Guest guest Posted July 17, 2002 Report Share Posted July 17, 2002 > Article on laser treatment (note that everything looked better, > except patients didn't agree!) Rick, in my experience disagreement between patients and physicians in severity of condition isn't unusual; in fact, I'd think it's the norm. Patients often feel their conditions are worse than physicians assess, perhaps because each uses a different " standard " -- patients understandably judge their condition against their old condition-free state, whereas physicians judge a condition against the whole human spectrum of normal, atypicals, and disease states. It's impossible to know without seeing the full-text article, but the abstract describes agreement on the more important variables of symptom improvement, patient tolerance, and side effects. (For what it's worth, on a " study " of 12 patients without selection critera or objective method of scoring. <g>) Marjorie Marjorie Lazoff, MD > 1: Lasers Med Sci 2002;17(1):26-33 > > Laser treatment of erythema and telangiectasia associated with > rosacea. > > SM, Lanigan SW, Marks R. > > Department of Dermatology, The University Hospital of Wales, Heath > Park, Cardiff, UK. > > The response of rosacea-associated erythema and telangiectasia to > treatment with the pulsed tunable dye laser (PDL) was evaluated in > 12 patients. Improvements in erythema, telangiectasia, flushing, the > physician's and the patient's perception of overall severity, > treatment tolerability, and the adverse side effects were examined. > With the sole exception of the patient's assessment of overall > severity we have found highly significant improvements in all other > parameters evaluated, with excellent tolerance of treatment. We > therefore conclude that the PDL is a safe and effective treatment for > the erythemato-telangiectatic component of rosacea. > > PMID: 11845365 [PubMed - indexed for MEDLINE] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2002 Report Share Posted July 17, 2002 > Article on laser treatment (note that everything looked better, > except patients didn't agree!) Rick, in my experience disagreement between patients and physicians in severity of condition isn't unusual; in fact, I'd think it's the norm. Patients often feel their conditions are worse than physicians assess, perhaps because each uses a different " standard " -- patients understandably judge their condition against their old condition-free state, whereas physicians judge a condition against the whole human spectrum of normal, atypicals, and disease states. It's impossible to know without seeing the full-text article, but the abstract describes agreement on the more important variables of symptom improvement, patient tolerance, and side effects. (For what it's worth, on a " study " of 12 patients without selection critera or objective method of scoring. <g>) Marjorie Marjorie Lazoff, MD > 1: Lasers Med Sci 2002;17(1):26-33 > > Laser treatment of erythema and telangiectasia associated with > rosacea. > > SM, Lanigan SW, Marks R. > > Department of Dermatology, The University Hospital of Wales, Heath > Park, Cardiff, UK. > > The response of rosacea-associated erythema and telangiectasia to > treatment with the pulsed tunable dye laser (PDL) was evaluated in > 12 patients. Improvements in erythema, telangiectasia, flushing, the > physician's and the patient's perception of overall severity, > treatment tolerability, and the adverse side effects were examined. > With the sole exception of the patient's assessment of overall > severity we have found highly significant improvements in all other > parameters evaluated, with excellent tolerance of treatment. We > therefore conclude that the PDL is a safe and effective treatment for > the erythemato-telangiectatic component of rosacea. > > PMID: 11845365 [PubMed - indexed for MEDLINE] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2002 Report Share Posted July 17, 2002 > Article on laser treatment (note that everything looked better, > except patients didn't agree!) Rick, in my experience disagreement between patients and physicians in severity of condition isn't unusual; in fact, I'd think it's the norm. Patients often feel their conditions are worse than physicians assess, perhaps because each uses a different " standard " -- patients understandably judge their condition against their old condition-free state, whereas physicians judge a condition against the whole human spectrum of normal, atypicals, and disease states. It's impossible to know without seeing the full-text article, but the abstract describes agreement on the more important variables of symptom improvement, patient tolerance, and side effects. (For what it's worth, on a " study " of 12 patients without selection critera or objective method of scoring. <g>) Marjorie Marjorie Lazoff, MD > 1: Lasers Med Sci 2002;17(1):26-33 > > Laser treatment of erythema and telangiectasia associated with > rosacea. > > SM, Lanigan SW, Marks R. > > Department of Dermatology, The University Hospital of Wales, Heath > Park, Cardiff, UK. > > The response of rosacea-associated erythema and telangiectasia to > treatment with the pulsed tunable dye laser (PDL) was evaluated in > 12 patients. Improvements in erythema, telangiectasia, flushing, the > physician's and the patient's perception of overall severity, > treatment tolerability, and the adverse side effects were examined. > With the sole exception of the patient's assessment of overall > severity we have found highly significant improvements in all other > parameters evaluated, with excellent tolerance of treatment. We > therefore conclude that the PDL is a safe and effective treatment for > the erythemato-telangiectatic component of rosacea. > > PMID: 11845365 [PubMed - indexed for MEDLINE] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2002 Report Share Posted July 17, 2002 > Article on laser treatment (note that everything looked better, > except patients didn't agree!) Rick, in my experience disagreement between patients and physicians in severity of condition isn't unusual; in fact, I'd think it's the norm. Patients often feel their conditions are worse than physicians assess, perhaps because each uses a different " standard " -- patients understandably judge their condition against their old condition-free state, whereas physicians judge a condition against the whole human spectrum of normal, atypicals, and disease states. It's impossible to know without seeing the full-text article, but the abstract describes agreement on the more important variables of symptom improvement, patient tolerance, and side effects. (For what it's worth, on a " study " of 12 patients without selection critera or objective method of scoring. <g>) Marjorie Marjorie Lazoff, MD > 1: Lasers Med Sci 2002;17(1):26-33 > > Laser treatment of erythema and telangiectasia associated with > rosacea. > > SM, Lanigan SW, Marks R. > > Department of Dermatology, The University Hospital of Wales, Heath > Park, Cardiff, UK. > > The response of rosacea-associated erythema and telangiectasia to > treatment with the pulsed tunable dye laser (PDL) was evaluated in > 12 patients. Improvements in erythema, telangiectasia, flushing, the > physician's and the patient's perception of overall severity, > treatment tolerability, and the adverse side effects were examined. > With the sole exception of the patient's assessment of overall > severity we have found highly significant improvements in all other > parameters evaluated, with excellent tolerance of treatment. We > therefore conclude that the PDL is a safe and effective treatment for > the erythemato-telangiectatic component of rosacea. > > PMID: 11845365 [PubMed - indexed for MEDLINE] Quote Link to comment Share on other sites More sharing options...
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