{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T20:21:23Z","timestamp":1774297283382,"version":"3.50.1"},"reference-count":27,"publisher":"Royal College of General Practitioners","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJGP Open"],"accepted":{"date-parts":[[2025,6,24]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Scabies cases are rising in several high-income European countries, but its true incidence remains unclear owing to its non-notifiable status. GPs play a key role in managing scabies, yet the impact on primary care is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess the epidemiology and care burden of scabies-related episodes in general practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design &amp; setting<\/jats:title>\n                    <jats:p>A retrospective longitudinal study using pseudonymised data from Dutch GPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Data from five general practices, covering nearly 40 000 patients from 2014\u20132023, were analysed. Scabies-related episode incidence, time between scabies-related symptoms and first GP encounter (patient\u2019s delay), time between first GP encounter and scabies diagnosis (doctor\u2019s delay), and care burden were compared between two periods: 2014\u20132020 (low incidence) and 2021\u20132023 (high incidence).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 1525 scabies-related episodes, including 4555 recorded encounters, were included. Between 2014 and 2023, the incidence increased from 99 to 1341 episodes per 100 000 patient-years, with encounters rising from 614 to 2438 per 100 000 patient-years between the two periods. The largest increase in encounters occurred in those aged 17\u201325 years (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001) and in females (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.002). Patient delays &gt;28 days decreased from 26.4% to 14.3%. Scabies diagnoses during initial consultations improved from 84.9% to 92.3%. Encounters without interventions declined from 36.9% to 14.4%. Medical prescriptions and referrals per 100 000 patient-years increased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings highlight an exponential increase in scabies-related episodes, significantly increasing the burden on general practices. Regions experiencing rising scabies incidence rates should prioritise public health interventions to curb transmission, which require a coordinated clinical and public health response.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgpo.2025.0037","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T12:45:13Z","timestamp":1754657113000},"page":"BJGPO.2025.0037","source":"Crossref","is-referenced-by-count":2,"title":["Rising scabies incidence and the growing burden on GPs: a retrospective longitudinal study"],"prefix":"10.3399","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3442-4966","authenticated-orcid":false,"given":"Saskia C","family":"van der Boor","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0149-0454","authenticated-orcid":false,"given":"Ines","family":"Figaroa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7703-6250","authenticated-orcid":false,"given":"Annemarie A","family":"Uijen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3471-0329","authenticated-orcid":false,"given":"Stijn FH","family":"Raven","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4269-0041","authenticated-orcid":false,"given":"Cornelia HM","family":"van 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