Jeffrey F. Scott's research while affiliated with Johns Hopkins University and other places

Publications (97)

Article
Full-text available
Little is known regarding the characteristics of newborns with congenital cutaneous hemangioma (CH) and the burden of CH on newborn care. The objective of this study is to describe the burden of CH on newborn inpatient stays in the United States. Specific aims include characterizing newborns with CH, assessing factors predictive of CH and procedure...
Article
Importance Medicare enrollment, dermatologist utilization of Medicare, and dermatologic procedural volume have all increased over time. Despite this, there are limited studies evaluating changes in Medicare reimbursement within dermatology. Objective To identify trends in Medicare reimbursement for 46 common dermatologic procedures from 2007 to 20...
Article
Full-text available
Background: Merkel cell carcinoma (MCC) primary site has been incompletely investigated as a potential prognostic factor. Objective: To determine the incidence of MCC disease-specific death by tumor primary site. Methods: Retrospective analysis of the Survival, Epidemiology, and End Results (SEER) database (1973-2016). MCC patients were groupe...
Article
Full-text available
Public cancer databases, such as the National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) Program, are increasingly used for cutaneous oncology research.¹ However, coding discrepancies among staging variables in SEER data may inaccurately estimate patient outcomes.² The objective of this cohort study was to explore inconsi...
Article
Full-text available
Knowledge regarding the inpatient burden of scabies is limited, as previous studies have focused on epidemiologic trends in the outpatient setting. Using the National Inpatient Sample to identify sociodemographic factors associated with scabies in hospitalized patients, we found that patients who were aged 40 to 64, male, homeless, Medicaid-insured...
Article
Full-text available
Little is known regarding the burden of sunburns leading to emergency department (ED) visits in the United States (US). The objectives of this research were to characterize the burden of sunburn ED visits, investigate predictors of severe sunburns, and evaluate risk factors for increased cost of care in patients presenting to the ED for sunburn. In...
Article
Background: Pure and mixed desmoplastic melanomas (DMs) may have different natural histories and behaviors. Methods: We conducted a retrospective review of patients diagnosed with DM at our institution between January 1997 and April 2019. A total of 33 unique DMs were identified and subsequently analyzed based on the histologic type (pure vs. mi...
Article
Although tanning is widespread, the use of both indoor and outdoor tanning most often begins in adolescence and young adulthood and is more prevalent in adolescents and young adults (AYA) than any other age group. Despite this, information regarding sun safety education in high school curricula is limited. In this pilot study, we sought to characte...
Article
Background: The Food and Drug Administration (FDA) has approved several new dermatologic drugs in the last decade. The public response to their approval has not yet been evaluated. Objective: To analyze the United States stock market response surrounding FDA approval of new dermatologic drugs between 2008 and 2018. Methods: A list of 34 FDA approve...
Article
Full-text available
During the COVID-19 pandemic, providers and patients must engage in shared decision-making on the pros and cons of early vs. delayed intervention for localized skin cancer. Patients at highest risk for COVID-19 complications are older, immunosuppressed, have diabetes, cancer or cardiopulmonary disease, with multiple comorbidities associated with wo...
Article
Erosive pustular dermatosis of the scalp (EPDS) occurs in elderly individuals with significant actinic damage. EPDS also occurs in association with surgery; however, significant studies determining an association of EPDS with type of surgical closure is absent. This review examines whether the closure method following cutaneous surgery performed on...
Article
Importance: Allogeneic hematopoietic cell transplant (alloHCT) is known to increase the risk for keratinocyte carcinoma. The extent to which host characteristics, including pigmentary phenotype and UV radiation exposure, contribute is unknown. Objective: To identify and validate independent risk factors for keratinocyte carcinoma after alloHCT,...
Article
Introduction Although various treatment options for hidrocystomas have been described, the comparative efficacy of these treatments is poorly understood. Methods We conducted a systematic review of all articles describing the treatment of hidrocystomas. Treatment modalities were categorized as destructive surgical procedures, skin-directed therapi...
Article
Background Longer time from diagnosis to definitive surgery (TTDS) is associated with increased melanoma-specific mortality. Although Black patients present with later stage melanoma and have worse survival than non-Hispanic white (NHW) patients, the association between race and TTDS is unknown. Objective To investigate racial differences in time...
