+++ NLH Skin Disorders Specialist Library Update - October 2006
Section One: Introduction
Section Two: Newly published resources
01: Cochrane Systematic Review - Laser and photoepilation for unwanted
02: NCCSDO Briefing Paper - An assessment of the clinical effectiveness,
cost and viability of NHS General Practitioners with Special Interest
03: DermNet NZ resource - Skin problems from stomas
04: DermNet NZ resource - Necrobiosis lipoidica
05: DermNet NZ resource - Lichenoid keratosis
06: DermNet NZ resource - Epidermodysplasia verruciformis
07: DermNet NZ resource - Mole mapping
08: Dermnet NZ resource - Excimer 308-nm laser treatment
09: NHS Direct Online encyclopaedia topic - Leg ulcer
10: NHS Direct Online encyclopaedia topic - Noonan syndrome (Noonans'
Section Three: Resources recently added to the Skin Disorders Specialist
11: Database of Abstracts of Reviews of Effects (DARE)
12: Clinical Reviews from the British Medical Journal
Section Four: Events
Section Five: Notes
++ Section One: Introduction.
Welcome to the October 2006 Update from the NLH Skin Disorders
If you find this e-mail newsletter useful please tell your colleagues,
and feel free to forward it others who might be interested. We welcome
all feedback and suggestions for improvement, either by the "Contact us"
facility on the website or by e-mail to Douglas Grindlay at
[log in to unmask]
As the URLs for database records in the Library are very long, it is not
practical to give individual links in this text-based e-mail, as they
will spill over several lines and may not work in some e-mail readers.
However, links to all recently added items in the Library can be found
in the "What's New" section of the home page at www.library.nhs.uk/skin.
For the latest news in dermatology, visit the Library's News section,
which is available by clicking the "News" button near the top of the
left-hand menu, or by following this link:
++ Section Two: Newly published resources.
+01: Cochrane Systematic Review - Laser and photoepilation for unwanted
Hair removal with laser devices (alexandrite, diode, neodymium:YAG, and
ruby lasers) and intense pulsed light are widespread methods for hair
removal although the long-term effect is uncertain. Eleven randomised
controlled trials were included in this systematic review, none of which
were of high quality. A large number of trials were excluded, mainly
because of their non-randomised designs. There appeared to be a
short-term effect of approximately 50% hair reduction with alexandrite
and diode lasers up to six months after treatment, whereas there was
little evidence for an effect with intense pulsed light, neodymium:YAG
or ruby lasers. Long-term hair removal was not recorded for any
treatment. Infrequently reported adverse effects were pain, skin
redness, swelling, burned hairs and pigmentary changes.
+02: NCCSDO Briefing Paper - An assessment of the clinical
effectiveness, cost and viability of NHS General Practitioners with
Special Interest (GPSI) services
This briefing paper published in September 2006 by the National
Co-ordinating Centre for NHS Service Delivery and Organisation Research
& Development (NCCSDO) summarises the main findings of two separate
studies of General Practitioners with a Special Interest (GPSI)
services. The research aimed to assess the cost-effectiveness of GPSI
services and their impact on hospital referral rates and waiting times
for appointments. Four out of the five GPSI clinics studied were in
dermatology. An important finding was that the total cost to the NHS of
GPSI clinics varied widely but was always more expensive than hospital
clinics, and in at least one case cost nearly twice as much as the
hospital service. When patient costs were taken into account, GPSI
clinics were still more expensive. Please see our database record or the
original resource for a summary of the other findings.
+03: DermNet NZ resource - Skin problems from stomas
+04: DermNet NZ resource - Necrobiosis lipoidica
+05: DermNet NZ resource - Lichenoid keratosis
+06: DermNet NZ resource - Epidermodysplasia verruciformis
+07: DermNet NZ resource - Mole mapping
+08: Dermnet NZ resource - Excimer 308-nm laser treatment
DermNet NZ information resources on skin conditions describe each
condition's signs and symptoms, causes, and treatment and management,
and are well-illustrated by colour photographs. Most include a direct
link to the relevant eMedicine article for more detailed information.
