologists were asked to choose the most appropriate.

Results

For case 1, 55% of dermatologists chose oral antiandrogens/contraceptive drugs plus topical retinoids or topical benzoyl peroxide/antibiotics. In case 2, 62% chose topical retinoids and, in case 3, 68% chose systemic antibiotics plus benzoyl peroxide. Combination therapy was considered the first-line therapy in all types of acne, with topical retinoids as the initial treatment option for mild and moderate forms and the preferred option for maintenance therapy.

Conclusions

In general, Spanish dermatologists treat acne in accordance with the Acne Global Alliance treatment algorithm. The varying opinions reported in response to open questions, however, confirm the need to unify criteria for the treatment of acne.

Keywords:
Acne
Treatment
Survey
Treatment algorithm
Resumen
Introducción y objetivos

El objetivo del estudio fue conocer los hábitos de tratamiento del acné de los dermatólogos españoles. El objetivo secundario fue comparar dichos hábitos con el algoritmo de la Global Alliance y elaborar un algoritmo español de tratamiento del acné.

Pacientes y métodos

Se diseñó un estudio tipo encuesta, transversal y multicéntrico en el que participaron 872 dermatólogos españoles. El estudio constaba de cuatro encuestas, distribuidas aleatoriamente, con los tres casos clínicos siguientes: acné grave en el seno de un síndrome de androgenización (caso 1), acné comedoniano de intensidad leve (caso 2) y acné moderado papulopustuloso (caso 3). La cuarta encuesta presentaba cinco fotografías de diferentes tipos de acné y un esquema con varias opciones terapéuticas para elegir las más adecuadas.

Resultados

Para el caso 1 un 55% de los dermatólogos eligieron la opción de antiandrógenos/anticonceptivos orales más retinoides tópicos o más peróxido de benzoilo/antibióticos tópicos. En el caso 2 un 62% escogieron retinoides tópicos, y en el caso 3 un 68% seleccionaron la opción de antibióticos sistémicos más peróxido de benzoilo. La terapia combinada fue considerada de elección en todos los tipos de acné, siendo los retinoides tópicos el tratamiento inicial para las formas leves y moderadas, así como la opción preferida como tratamiento de mantenimiento.

Conclusiones

En general, los dermatólogos españoles tratan el acné de acuerdo con el algoritmo de la Global Alliance, pero las numerosas opiniones recogidas en las preguntas abiertas de las encuestas confirman la necesidad de unificar criterios en el tratamiento del acné.

Palabras Clave:
Acné
Tratamiento
Encuesta
Algoritmo de tratamiento
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