The effect of dermatology consultations in secondary care on treatment outcome and quality of life in new adult patients with atopic dermatitis

The British Journal of Dermatology
S E BaronV Goulden

Abstract

The prevalence of atopic dermatitis (AD) is increasing worldwide, and many patients present to secondary care in adult life. This is a significant contribution to the workload of all dermatology departments. There are no studies investigating the impact of a dermatology consultation within secondary care. To examine the effect of dermatology consultations in secondary care on treatment outcome and quality of life in new adult patients with AD. This prospective observational study recruited new adult patients with AD referred from primary care. Eczema severity was assessed using the SCORAD (Severity Scoring of AD) index and subjective good or poor clinical outcome. The Dermatology Life Quality Index (DLQI) was used to quantify the impact of AD on adult patients. Patients were assessed at initial consultation (T1), 6 weeks (T2) and 3 months (T3). Statistical analysis was performed using independent t-tests, repeated-measures analysis of variance, correlation coefficients and Bonferroni post hoc comparisons. Sixty-three patients were recruited (37 women, 26 men) with a mean age of 34 years. Mean SCORAD at T1 was 48.2 and the majority (51%) had severe eczema (objective SCORAD>40). Mean SCORAD reduced by 52% from T1 to T2 (P<0.001) ...Continue Reading

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Citations

Oct 21, 2016·Journal of the European Academy of Dermatology and Venereology : JEADV·J G HolmS F Thomsen
Nov 24, 2016·Journal of the European Academy of Dermatology and Venereology : JEADV·P V ChernyshovUNKNOWN EADV Quality of Life Task Force
Feb 8, 2019·The British Journal of Dermatology·D VasquezG Sanclemente
Nov 19, 2014·The Cochrane Database of Systematic Reviews·Leopoldo O TsoCristiane R Macedo
Jan 14, 2020·International Journal of Dermatology·Gurkiran BirdiRebecca C Knibb

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Atopic dermatitis is a chronic inflammatory genetically determined disease of the skin marked by increased ability to form reagin (IgE), with increased susceptibility to allergic rhinitis and asthma, and hereditary disposition to a lowered threshold for pruritus. Discover the latest research on atopic dermatitis here.

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