+09: NHS Direct Online encyclopaedia topic - Leg ulcer
+10: NHS Direct Online encyclopaedia topic - Noonan syndrome (Noonan's
The NHS Direct Online Health Encyclopaedia presents high quality
information aimed at the general public on the symptoms, causes,
diagnosis, treatment, complications and prevention of medical
conditions. It also provides links to selected resources for further
++ Section Three: Resources recently added to the Skin Disorders
+11: Database of Abstracts of Reviews of Effects (DARE)
As noted in the last e-mail update, an important new development in the
content of the Skin Disorders Specialist Library is the addition of
abstracts from the Database of Abstracts of Reviews of Effects (DARE),
which is produced by the Centre for Reviews and Dissemination (CRD) at
the University of York. DARE contains over 4000 abstracts of quality
assessed and critically appraised systematic reviews, focusing on the
effects of interventions used in health and social care. We have now
finished adding the existing DARE abstracts that are relevant to the
scope of the Skin Disorders Specialist Library and these usefully
complement the Cochrane Systematic Reviews already in the Library. There
are currently 78 DARE abstracts in the Skin Disorder Specialist Library;
the full list can be seen via the link in the "What's New" section of
the Skin Disorders Specialist Library Home Page. As new DARE abstracts
appear, these will be added to the Library and will be featured
individually in our monthly e-mail updates. The relatively small number
of DARE abstracts that we have linked to shows just how few systematic
reviews are published in dermatology compared to other specialties,
especially as many of the systematic reviews concerned are on wounds and
ulcers rather than traditional dermatological conditions.
+12: Clinical Reviews from the British Medical Journal
We are now linking to relevant Clinical Reviews published in the British
Medical Journal (BMJ). Though not systematic reviews, these are of high
quality and are useful summaries of the evidence. We currently link to
eleven, and the list can be seen via the link in the "What's New"
section of the Skin Disorders Specialist Library Home Page. Please note
that for the first year after publication, access to these BMJ resources
is controlled, and a valid ATHENS password, BMJ subscription or BMA
membership is required to read the full text.
++ Section Four: Events.
+ 6th-13th November 2006 - Psoriasis Awareness Week, Psoriasis
+ 9th-11th November 2006 - International Society of Dermatopathology,
27th Symposium, Malaga, Spain
+ 10th November 2006 - Molecular and clinical aspects of melanocyte
differentiation, growth and functioning, Rene Touraine Foundation for
Research in Dermatology, Paris, France.
+ 13th-15th November 2006 - Wounds UK 2006 Wound Care Conference,
+ 16th November 2006 - BSDS Clinical Meeting: Reconstructive Surgery,
+ 17th-18th November 2006 - Cancer and the Skin, The Annual UK
Dermatology Course for Consultants, London (NOW FULLY BOOKED).
+ 1st December 2006 - Key Advances in the Clinical Management of
Psoriasis (organised by the Royal Society of Medicine), London.
+ 4th-5th January 2007 - Learning, Teaching and Assessment in
Dermatology, Oxford (NOW FULLY BOOKED)
+ 2nd-6th February 2007 - American Academy of Dermatology (AAD), 65th
Annual Meeting, Washington DC, USA.
For details of the above events please click on the "Events" tab in the
Library or follow this link:
If you are organising a conference or other event of interest to health
professionals in the field of dermatology, please let us know and we can
add it to our events diary.
++ Section Five: Notes.
This newsletter has been produced using the Text Email Newsletter (TEN)
Standard, which is designed to improve the readability of plain text
email newsletters by all readers, including people with visual
impairments using special access technologies. For more details see the
homepage for the TEN Standard: http://www.headstar.com/ten/.
The provision of a link to an item in this newsletter shall not be taken
as an endorsement of any kind. Whilst reasonable efforts have been made
to ensure the accuracy of the information in this newsletter, we cannot
guarantee its correctness or completeness.
To join or leave this news group please visit the NLH-SKIN-CONDITIONS
registration page on the JISCmail web site:
Dr. Douglas Grindlay
Dermatology Information Specialist
NLH Skin Disorders Specialist Library
Centre of Evidence Based Dermatology
King's Meadow Campus
University of Nottingham
Tel: 0115 8468630
E-mail: [log in to unmask]
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