Does enough quality of life-related discussion occur during dermatology outpatient consultations?

S E David, Z Ahmed, M S Salek, A Y Finlay

Research output: Contribution to journalArticlepeer-review

34 Citations (Scopus)


BACKGROUND: Dermatologists' assessments of how their patients' lives are affected by the skin disease are of importance for informing clinical decisions. However, there is no information about how often quality of life (QoL) issues are discussed in outpatient consultations.

OBJECTIVE: To examine the relationship between the extent of QoL-related discussion during dermatology outpatient consultations, and the current impact of the disease on patients' lives.

PATIENTS AND METHODS: A total of 238 consultations were observed in a teaching dermatology outpatient department for QoL-related discussion initiated by either the clinician or the patient. Following the consultation, all patients were posted a Dermatology Life Quality Index (DLQI) questionnaire to complete and return within 1 week.

RESULTS: QoL discussion was absent in 40% of consultations. Consultants initiated the fewest QoL discussions with patients, and nurses the most (P < 0.0001). One hundred and twenty-eight (54%) patients returned the DLQI, 114 (48%) of which were evaluable. The mean score was 5.6, SD +/- 6.6, median 3, range 0-29. The mean DLQI score for the patients with whom there was no QoL discussion was 4.0 +/- 4.7, n = 55, compared with the mean DLQI score for patients with whom QoL was discussed 6.8 +/- 7.2, n = 59 (P < 0.001).

CONCLUSION: This study demonstrates that little information concerning QoL is elicited during dermatology outpatient consultations.

Original languageEnglish
Pages (from-to)997-1000
Number of pages4
JournalBritish Journal of Dermatology
Issue number5
Publication statusPublished - Nov 2005


  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Communication
  • Female
  • Health Services Research
  • Health Status Indicators
  • Humans
  • Male
  • Middle Aged
  • Nurse-Patient Relations
  • Outpatient Clinics, Hospital
  • Physician-Patient Relations
  • Prospective Studies
  • Quality of Life
  • Skin Diseases/psychology
  • Surveys and Questionnaires
  • Wales


Dive into the research topics of 'Does enough quality of life-related discussion occur during dermatology outpatient consultations?'. Together they form a unique fingerprint.

Cite this