Patient-Reported Outcome Measures in Atopic Dermatitis and Chronic Urticaria Are Underused in Clinical Practice

被引:0
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作者
Cherrez-Ojeda, Ivan [1 ,2 ]
Bousquet, Jean [3 ,4 ]
Gimenez-Arnau, Ana [5 ]
Godse, Kiran [6 ]
Krasowska, Dorota [7 ]
Bartosinska, Joanna [7 ,8 ]
Szczepanik-Kulak, Paulina [7 ]
Wawrzycki, Bartlomiej [7 ]
Kolkhir, Pavel [3 ]
Allenova, Anastasiia [9 ]
Allenova, Andrey [10 ,11 ,12 ]
Tkachenko, Sergey [13 ]
Mitrevska, Natasa Teovska [14 ,15 ]
Mijakoski, Dragan [16 ,17 ]
Stoleski, Sasho [16 ,17 ]
Kolacinska-Flont, Marta [18 ]
Kuprys-Lipinska, Izabela [18 ]
Molinska, Joanna [18 ]
Kasperska-Zajac, Alicja [19 ,20 ]
Zajac, Magdalena [19 ,20 ]
Zamlynski, Mateusz [19 ,20 ]
Mihaltan, Florin [21 ]
Ulmeanu, Ruxandra [22 ]
Zalewska-Janowska, Anna [23 ]
Tomaszewska, Katarzyna [23 ]
Al-Ahmad, Mona [24 ]
Al-Nesf, Maryam Ali [25 ]
Ibrahim, Tayseer [25 ]
Aqel, Sami [26 ]
Pesque, David [5 ,26 ]
Rodriguez-Gonzalez, Monica [27 ]
Wakida-Kuzunoki, Guillermo Hideo [28 ]
Ramon, German [29 ]
Ramon, Gonzalo [3 ,4 ]
Neisinger, Sophia [3 ,4 ]
Bonnekoh, Hanna [3 ,4 ]
Rukhadze, Maia [30 ,31 ]
Khoshkhui, Maryam [32 ]
Fomina, Daria [33 ,34 ]
Larenas-Linnemann, Desiree [35 ]
Kosnik, Mitja [36 ]
Kara, Rabia Oztas [37 ]
Lopez, Chrystopherson Gengyny Caballero [38 ]
Liu, Qiang [39 ]
Ivancevich, Juan Carlos [40 ]
Ensina, Luis Felipe [40 ]
Rosario, Nelson [41 ,42 ]
Kvedariene, Violeta [43 ,44 ,45 ]
Ben-Shoshan, Moshe [46 ]
Criado, Roberta Fachini Jardim [47 ]
机构
[1] Univ Espiritu Santo, Samborondon, Ecuador
[2] Respiralab Res Grp, Guayaquil, Ecuador
[3] Charite Univ Med Berlin, Inst Allergol, Hindenburgdamm 30, D-12203 Berlin, Germany
[4] Fraunhofer Inst Translat Med & Pharmacol ITMP, Allergol & Immunol, Berlin, Germany
[5] Univ Pompeu Fabra, Hosp Del Mar, Dept Dermatol, IMIM, Barcelona, Spain
[6] DY Patil Univ, Dept Dermatol, Sch Med, Mumbai, India
[7] Med Univ Lublin, Dept Dermatol Venereol & Pediat Dermatol, Lublin, Poland
[8] Med Univ Lublin, Dept Cosmetol & Aesthet Med, Lublin, Poland
[9] IM Sechenov First Moscow State Med Univ, Sechenov Univ, Inst Regenerat Med, Lab Immune Mediated Skin Dis,Biomed Sci & Technol, Moscow, Russia
[10] IM Sechenov First Moscow State Med Univ, Sechenov Univ, Inst Leadership & Hlth Management, Moscow, Russia
[11] City Polyclin 210 Dept Hlth City Moscow, State Budgetary Healthcare Inst City Moscow, Moscow, Russia
[12] Fed State Budgetary Sci Inst NA Semashko Natl Res, Inst Publ Hlth, Moscow, Russia
[13] Russian Med Acad Continuous Profess Educ Minist Hl, Moscow, Russia
[14] Remedika Gen Hosp, Dermatol Dept, Skopje, North Macedonia
[15] Int Balkan Univ, Dept Dermatol, Skopje, North Macedonia
[16] Inst Occupat Hlth RNM, Skopje, North Macedonia
[17] SS Cyril & Methodius Univ Skopje, Fac Med, Skopje, North Macedonia
[18] Med Univ Lodz, Barlicki Mem Hosp, Dept Internal Med Asthma & Allergy, Lodz, Poland
[19] Med Univ Silesia, European Ctr Diag & Treatment Urticaria Angioedema, GA2LENUCARE ACARE Network, Silesia, Poland
[20] Med Univ Silesia, Dept Clin Allergol & Urticaria, Silesia, Poland
[21] Natl Inst Pneumol, Bucharest, Romania
[22] Inst Pneumol Marius Nasta Bucharest, Bucharest, Romania
[23] Med Univ Lodz, Dept Psychodermatol, Lodz, Poland
[24] Kuwait Univ, Fac Med, Microbiol Dept, Safat, Kuwait
[25] Hamad Med Corp, Allergy & Immunol Div, Med Dept, Doha, Qatar
