{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:56:53Z","timestamp":1791212213858,"version":"4.1.0"},"reference-count":16,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2015,11,30]]},"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To estimate the prevalence of dermatological disease in aged care facilities, and the relationship between cognitive or physical disability and significant disease.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>2 large aged care facilities in Auckland, New Zealand, each providing low and high level care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>All 161 residents of the facilities were invited to participate. The only exclusion criterion was inability to obtain consent from the individual or designated guardian. 88 participants were recruited\u201466 females (75%), 22 males (25%) with average age 87.1\u2005years (SD 5.5\u2005years).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Primary and secondary outcome measures<\/jats:title>\n                  <jats:p>\n                     <jats:italic>Primary<\/jats:italic>\u2014presence of significant skin disease (defined as that which in the opinion of the investigators needed treatment or was identified as a patient concern) diagnosed clinically on full dermatological examination by a dermatologist or dermatology trainee. <jats:italic>Secondary<\/jats:italic>\u2014functional and cognitive status (Rehabilitation Complexity Scale and Abbreviated Mental Test Score).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>81.8% were found to have at least one significant condition. The most common disorders were onychomycosis 42 (47.7%), basal cell carcinoma 13 (14.8%), asteototic eczema 11 (12.5%) and squamous cell carcinoma in situ 9 (10.2%). Other findings were invasive squamous cell carcinoma 7 (8%), bullous pemphigoid 2 (2.3%), melanoma 2 (2.3%), lichen sclerosus 2 (2.3%) and carcinoma of the breast 1 (1.1%). Inflammatory disease was more common in those with little physical disability compared with those with serious physical disability (OR 3.69; 95% CI 1.1 to 12.6, p=0.04). No significant association was found between skin disease and cognitive impairment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>A high rate of dermatological disease was found. Findings ranged from frequent but not life-threatening conditions (eg, onychomycosis), to those associated with a significant morbidity (eg, eczema, lichen sclerosus and bullous pemphigoid), to potentially life-threatening (eg, squamous cell carcinoma, melanoma and breast cancer). Those with less significant physical impairment were found to be at greater risk of inflammatory dermatoses.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2015-009941","type":"journal-article","created":{"date-parts":[[2015,12,23]],"date-time":"2015-12-23T21:16:55Z","timestamp":1450905415000},"page":"e009941","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":31,"title":["Dermatological disease in the older age group: a cross-sectional study in aged care facilities"],"prefix":"10.1136","volume":"5","author":[{"given":"Maneka S","family":"Deo","sequence":"first","affiliation":[{"name":"Department of Dermatology, Middlemore Hospital, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5992-3681","authenticated-orcid":false,"given":"Ngaire","family":"Kerse","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences, School of Population Health, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain C","family":"Vandal","sequence":"additional","affiliation":[{"name":"Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand and Ko Awatea, Counties Manukau District Health Board, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Jarrett","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Middlemore Hospital, Auckland, New Zealand"},{"name":"Department of Medicine, The University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,12,23]]},"reference":[{"key":"2025101810171798000_5.12.e009941.1","unstructured":"Government NZ. National Population Projections: 2011(base)\u20132061. 2012 (18 May 2014). http:\/\/www.stats.govt.nz\/browse_for_stats\/population\/estimates_and_projections\/NationalPopulationProjections_HOTP2011.aspx"},{"key":"2025101810171798000_5.12.e009941.2","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1046\/j.1365-4362.2002.01425.x","article-title":"Prevalence of skin disease among nursing home patients in southern Taiwan","volume":"41","author":"Smith","year":"2002","journal-title":"Int J Dermatol"},{"key":"2025101810171798000_5.12.e009941.3","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.archger.2007.07.007","article-title":"Dermatological findings in the senior population of nursing homes in Turkey","volume":"47","author":"Kili\u00e7","year":"2008","journal-title":"Arch Gerontol Geriatr"},{"key":"2025101810171798000_5.12.e009941.4","first-page":"147","article-title":"Pattern of skin diseases in the elderly seen at the National Skin Centre (Singapore) 1990","volume":"35","author":"Yap","year":"1994","journal-title":"Singapore Med J"},{"key":"2025101810171798000_5.12.e009941.5","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1159\/000051778","article-title":"Pattern of skin diseases in a geriatric patient group in Taiwan: a 7-year survey from the outpatient clinic of a university medical center","volume":"203","author":"Liao","year":"2001","journal-title":"Dermatology"},{"key":"2025101810171798000_5.12.e009941.6","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1046\/j.1529-8019.2003.01636.x","article-title":"Geriatric dermatology","volume":"16","author":"Norman","year":"2003","journal-title":"Dermatol Ther"},{"key":"2025101810171798000_5.12.e009941.7","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/j.1741-6612.2005.00084.x","article-title":"Prevalence of skin disease among the elderly in different clinical environments","volume":"24","author":"Smith","year":"2005","journal-title":"Aust J Ageing"},{"key":"2025101810171798000_5.12.e009941.8","doi-asserted-by":"crossref","first-page":"278","DOI":"10.5021\/ad.2013.25.3.278","article-title":"Prevalence and risk factors of depression in geriatric patients with dermatological diseases","volume":"25","author":"Kim","year":"2013","journal-title":"Ann Dermatol"},{"key":"2025101810171798000_5.12.e009941.9","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/1.4.233"},{"key":"2025101810171798000_5.12.e009941.10","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1111\/j.1467-842X.2004.tb00933.x","article-title":"Wearing slippers, falls and injury in residential care","volume":"28","author":"Kerse","year":"2004","journal-title":"Aust N Z J Public Health"},{"key":"2025101810171798000_5.12.e009941.11","first-page":"500","article-title":"Dependency levels of people in aged care institutions in Auckland","volume":"103","author":"Bonita","year":"1990","journal-title":"N Z Med J"},{"key":"2025101810171798000_5.12.e009941.12","first-page":"553","article-title":"A profile of the 7500 people in aged-care institutions in Auckland","volume":"103","author":"Bonita","year":"1990","journal-title":"N Z Med J"},{"key":"2025101810171798000_5.12.e009941.13","unstructured":"Booth T . Home truths: old people's homes and the outcome of care. 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