Article
Background and Objectives Device innovation in dermatology is increasing. Medical devices identified as “substantially equivalent” to predicate ones by the United States Food and Drug Administration (FDA) may be exempt from premarket approval through the 510(k) pathway. The 510(k) pathway has been criticized for having less stringent clinical data...
Article
Full-text available
Keratinocyte carcinomas, including basal and squamous cell carcinomas, are the most common human cancers worldwide. While 75% of all keratinocyte carcinoma (4 million annual cases in the United States) are treated with conventional excision, this surgical modality has much lower cure rates than Mohs micrographic surgery, likely due to the bread-loa...
Article
Decreased health literacy is associated with worse outcomes for a variety of dermatologic conditions. Hispanic adults have the lowest average health literacy of any racial or ethnic group in the United Sates. Although patients are increasingly using online patient education materials (PEMs) for dermatologic care, limited information exists regardin...
Article
Background: Although there is a large body of evidence demonstrating the safety and efficacy of Mohs micrographic surgery (MMS) in adults, little is known regarding the safety and efficacy of MMS in children and adolescents. Methods: The authors searched all publications from 1993 to 2018 reporting on the use of MMS for the treatment of cutaneou...
Article
Background: Cicatricial ectropion occurs when tension of a scar below the eye has sufficient downward pull to evert the lower eyelid. There are many surgical techniques to repair cicatricial ectropion. Objective: To review the published literature on the repair of cicatricial ectropion, review relevant anatomy, and review surgical considerations...
Article
Background: Knowledge regarding the inpatient burden of cutaneous squamous cell carcinoma (cSCC) is limited. Objective: To provide nationally representative estimates for hospitalization characteristics due to cSCC and determine predictors for increased length of stay (LOS) and cost of care. Methods/materials: A retrospective cohort study of t...
Article
Objectives: Although adolescents and young adults (AYA) suffer disproportionately from cutaneous melanoma (CM), little is known regarding the burden of CM leading to hospitalization in AYA. The objective of this study was to elucidate sociodemographic/hospitalization characteristics of AYA CM inpatients, determine which factors lead to the greater...
Article
Background: Perioperative anxiety is associated with negative patient outcomes in Mohs micrographic surgery (MMS). Both pharmacologic and nonpharmacologic therapies have been used to alleviate perioperative anxiety in MMS. Objective: To systematically evaluate the efficacy of therapies aimed at reducing perioperative anxiety in MMS. Methods and...
Article
While prison medicine is a heavily researched area for quality improvement, little is known regarding prisoner access to dermatologists. The goal of this study was to characterize the claims related to a lack of dermatologist access in prison malpractice cases. We searched the LexisNexis Academic database of legal records from 1970 to 2018 using th...
Article
Immune checkpoint inhibitors targeting the cytotoxic T lymphocyte-associated antigen-4 and programmed cell death-1 receptors have transformed the treatment of melanoma and other cancers. These therapies are associated with a number of side effects, including immune-related adverse events. Sarcoidosis-like granulomas (SLGs) are important immune chec...
Article
It is estimated that 75% of dermatologists will face malpractice litigation by age 65.1 Furthermore, 28.7% of medical malpractice cases against dermatologists between 2006 and 2015 were decided in favor of plaintiffs with an average indemnity payment of $238,135 United States dollars (USD).2 Although psoriasis affects more than 7 million adults in...
Article
Introduction: Cryolipolysis is a noninvasive technique that involves the application of cooling for localized fat reduction. In recent years, cryolipolysis has been increasingly favored for its limited side effects compared to more invasive methods. Methods: Records from a public United States Food and Drug Administration (FDA) database for premark...
Article
Background: The large number of transposition flap geometries available for cutaneous reconstruction often makes the design of these flaps difficult for less experienced dermatologic surgeons. Objective: To present a conceptual approach to designing transposition flaps based on 2 elementary angles. Materials and methods: First, a simplified fr...
