Perceptions and Attitudes of Primary Care Physicians Toward Dermatologic Surgery

Nuha A Alfurayh,1 Mishary Z Almishary,2 Khalid M Alghamdi1,3 1Department of Dermatology, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 2Primary Health Care Directorate, Ministry of Health, Riyadh, Saudi Arabia; 3Vitiligo Research Chair, College of Medicine, King Saud University, R...

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Main Authors: Alfurayh NA, Almishary MZ, Alghamdi KM
Format: Article
Language:English
Published: Dove Medical Press 2024-01-01
Series:Clinical, Cosmetic and Investigational Dermatology
Subjects:
Online Access:https://www.dovepress.com/perceptions-and-attitudes-of-primary-care-physicians-toward-dermatolog-peer-reviewed-fulltext-article-CCID
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author Alfurayh NA
Almishary MZ
Alghamdi KM
author_facet Alfurayh NA
Almishary MZ
Alghamdi KM
author_sort Alfurayh NA
collection DOAJ
description Nuha A Alfurayh,1 Mishary Z Almishary,2 Khalid M Alghamdi1,3 1Department of Dermatology, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 2Primary Health Care Directorate, Ministry of Health, Riyadh, Saudi Arabia; 3Vitiligo Research Chair, College of Medicine, King Saud University, Riyadh, Saudi ArabiaCorrespondence: Khalid M Alghamdi, Department of Dermatology, Vitiligo Research Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia, Email kmgderm@gmail.comPurpose: Dermatologic surgery is a well-established subspecialty in dermatology that involves various therapeutic and esthetic procedures. To date, perceptions of primary care physicians (PCPs) regarding dermatologic surgery are poorly understood. This study aimed to assess the perception and attitude of PCPs toward dermatologic surgery and explore the factors that might affect their perception and attitude toward it.Patients and Methods: This cross-sectional study used an online survey. The survey was distributed among PCPs working in various regions of Saudi Arabia and contained questions about demographics, medical training information, participants’ awareness of dermatologic surgery, and a list of 10 cutaneous procedures to select the most qualified physician performing these procedures. Univariate and multivariate analyses were performed. P≤ 0.05 was considered statistically significant.Results: In total, 440 PCPs participated in this study. Overall, 70% of the PCPs had heard about dermatologic surgery, whereas 30% had never heard about it. PCPs reported that dermatologic surgeons were the most qualified physicians to perform laser procedures (60.5%), hair transplantation (60.5%), excision of small benign and malignant skin tumors (46.1%), excision of small melanocytic nevi (55.7%), filler injection (44.8%), and injection of botulinum toxin (48.9%); 64.5% considered plastic surgeons to be the most qualified for liposuction. Both physicians were equally selected for performing cyst excision, procedures involving the fingernails and toenails, and scar correction. Multivariate analysis showed that female physicians had heard significantly more about dermatologic surgery (P=0.047, OR: 1.57, 95% CI: 1.006– 2.45) and reported that dermatologic surgeons were the most qualified physicians (P=0.042, OR: 1.51, 95% CI: 1.016– 2.25) than male physicians. PCPs working at secondary and tertiary health care hospitals heard more about dermatologic surgery (P=0.015, OR: 2.36, 95% CI: 1.18– 4.71) than those working at primary health care centers.Conclusion: Most PCPs were aware of dermatologic surgery and recognized dermatologic surgeons as the most qualified physicians to perform most cutaneous procedures.Keywords: dermatosurgery, cutaneous surgery, skin surgery, dermatologic surgeons, primary care physicians, family medicine
