1. Prevalence and risk factors of actinic keratosis in patients attending Italian dermatology clinics
- Author
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Giuseppe Micali, Francesco Borgia, Andrea Zanca, Giuseppe Pistone, Concetta Potenza, Anna Carbone, Stefano Veglio, Ketty Peris, Maria Concetta Fargnoli, Paolo Broganelli, Mario Puviani, Erica Moggio, Margherita Raucci, Aurora Parodi, Stefano Piaserico, Elisa Benati, Sergio Chimenti, Sabina Vaccari, Gianfranco Altomare, Giampiero Girolomoni, Sergio Donato, Fargnoli, Maria Concetta, Altomare, Gianfranco, Benati, Elisa, Borgia, Francesco, Broganelli, Paolo, Carbone, Anna, Chimenti, Sergio, Donato, Sergio, Girolomoni, Giampiero, Micali, Giuseppe, Moggio, Erica, Parodi, Aurora, Piaserico, Stefano, Pistone, Giuseppe, Potenza, Concetta, Puviani, Mario, Raucci, Margherita, Vaccari, Sabina, Veglio, Stefano, Zanca, Andrea, and Peris, Ketty
- Subjects
Complete data ,medicine.medical_specialty ,Skin type ,skin neoplasms ,european continental ancestry group ,White People ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,male ,Retrospective Studie ,middle aged ,medicine ,Prevalence ,In patient ,Skin Neoplasm ,Risk factor ,humans ,Male gender ,Entire population ,business.industry ,Actinic keratosi ,Risk Factor ,adult ,Actinic keratosis ,ambulatory care facilities ,Retrospective cohort study ,medicine.disease ,Dermatology ,Ambulatory Care Facilitie ,Keratosis, Actinic ,dermatology ,aged ,retrospective studies ,actinic keratosis ,Italy ,prevalence ,risk factors ,female ,keratosis, actinic ,Risk factors ,030220 oncology & carcinogenesis ,keratosis ,2708 ,actinic ,business ,Settore MED/35 - MALATTIE CUTANEE E VENEREE ,Human - Abstract
Background: Actinic keratosis (AK) is a common keratinocyte intraepidermal neoplasia. Objective: To assess AK prevalence and potential risk factors in patients attending Italian general dermatology clinics. Materials & methods: This retrospective study was conducted on clinical data from consecutive white outpatients aged ≥30 years, attending 24 general dermatology clinics between December 2014 and February 2015. AK prevalence (entire population) and multivariate risk factor analysis (patients with current/previous AK and complete data) are presented. Results: AK prevalence in 7,284 patients was 27.4% (95% CI: 26.4-28.4%); 34.3% in men and 20.0% in women (p70 years), history of other non-melanoma skin cancers (OR: 2.7 [2.2-3.3]), residence in southern Italy/Sardinia (OR: 2.6 [2.1-3.0]), working outdoors >6 hours/day (OR: 1.9 [1.4-2.4]), male gender (OR: 1.7 [1.4-2.0]), facial solar lentigos (OR: 1.6 [1.4-1.9]), light hair colour (OR: 1.5 [1.2-1.8]), prolonged outdoor recreational activities (OR: 1.4 [1.2-1.7]), light eye colour (OR: 1.3 [1.1-1.6]), skin type I/II (OR: 1.3 [1.1-1.6]), and alcohol consumption (OR: 1.2 [1.0-3.3]). BMI ≥25.0 (OR: 0.6 [0.5-0.7]), regular sunscreen use (OR: 0.7 [0.6-0.8]), and a lower level of education (OR: 0.8 [0.7-1.0]) were independent protective factors. Conclusions: AK prevalence was high in Italian dermatology outpatients. We confirm several well-known AK risk factors and reveal possible novel risk and protective factors. Our results may inform on the design and implementation of AK screening and educational programmes.
- Published
- 2017