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- Presentation
How to Deliver Phototherapy in 2024
Description
The presentation discusses the delivery of phototherapy in 2024, emphasizing the benefits and evolving approaches in dermatological treatment. The speaker, after acknowledging conflicts of interest, explores the historical context of phototherapy and compares home versus conventional methods. They highlight the effectiveness of home UVB phototherapy, referencing a study that demonstrated similar results to outpatient treatments while offering convenience and a preference among patients. The talk details different home device options, such as 3D and single panels, before addressing concerns of skin cancer risk associated with UV treatments. Various studies are cited, indicating that while UV light poses a theoretical risk, evidence suggests no significant increase in skin cancer from UVB phototherapy. The speaker calls attention to the importance of monitoring patients during home phototherapy, especially as treatment sessions increase, to mitigate risks. Ultimately, the session serves to provide a comprehensive overview of current practices, potential risks, and the continued relevance of phototherapy in treating skin disorders.
View moreConclusions
- Home phototherapy is equally effective and safe as conventional in-office phototherapy.
- Home phototherapy devices offer convenience and similar efficacy for treating conditions like psoriasis.
- Adherence to office-based phototherapy is low, with only 47% of psoriasis patients completing their treatment.
- The recent LITE study supports the efficacy of home UVB therapy, showing favorable outcomes.
- Large-scale studies indicate that UVB phototherapy does not significantly increase the risk of skin cancer.
- Patients prefer home phototherapy for its convenience and effectiveness compared to outpatient treatment.
- Koek et al, BMJ 2009
- Kalia et al, JAAD 2014
- Gelfand et al
- Heam, R.M.R. et al, Acta Derm Venereol 2004: 84: 370-374
- Diffey, B.L. and Farr, P.M., Department of Medical Physics, Newcastle General Hospital
- Lin et al, PPP 2019
- Wu et al, Clin Exp Derm 202 1
- Ko et al, Acta DV 2021
- Ahad et al, JAAD 2022