GPs' practice and attitudes to initiating isotretinoin for acne vulgaris in Ireland: a cross-sectional questionnaire survey in primary care
Isotretinoin is prescribed in secondary care for severe acne vulgaris. Anecdotal reports suggest that GPs in Ireland currently initiate isotretinoin. To ascertain the prevalence and management of isotretinoin in Irish general practice and to describe GPs' attitudes about the use of isotretinoin...
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| Veröffentlicht in: | British journal of general practice 2020-09, Vol.70 (698), p.e651-e656 |
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| creator | Carmody, Kevin Rouse, Martin Nolan, Dermot Quinlan, Diarmuid |
| description | Isotretinoin is prescribed in secondary care for severe acne vulgaris. Anecdotal reports suggest that GPs in Ireland currently initiate isotretinoin.
To ascertain the prevalence and management of isotretinoin in Irish general practice and to describe GPs' attitudes about the use of isotretinoin in Ireland.
A cross-sectional questionnaire survey of GPs in Ireland between October 2018 and February 2019.
Two short questionnaires were developed: one for GPs who prescribe isotretinoin and one for GPs who do not prescribe isotretinoin. Questionnaires were distributed via email and online via GP Forum to GPs in Ireland.
Of a total 298 GPs who completed the questionnaire, 52 (17%) initiated isotretinoin. Older GPs (aged 35 years) and male GPs were more likely to prescribe isotretinoin. GPs cited prolonged dermatology waiting lists (
= 34, 65%) and a special interest in dermatology (
= 31, 60%) as two key drivers to initiating isotretinoin. However, this study found evidence of suboptimal blood monitoring, pregnancy testing, and contraceptive advice. Most GPs (
= 246, 83%) did not initiate isotretinoin and identified multiple barriers: medicolegal concerns (
= 150, 61%), being unaware that GPs may initiate isotretinoin (
= 135, 55%), and being unfamiliar with managing isotretinoin (
= 102, 41%). Important enablers to initiating isotretinoin cited by GPs include Irish College of General Practitioners guidelines (
= 118, 48%) and dermatologist support (
= 119, 48%). Two-thirds of the GPs questioned (
= 164, 67%) expressed an interest in initiating isotretinoin and most (
= 223, 91%) agreed that GPs can safely manage isotretinoin.
Few GPs in Ireland currently initiate treatment of acne with isotretinoin, and there is suboptimal adherence to recommended monitoring. Barriers to and enablers for GPs initiating isotretinoin were identified. Most GPs expressed an interest in initiating isotretinoin. |
| doi_str_mv | 10.3399/bjgp20X712337 |
| format | Article |
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To ascertain the prevalence and management of isotretinoin in Irish general practice and to describe GPs' attitudes about the use of isotretinoin in Ireland.
A cross-sectional questionnaire survey of GPs in Ireland between October 2018 and February 2019.
Two short questionnaires were developed: one for GPs who prescribe isotretinoin and one for GPs who do not prescribe isotretinoin. Questionnaires were distributed via email and online via GP Forum to GPs in Ireland.
Of a total 298 GPs who completed the questionnaire, 52 (17%) initiated isotretinoin. Older GPs (aged 35 years) and male GPs were more likely to prescribe isotretinoin. GPs cited prolonged dermatology waiting lists (
= 34, 65%) and a special interest in dermatology (
= 31, 60%) as two key drivers to initiating isotretinoin. However, this study found evidence of suboptimal blood monitoring, pregnancy testing, and contraceptive advice. Most GPs (
= 246, 83%) did not initiate isotretinoin and identified multiple barriers: medicolegal concerns (
= 150, 61%), being unaware that GPs may initiate isotretinoin (
= 135, 55%), and being unfamiliar with managing isotretinoin (
= 102, 41%). Important enablers to initiating isotretinoin cited by GPs include Irish College of General Practitioners guidelines (
= 118, 48%) and dermatologist support (
= 119, 48%). Two-thirds of the GPs questioned (
= 164, 67%) expressed an interest in initiating isotretinoin and most (
= 223, 91%) agreed that GPs can safely manage isotretinoin.