Article
Importance The prevalence of keratinocyte carcinoma (KC) exceeds that of all other malignant neoplasms combined. Despite the steady rise of payments for medical malpractice liability claims over time, data regarding the characteristics of malpractice litigation for KC are scarce. Objective To identify state and federal appellate medical malpractic...
Article
Full-text available
Knowledge surrounding inpatient dermatologic procedure costs is limited; therefore to learn more, we performed a cross-sectional analysis of dermatologic procedures contained in a publicly available Washington State Comprehensive Hospital Abstract Reporting System database from 2014. Dermatologic procedure utilization and cost were evaluated based...
Article
Importance Despite the increasing incidence of chronic cutaneous ulcers (CCUs), limited information exists regarding their incremental economic burden. Objective To provide nationally representative estimates regarding the incremental health care cost of CCUs, controlling for comorbidities and sociodemographic characteristics. Design, Setting, an...
Article
Background Limited information exists regarding the burden of emergency department (ED) visits due to scabies in the United States. The goal of this study was to provide population-level estimates regarding scabies visits to American EDs. Methods This study was a retrospective analysis of the nationally representative National Emergency Department...
Article
Full-text available
Introduction Innovations in cancer treatment coupled with an increasing number of cancer patients have led to the growth of brachytherapy devices. The objective of this study is to characterize the development and safety of brachytherapy devices marketed in the United States (US) over the last 15 years. Methods We reviewed records from a public US...
Article
Background: The management of skin cancers has evolved with the development of Mohs micrographic surgery and a greater emphasis on surgical training within dermatology. It is unclear whether these changes have translated into innovations and contributions to the reconstructive literature. Objective: To assess contributions from each medical spec...
Article
Introduction: Powered muscle stimulators have been popularized in recent years due to their muscle toning effects. This study aims to describe marketing trends and reporting of adverse effects of powered muscle stimulators. Methods: We performed a cross-sectional retrospective analysis of records from the United States FDA database for 510(k) prema...
Article
Acne vulgaris affects a large portion of the population and drives many patients to seek over-the-counter (OTC) treatments. Light-emitting diode (LED) therapy has recently emerged as a potential therapeutic option for inflammatory acne. We used the U.S. Food and Drug Administration (FDA) 510(k) premarket submission database to assess the growth in...
Article
Introduction: Greater demand for noninvasive techniques to reduce cellulite and contour the body have led to the growth of electromagnetic and radiofrequency devices. In this study, we aimed to characterize the evolution and safety of electromagnetic devices marketed in the U.S. over the last two decades. Methods: We examined records from a U.S. FD...
Article
Background: Atopic dermatitis (AD) associated with respiratory atopy may represent a form of systemic contact dermatitis (SCD), whereby AD flares after ingestion or inhalation of allergens. Objective: The aim of the study was to compare the prevalence of positive patch tests to allergens known to cause SCD in AD patients with and without respira...
Article
Importance Medicare represents the second largest component of national health expenditures, and dermatologists receive a disproportionate percentage of Medicare payments. Analyzing trends in Medicare utilization by dermatologists informs optimal Medicare usage for both patients and physicians. Objective To characterize Medicare charges and paymen...
Article
In the fifth and most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐V), the “Substance‐Related and Addictive Disorders” chapter includes ten classes of substances which all directly activate the brain's reward system, reinforce behavior, and produce memory.¹ Table 1 provides definitions and examples of relevant ps...
Article
Importance Knowledge regarding differences in dermatologic care for patients with a broad range of dermatologic conditions is limited. Objective To elucidate nationwide differences in use of outpatient dermatologic care. Design, Setting, and Participants Retrospective analysis of nationally representative data from the 2007 to 2015 Medical Expend...
Article
Introduction: Low-level laser therapy has demonstrated superior efficacy relative to other nonsurgical treatment options for the treatment of androgenetic alopecia. Methods: Records from a public U.S. FDA database for premarket approval of low-level laser therapy devices approved between January 1 2000 and July 15 2018 were reviewed. Results:...
Article
Advances in the field of molecular genetics have led to the development of multiple tests capable of identifying genetic changes within cutaneous melanoma. Although the majority of these tests are currently used for diagnostic purposes, their potential use as prognostic tools is rapidly emerging. A new 31-gene expression profile test has been devel...