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1. ILDS Newsletter No. 33

Author

M. Papini, Rudolf Schopf, I. Alarcon, Harald Burkhardt, Christine A. DeWitt, Luis Puig, E. Tolomio, R. Capizzi, Maria Concetta Fargnoli, L. Zichichi, Chiara Astrua, Paola Savoia, Tetsuo Shiohara, Sébastien Bontems, Andrzej Bieniek, Akira Hashimoto, Alba Català, Takahiro Haga, Bianca Maria Wittig, M. Santinami, Kazuhisa Hirahara, Frank Behrens, Susana Puig, Annalisa Patrizi, Werner Druck Medien Ag, A. Annetta, Daniel Vogelfrang-Garncarz, Sindy Hu, Julio Ramiro Bargueño, G. Filosa, C. Catricalà, Paolo Fava, Pierre Wolkenstein, Maria Antonietta Pizzichetta, Carme Muñoz, Cécile Meex, Serge Goldzal, Jean Christophe Moreno, Rafael Linares-García Valdecasas, Markus Meissner, Esther Cuerda-Galindo, Séverine Lafaye, Virginia Pomar, Thomas Vogl, Łukasz Matusiak, V. Girgenti, Paolo Lisi, Diamant Thaçi, P. De Simone, Claudio Guarneri, M. Angustias Palomar-Gallego, Cécile Méni, A. Maurichi, Satz Mengensatzproduktion, M. Simonacci, Sadanori Furudate, D. Strippoli, Markus Braun-Falco, E. Colombo, Aleksandra Batycka-Baran, Tanja Maier, M.T. Corradin, Giuseppe Argenziano, Jacek C Szepietowski, Pietro Rubegni, R. Clerico, Josep Malvehy, Alessandra Chiarugi, Pietro Quaglino, Joan Dalmau, Roland Kaufmann, Laurence Valeyrie-Allanore, Holger Gnann, Gerd Greger, M. A. Tomassini, E. Giulioni, Pablo Naranjo Garcia, Aki Okazaki, Yumi Kambayashi, Paolo Nardini, Ga Vena, Lara El Hayderi, Taku Fujimura, Emanuele Crocetti, Lea Bielicky, Chien-Yu Hsiao, Valérie Buffard, Koji Araki, Ketty Peris, Emilie Sbidian, Arianna Lamberti, U. Bottoni, Caterina Ferreli, F. Fantini, Martina Ulrich, Yurie Komatsu, Michele L Zerah, P. Calzavara Pinton, Stefano Cavicchini, Arjen Nikkels, Mauro Alaibac, Chun-Hsun Huang, Aya Kakizaki, Oriol Yélamos, Alessandro Borghi, Thomas Ruzicka, Nicola Pimpinelli, Esther Roé, Hsin-Ching Sung, Setsuya Aiba, A. M. Manganoni, Eva M. Valesky, and C. Salvini

Subjects
medicine.medical_specialty, business.industry, Medicine, Dermatology, business
Published
2014
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2. Dermatosurgery: Total Quality Management in a Dermatology Department

Author

Jean-Paul Meningaud, A. Ostojic, Séverine Lafaye, E. Domergue Than Trong, V. Buffard, S. Goldszal, Pierre Wolkenstein, Saskia Ingen-Housz-Oro, Jean Christophe Moreno, J.-L. Plaquet, J.M. Amici, Olivier Chosidow, A. Mirkamali, B. Roy-Geffroy, and D. Thuillot

Subjects
Clinical audit, medicine.medical_specialty, Total quality management, Quality Assurance, Health Care, business.industry, Communication, Dermatologic Surgical Procedures, Dermatology department, Hospital Departments, Dermatology, medicine.disease, Perioperative Care, Patient Satisfaction, Physicians, Family medicine, Health care, Humans, Medicine, France, Medical emergency, business, Referral and Consultation, health care economics and organizations, Total Quality Management
Abstract

Background: Dermatosurgery (DS) is a growing sector in dermatology. Performance measurement is organized worldwide to improve the quality of health care. Clinical audit relies on self-assessment, comparison with guidelines, frames of references and implementation of improvement actions. Objective: To assess the efficiency of our DS department. Methods: A clinical audit focusing on the organization of the DS unit, patient routing, continuing medical education and training for students was conducted by two external auditors. After an initial evaluation, improvements were implemented and reassessed 1 year later by the same auditors. Results: The audit resulted in the implementation of preoperative consultation, improved pre- and postoperative information leaflets for patients, standardizing of surgery reports, earmarking of funds for materials, and patient satisfaction survey. The training of residents was organized. Conclusion: This audit was a driving force for communication among the medical and paramedical teams and helped improve patient care and training of residents in DS. It also highlighted areas needing further improvement.

Published
2012
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3. Treatment of neurofibromas with a carbon dioxide laser: a retrospective cross-sectional study of 106 patients

Author

Emilie Sbidian, Cécile Méni, Pierre Wolkenstein, V. Buffard, Séverine Lafaye, Jean Christophe Moreno, Laurence Valeyrie-Allanore, and Serge Goldzal

Subjects
Adult, Male, Pediatrics, medicine.medical_specialty, Neurofibromatosis 1, Cross-sectional study, medicine.medical_treatment, Dermatology, Disease, Patient satisfaction, medicine, Humans, Neurofibromatosis, Retrospective Studies, Local anaesthetic, Neurofibroma, business.industry, Social impact, Retrospective cohort study, Carbon dioxide laser, Middle Aged, medicine.disease, Surgery, Cross-Sectional Studies, Treatment Outcome, Lasers, Gas, Female, Laser Therapy, business
Abstract

Background: Few studies have evaluated the efficacy of carbon dioxide (CO2) laser ablation for treating neurofibromatosis type 1 (NF1). Objective: To evaluate laser treatment safety and patient satisfaction at the French National Referral Centre for Neurofibromatosis. Methods: Retrospective survey with a specific questionnaire. The principal outcome measures included pain evaluation and assessments of treatment safety. Results: We included 106 patients, 70% of whom had more than 50 neurofibromas. Laser treatment was performed mostly for aesthetic reasons, or due to pain, recurrent local trauma or familial influence, under a local anaesthetic, during outpatient visits. The mean pain score was 4.0 ± 2.7 during the administration of local anaesthesia, 2.4 ± 2.1 during laser treatment and Conclusions: CO2 laser treatment for NF could be considered more frequently and might help to decrease the social impact of the disease.

Published
2014

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