S ummary Points |
* Cutaneous warts are harmless and transient
* Treatment is unnecessary * When warts cause disability or difficulty performing daily tasks, first-line treatment is the application of a wart paint at home * Guidelines should be developed for the management of cutaneous warts in the community and shared with schools and those health care professionals who provide advice to schools * Appropriate mechanisms for educating health care professionals on the management of cutaneous warts should be established * Funding for the cryotherapy treatment of warts should be reduced |
|
Categories of Minor Surgery Procedures |
|||||
Year |
Inj
|
Asp
|
Inc
|
Exc
|
Cur
|
Oth
|
|
|
|
|
|
|
|
1992
|
1839
|
170
|
259
|
1022
|
2565
|
330
|
1993 |
2049
|
166
|
270
|
1276
|
3389
|
412
|
1994 |
2005
|
182
|
268
|
1308
|
3333
|
881
|
% increase in claims from 1992-1994 |
9
|
7
|
3
|
28
|
30
|
167
|
Type |
Technique |
Duration (minimum) |
Cost |
Limitations & Potential Side Effects |
Wart paint (eg containing salicylic acid) |
Nightly application of paint |
12 weeks |
Less than prescription charge (£4.74) |
Patient has to be motivated and persistent |
Cryotherapy |
5 applications liquid nitrogen at 2-3 weekly intervals 12 |
10-15 weeks |
£106.20 + cost liquid nitrogen |
5 surgery visits required. Painful. |
Surgery
|
Complete excision
|
Immediate
|
Within contract for dermatology
|
Rarely indicated. Requires experienced operator. Scarring inevitable.
|