Pakistan Science Abstracts
Article details & metrics
No Detail Found!!
Trends in the use of trichoscopy among dermatologists of Pakistan
Author(s):
1. Fatima Sajid: PAF Hospital Islamabad, Pakistan
2. Muneeza Rizwan: PAF Hospital Islamabad, Pakistan
3. Uzair Mushahid: Combined Military Hospital, Rawalpindi.Pakistan
4. Shayan Rizwan: Fazaia Medical College,Islamabad, Pakistan
Abstract:
Background Trichoscopy, also known as scalp dermatoscopy, is a non-invasive diagnostic tool used to identify hair morphological features not visible to naked eye. It is a relatively new field and despite establishing the importance of trichoscopy in clinical practice, it has repeatedly been identified as a practice gap among dermatologists. Objective To investigate the frequency of use of trichoscope by dermatologists in Pakistan. Methods A cross-sectional study including 265 practicing consultant dermatologists and resident dermatologists were included. Dermatologists were given an online questionnaire to be filled out. Descriptive statistics were calculated. Stratification was done. Chi square t-test was used to compare the age, sex and years of experience with the use of trichoscopy. P-value =0.05 was considered as significant with confidence intervals set at 95%. Results 9.4% dermatologists reported using trichoscope to diagnose hair disorders. This use was significantly higher with older age (p=0.019), but not with gender, clinical experience, job position, place of work or government versus private set up. Only 37.2% dermatologists were trained in using a trichoscope, where most were self-trained. Limited access to a trichoscope, absence of formal training and high costs of trichoscope were identified as the main hurdles to trichoscope use in Pakistan. Conclusion Trichoscope use is very limited in Pakistan often leading to inaccurate diagnosis and insufficient treatment of hair disorders. Access to formal training and low-cost trichoscopes are needed to bridge this important clinical gap.
Page(s): 415-422
DOI: DOI not available
Published: Journal: Journal of Pakistan Association of Dermatologists, Volume: 34, Issue: 2, Year: 2024
Keywords:
Trends , Trichoscopy , Dermatologists
References:
[1] Pirmez R,Tosti A. Trichoscopy,Tips A. Trichoscopy .2018 .. Dermatol Clin, 05(4) : 413-420.
[2] Lacarrubba F,Micali G,Tosti A .2015 .Scalp dermoscopy or trichoscopy. Curr Prob Dermatol (Switzerland), 10 : 21-32.
[3] Khopkar U,Jain N. .2016 .Trichoscopy: The Dermatologist's Third Eye. -12-802838-4, 10 : 00004-2.
[4] Inui S.,Trichoscopy S. .2012 .A new frontier for the diagnosis of hair diseases. Expert Rev Dermatol, 10(5) : 429-37.
[5] Trüeb RM,Rezende HD,Reis MF,Diaz G .2018 .Dynamic trichoscopy. JAMA Dermatol, 10(8) : 877-8.
[6] Miteva M,Lanuti E,Tosti A .2014 .Ex vivo dermatoscopy of scalp specimens and slides. J Eur Acad Dermatol Venereol, 10(9) : 1214-8.
[7] Tosti A,Ross EK .2007 .Dermoscopy of Hair and Scalp Disorders: With Clinical and Pathological Correlations. , 10 : 1-14.
[8] Antonella Tosti M. Practice .2014 .GapsTrichoscopy in Clinical Care. Arch Dermatol, 11(3) : 356.
[9] Piliouras P,Buettner P,Soyer HP .2014 .Dermoscopy use in the next generation: A survey of Australian dermatology trainees. Austr J Dermatol, 10(1) : 49-52.
[10] Butler TD,Matin RN,Affleck AG,Fleming CJ,Bowling JC .2015 .Trends in dermoscopy use in the UK: results from surveys in 2003 and 2012. , 10(2) : 29-38.
[11] Murzaku EC,Hayan S,Rao BK .2014 .Methods and rates of dermoscopy usage: A crosssectional survey of US dermatologists stratified by years in practice. J Am Acad Dermatol, 03(2) : 393-5.
[12] Breton AL,Amini-Adle M,Duru G,Poulalhon N,Dalle S .2014 .Overview of the use of dermoscopy in academic and non-academic hospital centres in France: A nationwide survey. J Eur Acad Dermatol Venereol, 10(9) : 1207-13.
[13] Engasser HC,Warshaw EM .2009 .Dermatoscopy use by US dermatologists: A cross-sectional survey. J Am Acad Dermatol, 09(3) : .
[14] Bari .2023 .A ul. Dermoscopy: An underutilized diagnostic tool in Pakistan. Accessed July 21, 31(3) : 320-1.
[15] Noor O,Nanda A,Rao BK .2009 .A dermoscopy survey to assess who is using it and why it is or is not being used. Int J Dermatol, 04095(9) : 4632-2.
[16] Colavincenzo ML .2016 .Practice and Educational Gaps in Dermatology: Disorders of the Hair. Dermatol Clin, 02(3) : 275-9.
[17] .2013 .The difficult hair loss patient: a particular challenge. Int J Trichol, 10(3) : 125597-7753.
[18] EE R,AC H,JH B H .2010 .Clinical severity does not reliably predict quality of life in women with alopecia areata, telogen effluvium, or androgenic alopecia. J Am Acad Dermatol, 11(3) : .
[19] Venugopal SS,Peter Soyer H,Menzies SW H .2010 .Results of a nationwide dermoscopy survey investigating the prevalence, advantages and disadvantages of dermoscopy use among Australian dermatologists. Austr J Dermatol, 00708(1) : 0960-8.
[20] Kaliyadan F,Ashique K,Jagadeesan S K .2018 .A survey on the pattern of dermoscopy use among dermatologists in India. Indian J Dermatol Venereol Leprol, 122(1) : 17.
[21] Forsea AM,Tschand P,del Marmo V .2016 .Factors driving the use of dermoscopy in Europe: a pan-European survey. Br J Dermatol, 10(6) : 1329-37.
[22] Zaheer ,Aziz I,Arif S .2020 .. Predicament of Doctors; Discerning Burnout Level Amongst Surgical Residents of Karachi, Pakistan. J Ayub Med Coll Abbottabad, 32(3) : 331-5.
Citations
Citations are not available for this document.
0

Citations

0

Downloads

6

Views