Few GPs in Ireland currently initiate treatment of acne with isotretinoin, and there is suboptimal adherence to recommended monitoring. Barriers to and enablers for GPs initiating isotretinoin were identified. Most GPs expressed an interest in initiating isotretinoin.</description><identifier>ISSN: 0960-1643</identifier><identifier>EISSN: 1478-5242</identifier><identifier>DOI: 10.3399/bjgp20X712337</identifier><identifier>PMID: 32784222</identifier><language>eng</language><publisher>England: Royal College of General Practitioners</publisher><subject>Acne ; Family physicians ; Global positioning systems ; GPS ; Primary care</subject><ispartof>British journal of general practice, 2020-09, Vol.70 (698), p.e651-e656</ispartof><rights>British Journal of General Practice 2020.</rights><rights>Copyright Royal College of General Practitioners Sep 2020</rights><rights>British Journal of General Practice 2020 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-c566c5d9e4bd490902e58656590fa27d51ee768d8f0065542c7132e4e583820a3</citedby><cites>FETCH-LOGICAL-c345t-c566c5d9e4bd490902e58656590fa27d51ee768d8f0065542c7132e4e583820a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7425202/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7425202/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32784222$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carmody, Kevin</creatorcontrib><creatorcontrib>Rouse, Martin</creatorcontrib><creatorcontrib>Nolan, Dermot</creatorcontrib><creatorcontrib>Quinlan, Diarmuid</creatorcontrib><title>GPs' practice and attitudes to initiating isotretinoin for acne vulgaris in Ireland: a cross-sectional questionnaire survey in primary care</title><title>British journal of general practice</title><addtitle>Br J Gen Pract</addtitle><description>Isotretinoin is prescribed in secondary care for severe acne vulgaris. Anecdotal reports suggest that GPs in Ireland currently initiate isotretinoin.
To ascertain the prevalence and management of isotretinoin in Irish general practice and to describe GPs' attitudes about the use of isotretinoin in Ireland.
A cross-sectional questionnaire survey of GPs in Ireland between October 2018 and February 2019.
Two short questionnaires were developed: one for GPs who prescribe isotretinoin and one for GPs who do not prescribe isotretinoin. Questionnaires were distributed via email and online via GP Forum to GPs in Ireland.
Of a total 298 GPs who completed the questionnaire, 52 (17%) initiated isotretinoin. Older GPs (aged 35 years) and male GPs were more likely to prescribe isotretinoin. GPs cited prolonged dermatology waiting lists (
= 34, 65%) and a special interest in dermatology (
= 31, 60%) as two key drivers to initiating isotretinoin. However, this study found evidence of suboptimal blood monitoring, pregnancy testing, and contraceptive advice. Most GPs (
= 246, 83%) did not initiate isotretinoin and identified multiple barriers: medicolegal concerns (
= 150, 61%), being unaware that GPs may initiate isotretinoin (
= 135, 55%), and being unfamiliar with managing isotretinoin (
= 102, 41%). Important enablers to initiating isotretinoin cited by GPs include Irish College of General Practitioners guidelines (
= 118, 48%) and dermatologist support (
= 119, 48%). Two-thirds of the GPs questioned (
= 164, 67%) expressed an interest in initiating isotretinoin and most (
= 223, 91%) agreed that GPs can safely manage isotretinoin.
