{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T22:03:09Z","timestamp":1792015389157,"version":"4.4.0"},"reference-count":41,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Dermatology"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Hidradenitis suppurativa (HS), is a chronic inflammatory skin disorder that confers a substantial financial burden to patients. The aim of the current study was to assess the patient\u2010reported financial impact of HS. Patients presenting to a wound center between 2010 and 2021 were retrospectively reviewed. Demographics, comorbidities, and disease characteristics were collected. The financial impact of HS was assessed via the Comprehensive Score for Financial Toxicity \u2010 Functional Assessment of Chronic Illness Therapy (COST\u2010FACIT) version 2 and investigator\u2010generated surveys. Of 199 patients contacted, 27.1% (<jats:italic>n<\/jats:italic>\u2009=\u200954) completed the survey. The majority were women (77.8%, <jats:italic>n<\/jats:italic>\u2009=\u200942) and had private health insurance (<jats:italic>n<\/jats:italic>\u2009=\u200930; 55.6%). Most patients (66.7%, <jats:italic>n<\/jats:italic>\u2009=\u200936) had Hurley stage III disease. Mean follow\u2010up was 2.3\u2009+\u20092.8\u2009years. The overall COST score was 19.7\u2009+\u200912.4, indicating grade 1 financial toxicity (FT). Grade 0 FT was reported in 31.5% (<jats:italic>n<\/jats:italic>\u2009=\u200917) of patients, grade 1 in 37.0% (<jats:italic>n<\/jats:italic>\u2009=\u200920), grade 2 in 27.8% (<jats:italic>n<\/jats:italic>\u2009=\u200915), and grade 3 in 3.7% (<jats:italic>n<\/jats:italic>\u2009=\u20092). The mean self\u2010reported 12\u2010month out\u2010of\u2010pocket cost and credit scores were $2250\u2009+\u20093269.24 and 674.6\u2009+\u200995.3, respectively. Patients with private insurance had lower FT compared with Medicaid and Medicare (<jats:italic>p<\/jats:italic>\u2009=\u20090.003). Higher out\u2010of\u2010pocket costs were positively correlated with FT (<jats:italic>p<\/jats:italic>\u2009=\u20090.042), while higher credit scores were negatively correlated (<jats:italic>p<\/jats:italic>\u2009=\u20090.003). Patients with HS lesions in three or more anatomic regions reported the highest FT (<jats:italic>p<\/jats:italic>\u2009=\u20090.031). HS is a debilitating skin disorder that affects the livelihood of patients in a multifaceted manner. These patient\u2010reported outcomes highlight the impact that HS has on an individual's financial security, calling for further attention to this vulnerable population.<\/jats:p>","DOI":"10.1111\/1346-8138.16868","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T06:49:54Z","timestamp":1690526994000},"page":"1279-1286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Financial toxicity of hidradenitis suppurativa: A <scp>single\u2010center<\/scp> experience at an urban wound\u2010care clinic"],"prefix":"10.1111","volume":"50","author":[{"given":"Parhom","family":"Towfighi","sequence":"first","affiliation":[{"name":"Georgetown University School of Medicine  Washington, DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1779-8384","authenticated-orcid":false,"given":"Samuel S.","family":"Huffman","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine  Washington, DC USA"},{"name":"Department of Plastic and Reconstructive Surgery MedStar Georgetown University Hospital  Washington, DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John D.","family":"Bovill","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine  Washington, DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly D.","family":"Shan","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine  Washington, DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zo\u00eb K.","family":"Haffner","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine  Washington, DC USA"},{"name":"Department of Plastic and Reconstructive Surgery MedStar Georgetown University Hospital  Washington, DC 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