Publications by authors named "Daniel B Shin"
Article Synopsis
- The study compares the effectiveness of home-based vs. office-based phototherapy for psoriasis, highlighting that while office therapy is cost-effective, it’s often hard to access compared to the more patient-preferred home therapy, which lacks sufficient clinical data, especially for those with darker skin.
- Conducted across 42 dermatology practices in the US, the trial involved 783 participants aged 12 and older with psoriasis, who were randomly assigned to either home or office phototherapy for 12 weeks, followed by another 12 weeks of observation.
- Results showed that home phototherapy led to better skin clearance and quality of life improvements, with 32.8% of participants achieving clear skin compared to
The Press Ganey (PG) Outpatient Medical Practice Survey measures patients' experiences of healthcare access in the U.S. We aimed to identify differences in experiences of access to care by patient race, ethnicity, and other sociodemographic characteristics, an important first step in informing health policy and ensuring equitable healthcare delivery.
View Article and Find Full Text PDFImportance: Chronic graft-vs-host disease (GVHD) is associated with impaired quality of life and symptom burden. The independent association of skin involvement with patient-reported outcomes (PROs) and their utility as a clinical prognostic marker remain unknown. Identification of patients with cutaneous chronic GVHD and impaired PROs could assist in initial risk stratification and treatment selection.
View Article and Find Full Text PDFBackground: Atopic dermatitis (AD) is thought to precede the onset of other allergic illness (OAI) in a temporal progression (ie, atopic march), yet the timing and progression has been questioned. It is also unclear how parental allergic illness impacts the development of these illnesses in offspring.
Objective: (1) Explore risk of incident AD and (2) timing of allergic disease onset in children of mothers with AD compared with mothers without AD from the United Kingdom.
Incident Asthma, Asthma Exacerbations, and Asthma-Related Hospitalizations in Patients With Atopic Dermatitis.
J Allergy Clin Immunol Pract
February 2024
Background: Atopic dermatitis (AD) is thought to induce asthma via the "atopic march," but the effects of AD on incident asthma and asthma severity have not been fully characterized.
Objective: To determine risk of asthma, asthma exacerbations, and asthma-related hospitalizations among patients fwith AD.
Methods: A cohort study was conducted using electronic health records data from UK general practices from 1994 to 2015.
Article Synopsis
- Atopic dermatitis (AD) is a skin disease that often starts early in life and can last a long time.
- The study looked at whether babies exposed to antibiotics before birth or in the first three months of life are more likely to get AD.
- Results showed that babies exposed to antibiotics had a 20-80% higher chance of developing AD, especially when their moms didn’t have AD.
Neuropsychiatric disorders in adults with atopic dermatitis: A population-based cohort study.
J Eur Acad Dermatol Venereol
March 2024
Background: Atopic dermatitis (AD) may be associated with an increased burden of neuropsychiatric outcomes such as anxiety and depression, but longitudinal data on the impact of AD severity is lacking, and a comprehensive assessment of neuropsychiatric disease in adults with AD is needed.
Objectives: Determine risk of incident neuropsychiatric disease among adults with AD by severity.
Methods: A cohort study using electronic health records data from UK general practices from 1994 to 2015.
Importance: Data on the association between atopic dermatitis (AD) and inflammatory bowel disease (IBD) are inconsistent. Few studies have examined the association of AD or AD severity with risk of ulcerative colitis (UC) and Crohn disease (CD) separately.
Objectives: To examine the risk of new-onset IBD, UC, and CD in children and adults with AD.
Article Synopsis
- The COVID-19 pandemic accelerated the use of teledermatology, leading to a continued reliance on virtual dermatology appointments over traditional in-person visits.
- This study aimed to identify patient demographics and factors affecting participation in teledermatology, particularly in terms of using photographs versus other methods.
- Analysis of data from 5,717 patients revealed that a majority preferred video over phone visits, but only about 31.75% submitted photographs; those who did were predominantly White, had better insurance and income, and were more likely to have access to technology.
Incidence of Cardiovascular Disease and Venous Thromboembolism in Patients With Atopic Dermatitis.
J Allergy Clin Immunol Pract
October 2023
Background: Atopic dermatitis (AD) may increase risk for atherothrombotic and cardiovascular (CV) disease.
Objective: Determine CV disease and venous thromboembolism risk among patients with AD.
Methods: Cohort study using electronic health data from U.
Background: Atopic dermatitis (AD) is associated with immunological dysfunction, which may influence cancer development. Previous studies of AD and cancer demonstrate inconsistent results and few of these studies examined children or AD severity and treatment.
Objectives: To determine malignancy risk among children and adults with AD.
Article Synopsis
- Psoriasis is a skin condition that can lead to other health issues, and a medicine called apremilast is used to help with it.
- Researchers wanted to see how apremilast affects heart health and fat in the body after treatment.
- In a study with 70 people, they found that while there were some positive changes in certain body markers, there wasn't much change in aortic inflammation after taking apremilast for 16 or 52 weeks.
Atopic dermatitis and risk of major neuropsychiatric disorders in children: A population-based cohort study.
J Eur Acad Dermatol Venereol
January 2023
Background: Paediatric atopic dermatitis (AD) has been linked to neuropsychiatric comorbidities such as depression, anxiety and attention-deficit/hyperactivity disorder (ADHD). However, longitudinal data are limited, and the effect of AD severity on neuropsychiatric outcomes requires further characterization.
Objectives: To determine the risk of several major neuropsychiatric conditions in children with AD.
Objective: Increasing psoriasis severity has been associated with comorbidities including cardiovascular disease. The objective of this study was to examine the association of psoriasis severity with the development of PsA.
Methods: A prospective population-based cohort study was performed within The Health Improvement Network, a UK medical record database.
Article Synopsis
- The study looked at how kids with psoriasis are treated with medications and light therapy in the United States.
- It found that more kids were getting these treatments from 2001 to 2016, with different medications lasting varying times before being stopped.
- Some medications like ustekinumab and etanercept worked better than others, meaning kids stayed on those treatments longer before stopping.