Try a new search

Format these results:

Searched for:



Total Results:


Implementation of Mohs micrographic surgery at the VA New York Manhattan Harbor Healthcare System eliminated need for re-excision and decreased time to treatment: A retrospective and prospective cohort study

Himeles, Jaclyn Rosenthal; Steuer, Alexa Beth; Sally, Rachel; Gutierrez, Daniel; Zampella, John G; Stevenson, Mary L; Carucci, John A; Lee, Nayoung
PMID: 38149943
ISSN: 1097-6787
CID: 5623592

Barriers to Care Among Sexual and Gender Minority Individuals With Chronic Inflammatory Skin Diseases in the US

Nock, Michael R; Kamal, Kanika; Zampella, John G; Roberson, Mya L; Cohen, Jeffrey M; Barbieri, John S
IMPORTANCE/UNASSIGNED:Research on the prevalence of barriers to care among sexual and gender minority (SGM) patients with chronic inflammatory skin diseases (CISDs) in the US is limited. OBJECTIVE/UNASSIGNED:To compare the prevalence of cost and noncost barriers to care among SGM and non-SGM patients with CISDs and to analyze the prevalence of barriers based on SGM status and race and ethnicity. DESIGN, SETTING, AND PARTICIPANTS/UNASSIGNED:A cross-sectional study of health care access and utilization survey data collected by the National Institutes of Health's All of Us Research Program between May 31, 2017, and July 1, 2022, was conducted. Participants were adults aged 18 years or older with CISDs who enrolled in All of Us directly online or through partner health care practitioner organizations located across the US. EXPOSURES/UNASSIGNED:Chronic inflammatory skin diseases, sexual orientation and gender identity, and race and ethnicity. MAIN OUTCOME AND MEASURES/UNASSIGNED:The main outcome was the experience of cost and noncost barriers to health care among SGM patients with CISDs. Multivariable logistic regression was used to examine the association of SGM status with experiencing barriers to care. RESULTS/UNASSIGNED:This study included 19 743 patients with CISDs; 1877 were SGM patients (median age, 40.5 years [IQR, 28.7-57.9 years]; 1205 [64.2%] assigned female sex at birth) and 17 866 were non-SGM patients (median age, 57.1 years [IQR, 40.8-68.1 years]; 13 205 [73.9%] assigned female sex at birth). Compared with non-SGM patients, SGM patients with CISDs were significantly more likely to delay specialist care (adjusted odds ratio [AOR], 1.23; 95% CI, 1.03-1.47), mental health care (AOR, 1.62; 95% CI, 1.37-1.91), and filling a prescription (AOR, 1.30; 95% CI, 1.11-1.52) because of cost. In addition, SGM patients with CISDs were significantly more likely than non-SGM patients to delay care because of transportation issues (AOR, 1.49; 95% CI, 1.22-1.80) and not having a health care practitioner who shares the same background with regard to race and ethnicity, religion, native language, sexual orientation, and gender identity (AOR, 1.39; 95% CI, 1.19-1.62). Sexual and gender minority patients with CISDs were also significantly more likely than non-SGM patients to report not always being treated with respect by their health care practitioners (AOR, 1.47; 95% CI, 1.30-1.65). CONCLUSIONS AND RELEVANCE/UNASSIGNED:The findings of this cross-sectional study of survey data suggest that SGM patients with CISDs may be disproportionately affected by cost and noncost barriers to health care. Dermatologists and other health care practitioners caring for SGM patients with CISDs have an important role in helping to address these barriers and larger systemic issues for SGM patients at both the patient and system levels.
PMID: 37755822
ISSN: 2168-6084
CID: 5603892

Sun-protective behaviours of adult men stratified by sexual orientation: A retrospective cross-sectional analysis of National Health Interview Survey [Letter]

McKenzie, Costner; Pulavarty, Akshay N; Zampella, John G
PMID: 37191149
ISSN: 1468-3083
CID: 5544222

Efficacy of a dermatology interest group-sponsored biopsy and suturing workshop for medical students

Flagg, Elizabeth E; Kearney, Caitlin A; Needle, Carli D; Himeles, Jaclyn R; Marji, Jackleen S; Zampella, John G; Mazori, Daniel R
PMID: 37138829
ISSN: 2666-3287
CID: 5544912

A cross-sectional survey of dermatologists: assessing practice patterns in sexually transmitted infections [Letter]

Chansky, Peter B; Shah, Payal; Gutierrez, Daniel; Kuhner, Christopher; Zampella, John
PMID: 35393686
ISSN: 1365-4632
CID: 5219712

Sun-protective behaviors and sunburn among US adults

McKenzie, Costner; Nahm, William J; Kearney, Caitlin A; Zampella, John G
Individuals can reduce the risk of developing skin cancer by minimizing ultraviolet sunlight exposure, though recent trends in sun-protective behaviors remain to be investigated. To evaluate sun-protective behaviors and sunburn among US adults. We analyzed data from the 2010, 2015, and 2020 National Health Interview Survey (NHIS), an annual, cross-sectional survey conducted by the US Census Bureau. Multivariable regression models were stratified by demographic variables and constructed to evaluate sun-protective behaviors and sunburn avoidance across time. From 2010 through 2020, US adults had significantly increased prevalence of seeking shade (p value, 0.003), wearing wide-brimmed hats (< 0.001), wearing long-sleeved shirts (< 0.001), using sunscreen (< 0.001), and avoiding sunburns (< 0.001) and significantly decreased prevalence of sun avoidance (< 0.001). Disparities in sun-protective behaviors also exist among different sexes, ages, education levels, and those reporting higher sun sensitivity. This cross-sectional study found that by 2020, US adults had an increased prevalence of wearing sun-protective clothing and sunscreen use, though decreased prevalence of sun avoidance. Although certain sun-protective behaviors have become more prevalent, the incidence of skin cancer continues to rise. Efforts to understand drivers of sun-protective behaviors and targeted intervention efforts are needed.
PMID: 36790452
ISSN: 1432-069x
CID: 5427172

Reminder Phone Calls Increase Total Body Skin Examination Compliance After Surgery in the Veterans Affairs Population: A Single Center Study

Zakhem, George; Wu, Julie; Freedman, Jeremy; Zampella, John
PMID: 36533800
ISSN: 1524-4725
CID: 5414682

Dermatomal Granulomatous Dermatitis and Vasculitis Following Herpes Zoster Ophthalmicus [Case Report]

Martinez, Michael; Kim, Randie; Zampella, John
Cutaneous granulomatous dermatoses are uncommon sequelae of herpes zoster (HZ) infection that have been documented in the literature, with granulomatous vasculitis described in rare cases. Here, we report a patient with HZ ophthalmicus who developed edematous plaques with central scarring in a V1 dermatomal distribution with histopathological changes of a granulomatous dermatitis including features of granulomatous vasculitis. J Drugs Dermatol. 2022;21(10):1127-1128. oi:10.36849/JDD.6749.
PMID: 36219054
ISSN: 1545-9616
CID: 5356612

HIV Pre-exposure Prophylaxis (PrEP): A Survey of Dermatologists' Knowledge and Practice Patterns [Letter]

Gutierrez, Daniel; Shah, Payal; Zampella, John G
PMID: 36446102
ISSN: 2326-6929
CID: 5383412

The use of topical anesthetic for a biopsy of the penis

Dunn, Austin; Long, Tyler; Zampella, John
PMID: 35252888
ISSN: 2666-3287
CID: 5181812