Trends in office visits and treatment for urticaria in children in the United States, 1998-2016.
Pediatr Dermatol
; 38(5): 1162-1168, 2021 Sep.
Article
en En
| MEDLINE
| ID: mdl-34339077
ABSTRACT
BACKGROUND/OBJECTIVES:
Urticaria is a common condition with an estimated prevalence of up to 23% in the pediatric population. Studies characterizing visits and treatments for urticaria in the pediatric population are unavailable. Understanding visit and treatment trends for urticaria in the pediatric population may help inform care for patients with urticaria.METHODS:
A total of 108 278 outpatient records from the National Ambulatory Medical Care Survey representing 3.4 billion visits by patients of age 18 and younger were analyzed. This study included the calendar years 1998 through 2016.RESULTS:
Pediatricians saw the largest proportion of all visits (52.7%). Male and female patients accounted for approximately equal proportions of all visits for urticaria. There was a slight male predominance in visits to pediatricians (53.7%), whereas dermatologists saw female patients more frequently (63.3%). Most visits for urticaria were by non-Hispanic (78.1%) and White (78.2%) patients. H1 antihistamines were the most commonly prescribed treatment (70.3%), whereas topical corticosteroids were prescribed least frequently (4.9%). Topical corticosteroids were most frequently prescribed by dermatologists (7.7%). Non-H1 antihistamine and non-corticosteroid therapy were prescribed in 9.7% of all visits and in 4.5% of visits to pediatricians. Most visits for urticaria were to physicians in metropolitan areas (88.8%). Pediatricians saw the highest number of non-metropolitan area visits (56.3%).CONCLUSIONS:
H1 antihistamines were the most commonly used therapy (70%), consistent with established treatment guidelines. Male and female pediatric patients present equally often for urticaria, but sex differences were seen with visit frequencies to certain specialties.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Visita a Consultorio Médico
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Urticaria
Tipo de estudio:
Guideline
/
Qualitative_research
/
Risk_factors_studies
Límite:
Adolescent
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Child
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Female
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Humans
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Male
País como asunto:
America do norte
Idioma:
En
Año:
2021
Tipo del documento:
Article