The Twilight of Expertise (psoriasis treatment)

From BBC News:

A specialist light treatment for psoriasis is just as effective and safe when given at home as in hospital, say Dutch researchers. Phototherapy using UVB light is rarely used in the UK because of limited availability and the number of hospital visits required. But a study of 200 patients found the same results with home treatment. . . .

One reason that the treatment is usually done in hospital is because most dermatologists believe that home phototherapy is inferior and that it carries more risks.In the latest study, patients with psoriasis from 14 hospital dermatology departments were randomly assigned to receive either home UVB phototherapy or hospital-based treatment. Home treatment was equivalent to hospital therapy both in terms of safety and the effectiveness of clearing the condition. And those treated at home reported a significantly lower burden of treatment and were more satisfied.

There was a time when blood-glucose testing (for diabetes) was only done in laboratories, with blood drawn in doctors’ offices or hospitals.

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