Pigmente lezyon değerlendirilmesinde geriatrik hasta: İzlem önerilmeli mi?
Küçük Resim Yok
Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: Pigmente lezyonların dermatolojik değerlendirilmesinde hasta izleminin rolü büyüktür. Ancak izlem programına uyulması konusunda ileri yaş grubu hastalarda mobilizasyon güçlüğü ve genel sağlık sorunları gibi nedenlerle zorluk olabilmektedir. Bu çalışmada bir dermoskopi ünitesine başvuran geriatrik hastaların genel özelliklerini, izlem ve cerrahi girişim önerilerine uyumunu değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Ocak 2003-Mayıs 2008 yılları arasında dermoskopi ünitesine başvuran 65 yaş ve üzeri hastaların tamamı çalışmaya dahil edildi. Hasta dosyaları yaş, cinsiyet, pigmente lezyonlar ve lokalizasyonları, hastaların izlem veya girişim istemine uyumu açısından incelendi. Bulgular: Toplam 193 geriatrik aynı dönemde dermoskopi ünitesinde izlenmiş olan toplam 3016 hastanın %6.4'ünü oluşturmaktaydı. Hastalarda toplam 242 lezyon saptandı (158'i benign ve 84'ü premalign/malign). En sık saptanan lezyonlar seboreik keratoz (%27.3), melanom (%17.8) ve melanositik nevuslerdi (%15.3). Toplam 130 hastaya (%67.7) izlem önerildi. Bu hastalardan sadece 29'u (%22.3) izlem programına uydu. Toplam 99 hastaya (%51.6) herhangi bir nedenle girişim önerildi. Bunlardan 82'si (%82.8) önerilen girişimi yaptırdı. Sonuç: İzlem önerisine uyma konusunda güçlükleri nedeniyle geriatrik hasta grubunun özel bir grup olarak ele alınması, mümkün olduğu kadarıyla izlem önerilmesinden kaçınılması tavsiye edilebilir.
Introduction: Dermatological follow-up is essential in management of pigmented lesions. Elderly people may have poor compliance to follow-up schedules because of immobilization and general health problems. In this study, we aimed to determine the general features of geriatric patients admitted to dermoscopy unit and evaluate their compliance both to follow-up and surgical recommendations. Materials and Method: All patients aged 65 years and over, who admitted to the dermoscopy unit between January 2003 and May 2008, were included in the study. Medical records of the patients were reviewed and age and gender of the patients, pigmented lesions and their localizations, and compliance to the follow-up schedule and surgical recommendations were evaluated retrospectively. Results: A total of 193 geriatric patients constituted 6.4% of 3016 patients admitted to dermoscopy unit in the same period. A total of 242 lesions were detected (158 of them were benign and 84 of them were premalignant/malignant). The most common lesions were seborrheic keratoses (27.3%), melanoma (17.8%), and melanocytic nevi (15.3%). A total of 130 patients (67.7%) were invited for follow-up and 29 of them (22.3%) were able to attend. A surgical procedure was recommended to a total of 99 patients (51.6%) in whom 82 (82.8%) followed the recommendations. Conclusion: Since the compliance may be difficult, it is recommended to consider the elderly as a special group and to avoid inviting them for follow-up if possible.
Introduction: Dermatological follow-up is essential in management of pigmented lesions. Elderly people may have poor compliance to follow-up schedules because of immobilization and general health problems. In this study, we aimed to determine the general features of geriatric patients admitted to dermoscopy unit and evaluate their compliance both to follow-up and surgical recommendations. Materials and Method: All patients aged 65 years and over, who admitted to the dermoscopy unit between January 2003 and May 2008, were included in the study. Medical records of the patients were reviewed and age and gender of the patients, pigmented lesions and their localizations, and compliance to the follow-up schedule and surgical recommendations were evaluated retrospectively. Results: A total of 193 geriatric patients constituted 6.4% of 3016 patients admitted to dermoscopy unit in the same period. A total of 242 lesions were detected (158 of them were benign and 84 of them were premalignant/malignant). The most common lesions were seborrheic keratoses (27.3%), melanoma (17.8%), and melanocytic nevi (15.3%). A total of 130 patients (67.7%) were invited for follow-up and 29 of them (22.3%) were able to attend. A surgical procedure was recommended to a total of 99 patients (51.6%) in whom 82 (82.8%) followed the recommendations. Conclusion: Since the compliance may be difficult, it is recommended to consider the elderly as a special group and to avoid inviting them for follow-up if possible.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Türk Geriatri Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
12
Sayı
3
