Background Dermatologic conditions cause morbidity and mortality among hospitalized cancer patients. An improved understanding is critical for implementing clinical and research programs in inpatient oncodermatology. Objective To characterize inpatient dermatology consultations at a large comprehensive cancer center. Methods Retrospective database query of new admissions and medical record review of initial inpatient dermatology consultations comparing consulted inpatients with non-consulted inpatients from January-December 2015. Results In total, 412 of 11,533 inpatients received 471 dermatology consultations (54% male, median age 59.5). Patients with hematologic cancers were six times more likely to receive dermatologic consultations compared to non-hematologic cancers (OR 6.56, 95%CI (5.35, 8.05), p<.0001). Patients consulted by dermatology had significantly longer length of stay (median 11 vs 5 days, p<.0001). Among the 645 dermatologic conditions diagnosed, the most common categories were inflammatory diseases, infections, and drug reactions; the most frequent conditions were contact dermatitis, herpes zoster, and chemotherapy-induced drug eruptions. Limitations The study’s retrospective nature and single-institutional setting are potential limitations. Conclusion Hematologic malignancies are a significant risk factor for dermatology inpatient consultations. A significantly longer length of stay was associated with dermatology consultations, suggesting high comorbidities in these patients. Increased dermatologic care of these inpatients may improve quality of life, dermatologic health, and ability to receive anticancer agents.
【저자키워드】 Cancer, Infection, adverse event, Referral, consultation, Inflammatory, Inpatient, hematologic, oncodermatology,