Few GPs in Ireland currently initiate treatment of acne with isotretinoin, and there is suboptimal adherence to recommended monitoring. Barriers to and enablers for GPs initiating isotretinoin were identified. Most GPs expressed an interest in initiating isotretinoin.</description><subject>Acne</subject><subject>Family physicians</subject><subject>Global positioning systems</subject><subject>GPS</subject><subject>Primary care</subject><issn>0960-1643</issn><issn>1478-5242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpdkU-LFDEQxYMo7uzq0asEPOilNan86_YgyOKuCwt6UPDWZNLVY4aeZEzSA_sZ_NKmd8fF9VQF9atHvXqEvODsrRBd92693eyB_TAchDCPyIpL0zYKJDwmK9Zp1nAtxQk5zXnLGIDm7Ck5EWBaCQAr8vvya35N98m64h1SGwZqS_FlHjDTEqkPvnhbfNhQn2NJWNvoAx1jotYFpId52tjkcyXpVcKpKrynlroUc24yVtkY7ER_zZiXNlifkOY5HfBmWdknv7Pphjqb8Bl5Mtop4_NjPSPfLz59O__cXH-5vDr_eN04IVVpnNLaqaFDuR5kxzoGqFqttOrYaMEMiiMa3Q7tyJhWSoIzXADKSokWmBVn5MOd7n5e73BwGEqyU388pY_W9w8nwf_sN_HQGwkKGFSBN0eBFG-N9TufHU7VPMY59yCFZKrtjKnoq__QbZxT_chCSQ2d5u1CNXfU7dsSjvfHcNYvMfcPYq78y38d3NN_cxV_AGrCphw</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Carmody, Kevin</creator><creator>Rouse, Martin</creator><creator>Nolan, Dermot</creator><creator>Quinlan, Diarmuid</creator><general>Royal College of General Practitioners</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200901</creationdate><title>GPs' practice and attitudes to initiating isotretinoin for acne vulgaris in Ireland: a cross-sectional questionnaire survey in primary care</title><author>Carmody, Kevin ; Rouse, Martin ; Nolan, Dermot ; Quinlan, Diarmuid</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c345t-c566c5d9e4bd490902e58656590fa27d51ee768d8f0065542c7132e4e583820a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acne</topic><topic>Family physicians</topic><topic>Global positioning systems</topic><topic>GPS</topic><topic>Primary care</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carmody, Kevin</creatorcontrib><creatorcontrib>Rouse, Martin</creatorcontrib><creatorcontrib>Nolan, Dermot</creatorcontrib><creatorcontrib>Quinlan, Diarmuid</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of general practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carmody, Kevin</au><au>Rouse, Martin</au><au>Nolan, Dermot</au><au>Quinlan, Diarmuid</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>GPs' practice and attitudes to initiating isotretinoin for acne vulgaris in Ireland: a cross-sectional questionnaire survey in primary care</atitle><jtitle>British journal of general practice</jtitle><addtitle>Br J Gen Pract</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>70</volume><issue>698</issue><spage>e651</spage><epage>e656</epage><pages>e651-e656</pages><issn>0960-1643</issn><eissn>1478-5242</eissn><abstract>Isotretinoin is prescribed in secondary care for severe acne vulgaris. Anecdotal reports suggest that GPs in Ireland currently initiate isotretinoin.
To ascertain the prevalence and management of isotretinoin in Irish general practice and to describe GPs' attitudes about the use of isotretinoin in Ireland.
A cross-sectional questionnaire survey of GPs in Ireland between October 2018 and February 2019.
Two short questionnaires were developed: one for GPs who prescribe isotretinoin and one for GPs who do not prescribe isotretinoin. Questionnaires were distributed via email and online via GP Forum to GPs in Ireland.
Of a total 298 GPs who completed the questionnaire, 52 (17%) initiated isotretinoin. Older GPs (aged 35 years) and male GPs were more likely to prescribe isotretinoin. GPs cited prolonged dermatology waiting lists (
= 34, 65%) and a special interest in dermatology (
= 31, 60%) as two key drivers to initiating isotretinoin. However, this study found evidence of suboptimal blood monitoring, pregnancy testing, and contraceptive advice. Most GPs (
= 246, 83%) did not initiate isotretinoin and identified multiple barriers: medicolegal concerns (
= 150, 61%), being unaware that GPs may initiate isotretinoin (
= 135, 55%), and being unfamiliar with managing isotretinoin (
= 102, 41%). Important enablers to initiating isotretinoin cited by GPs include Irish College of General Practitioners guidelines (
= 118, 48%) and dermatologist support (
= 119, 48%). Two-thirds of the GPs questioned (
= 164, 67%) expressed an interest in initiating isotretinoin and most (
= 223, 91%) agreed that GPs can safely manage isotretinoin.
Few GPs in Ireland currently initiate treatment of acne with isotretinoin, and there is suboptimal adherence to recommended monitoring. Barriers to and enablers for GPs initiating isotretinoin were identified. Most GPs expressed an interest in initiating isotretinoin.</abstract><cop>England</cop><pub>Royal College of General Practitioners</pub><pmid>32784222</pmid><doi>10.3399/bjgp20X712337</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | British journal of general practice, 2020-09, Vol.70 (698), p.e651-e656 |
| issn | 0960-1643 1478-5242 |
| language | eng |
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| source | PubMed Central; Alma/SFX Local Collection |
| subjects | Acne Family physicians Global positioning systems GPS Primary care |
| title | GPs' practice and attitudes to initiating isotretinoin for acne vulgaris in Ireland: a cross-sectional questionnaire survey in primary care |
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