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Practice Gaps
Oct 2011

Dermatologists Should Better Integrate Quality-of-Life Measures to Inform and Improve Clinical Decision Making: Comment on “The Impact of Pruritus on Quality of Life ”

Author Affiliations

Author Affiliation: Department of Dermatology and Wound Healing, Cardiff University School of Medicine, Cardiff, United Kingdom.

Arch Dermatol. 2011;147(10):1157. doi:10.1001/archdermatol.2011.266

If we dermatologists better understood to what extent patients' lives are affected by their skin disease on an individual basis, we might make better quality clinical decisions and increase patient satisfaction with our care. Pruritus causes severe distress, but our relative impotence in curing itch may have resulted in us failing to give itch more attention. Kini et al1 challenge us to think of itch as being as important as pain. Viewing the huge network of drug strategies and social and support group interventions that are now used in the effective management of pain, the concept of itch as “skin pain ” reveals our lack of similar progress in this area.