Identifying Performance Gaps in Comorbidity and Risk Factor Screening, Prevention, and Counseling Behaviors of Providers Caring for XXXX with Psoriasis.

@entity1 @entity286 @entity407 @entity1569 @entity101 @entity6 @entity413 @entity922
BACKGROUND/OBJECTIVES: Comorbidities and risk factors are associated with pediatric @entity1569 . It is unknown whether pediatricians and dermatologists ask about, record, or counsel on pediatric @entity1569 risk factors and comorbidities. The aim of our study was to assess the rate at which pediatricians and dermatologists inquire about, counsel on, and document pediatric @entity1569 risk factors and comorbidities in a stable population. METHODS: This was a retrospective chart review from 2011 to 2013 in a large, @entity922 , the Marshfield Epidemiologic Study Area. @entity1 were @entity1 ages 18 years and younger with @entity1569 . Rates of counseling and screening for pediatric @entity1569 risk factors and comorbidities by pediatricians and dermatologists were determined. RESULTS: Thirty @entity1 qualified for the study. Data were collected on body mass index (BMI) and @entity286 exposure. Caregiver counseling rates on these factors were low; 66.7% and 60% did not receive counseling on BMI reduction or family member smoking cessation, respectively. Counseling on stress as a risk factor was performed at only one @entity1 's dermatology visit (3.3%). Lipid panels were collected for 40% of @entity1 and fasting @entity413 levels for 33.3% since the date of first @entity1569 diagnosis. Blood pressure was collected for all @entity1 . Only 13.3% of @entity1 were counseled on the @entity1569 comorbidity @entity407 , 10% on @entity101 , and 3.3% on @entity6 . CONCLUSIONS: Dermatologists and pediatricians have a low rate of counseling, documenting, and screening for pediatric @entity1569 risk factors and comorbidities, suggesting that @entity1569 comorbidity education is an aspect of the @entity1 visit that may need improvement. Pediatric @entity1569 counseling and screening guidelines are needed.
