A Closer Look at Seborrheic Keratoses: Patient Perspectives, Clinical Relevance,
Medical Necessity, and Implications for Management
#MMPMID28360965
Del Rosso JQ
J Clin Aesthet Dermatol
2017[Mar]; 10
(3
): 16-25
PMID28360965
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The author sought to discover why seborrheic keratoses that are not symptomatic
or clinically suspicious are not considered therapeutically important to most
clinicians. The author conducted an office-based, observational study examining
how the diagnosis of asymptomatic seborrheic keratoses personally affects
patients and what these patients think concerning treatment. Many patients
reported being bothered by the diagnosis of seborrheic keratoses, even when told
it's not cancerous, and indicated an interest in its treatment. Lack of insurance
coverage for the treatment of non-symptomatic seborrheic keratoses may be the
primary reason clinicians do not consider seborrheic keratoses therapeutically
important, as clinicians often find the discussion of "self payment" with their
patients to be awkward. Furthermore, patients may not understand the implications
that "lack of medical necessity" may have on their treatment options. The author
describes a clinical approach that may better serve patients and clinicians
through the compartmentalization of asymptomatic seborrheic keratoses treatment
as a cosmetic procedure within the clinical practice model.
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