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spelling doaj.art-326a87424cd04919a1509c556377008d2024-01-07T18:06:43ZengDove Medical PressClinical, Cosmetic and Investigational Dermatology1178-70152024-01-01Volume 17414989507Perceptions and Attitudes of Primary Care Physicians Toward Dermatologic SurgeryAlfurayh NAAlmishary MZAlghamdi KMNuha A Alfurayh,1 Mishary Z Almishary,2 Khalid M Alghamdi1,3 1Department of Dermatology, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 2Primary Health Care Directorate, Ministry of Health, Riyadh, Saudi Arabia; 3Vitiligo Research Chair, College of Medicine, King Saud University, Riyadh, Saudi ArabiaCorrespondence: Khalid M Alghamdi, Department of Dermatology, Vitiligo Research Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia, Email kmgderm@gmail.comPurpose: Dermatologic surgery is a well-established subspecialty in dermatology that involves various therapeutic and esthetic procedures. To date, perceptions of primary care physicians (PCPs) regarding dermatologic surgery are poorly understood. This study aimed to assess the perception and attitude of PCPs toward dermatologic surgery and explore the factors that might affect their perception and attitude toward it.Patients and Methods: This cross-sectional study used an online survey. The survey was distributed among PCPs working in various regions of Saudi Arabia and contained questions about demographics, medical training information, participants’ awareness of dermatologic surgery, and a list of 10 cutaneous procedures to select the most qualified physician performing these procedures. Univariate and multivariate analyses were performed. P≤ 0.05 was considered statistically significant.Results: In total, 440 PCPs participated in this study. Overall, 70% of the PCPs had heard about dermatologic surgery, whereas 30% had never heard about it. PCPs reported that dermatologic surgeons were the most qualified physicians to perform laser procedures (60.5%), hair transplantation (60.5%), excision of small benign and malignant skin tumors (46.1%), excision of small melanocytic nevi (55.7%), filler injection (44.8%), and injection of botulinum toxin (48.9%); 64.5% considered plastic surgeons to be the most qualified for liposuction. Both physicians were equally selected for performing cyst excision, procedures involving the fingernails and toenails, and scar correction. Multivariate analysis showed that female physicians had heard significantly more about dermatologic surgery (P=0.047, OR: 1.57, 95% CI: 1.006– 2.45) and reported that dermatologic surgeons were the most qualified physicians (P=0.042, OR: 1.51, 95% CI: 1.016– 2.25) than male physicians. PCPs working at secondary and tertiary health care hospitals heard more about dermatologic surgery (P=0.015, OR: 2.36, 95% CI: 1.18– 4.71) than those working at primary health care centers.Conclusion: Most PCPs were aware of dermatologic surgery and recognized dermatologic surgeons as the most qualified physicians to perform most cutaneous procedures.Keywords: dermatosurgery, cutaneous surgery, skin surgery, dermatologic surgeons, primary care physicians, family medicinehttps://www.dovepress.com/perceptions-and-attitudes-of-primary-care-physicians-toward-dermatolog-peer-reviewed-fulltext-article-CCIDdermatosurgerycutaneous surgeryskin surgerydermatologic surgeonsprimary care physiciansfamily medicine
spellingShingle Alfurayh NA
Almishary MZ
Alghamdi KM
Perceptions and Attitudes of Primary Care Physicians Toward Dermatologic Surgery
Clinical, Cosmetic and Investigational Dermatology
dermatosurgery
cutaneous surgery
skin surgery
dermatologic surgeons
primary care physicians
family medicine
title Perceptions and Attitudes of Primary Care Physicians Toward Dermatologic Surgery
title_full Perceptions and Attitudes of Primary Care Physicians Toward Dermatologic Surgery
title_fullStr Perceptions and Attitudes of Primary Care Physicians Toward Dermatologic Surgery
title_full_unstemmed Perceptions and Attitudes of Primary Care Physicians Toward Dermatologic Surgery
title_short Perceptions and Attitudes of Primary Care Physicians Toward Dermatologic Surgery
title_sort perceptions and attitudes of primary care physicians toward dermatologic surgery
topic dermatosurgery
cutaneous surgery
skin surgery
dermatologic surgeons
primary care physicians
family medicine
url https://www.dovepress.com/perceptions-and-attitudes-of-primary-care-physicians-toward-dermatolog-peer-reviewed-fulltext-article-CCID
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