[26] Univ Autonoma Barcelona, Dept Dermatol, Barcelona, Spain
[27] Hosp Espanol Mexico, Dept Pediat Allergy, Mexico City, Mexico
[28] Colegio Mexicano Pediat Especialistas Inmunol Clin, Mexico City, Mexico
[29] GA2LEN UCARE Adcare AcareCtr, Inst Alergia & Inmunol Sur, Bahia Blanca, Argentina
[30] Allergy & Immunol Ctr, Tbilisi, Georgia
[31] Geomed Teaching Univ, Fac Med, Tbilisi, Georgia
[32] Mashhad Univ Med Sci, Allergy Res Ctr, Mashhad, Iran
[33] Clin City Hosp, Moscow Pract & Res Ctr Allergy & Immunol, Moscow, Russia
[34] Sechenov First Moscow State Med Univ, Astana Med Univ, Moscow Dept Clin Immunol & Allergol, Moscow, Russia
[35] Hosp Med Sur, Ctr Excellence Asthma & Allergy, Mexico City, Mexico
[36] Univ Ljubljana, Univ Clin Resp & Allerg Dis Golnik, Slovenia Med Fac, Ljubljana, Slovenia
[37] Sakarya Univ, Dept Dermatol, Fac Med, Sakarya, Turkiye
[38] Hosp Univ Puebla, Dept Alergia & Inmunol Clin, Autonoma Puebla, Puebla, Mexico
[39] Hebei Med Univ, Hosp 2, Shijiazhuang, Hebei, Peoples R China
[40] Clin Santa Isabel, Serv Alergia & Immunol, Buenos Aires, Argentina
[41] Univ Fed Sao Paulo, Dept Pediat, Div Allergy Clin Immunol & Rheumatol, Sao Paulo, Brazil
[42] CPAlpha Clin Res Ctr, Sao Paulo, Brazil
[43] Univ Fed Parana, Urticaria Ctr Reference & Excellence, Rua Gen Carneiro, Curitiba, Brazil
[44] Vilnius Univ, Inst Biomed Sci, Fac Med, Dept Pathol, Vilnius, Lithuania
[45] Inst Clin Med, Fac Med, Clin Chest Dis Immunol & Allergol, Vilnius, Lithuania
[46] McGill Univ, Dept Pediat, Div Allergy Immunol & Dermatol, Hlth Ctr, Montreal, PQ, Canada
[47] Fac Med ABC, Santo Andre, SP, Brazil
[48] Tech Univ Dresden, Univ Allergy Ctr, Univ Hosp Carl Gustav Carus, Dept Dermatol, Dresden, Germany
[49] Charite Univ Med Berlin, Dept Dermatol & Allergy, Berlin, Germany
[50] Univ Fed Parana, Hosp Clin, Dept Pediat, Curitiba, Brazil
关键词
Allergy; Atopic dermatitis; Chronic urticaria; Dermatology; Patient-reported outcome measures; QUALITY-OF-LIFE; DISEASE-ACTIVITY; IMPORTANT DIFFERENCE; VALIDATION; HEALTH; VERSION; NEEDS;
D O I
10.1016/j.jaip.2024.03.050
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
BACKGROUND: Patient-reported outcome measures (PROMs) are validated and standardized tools that complement physician evaluations and guide treatment decisions. They are crucial for monitoring atopic dermatitis (AD) and chronic urticaria (CU) in clinical practice, but there are unmet needs and knowledge gaps regarding their use in clinical practice. OBJECCTIVE: We investigated the global real-world use of AD and CU PROMs in allergology and dermatology clinics as well as their associated local and regional networks. METHODS: Across 72 specialized allergy and dermatology centers and their local and regional networks, 2,534 physicians in 73 countries completed a 53-item questionnaire on the use of PROMs for AD and CU. RESULTS: Of 2,534 physicians, 1,308 were aware of PROMs. Of these, 14% and 15% used PROMs for AD and CU, respectively. Half of physicians who use PROMs do so only rarely or sometimes. Use of AD and CU PROM is associated with being female, younger, and a dermatologist. The Patient-Oriented Scoring Atopic Dermatitis Index and Urticaria Activity Score were the most common PROMs for AD and CU, respectively. Monitoring disease control and activity are the main drivers of the use of PROMs. Time constraints were the primary obstacle to using PROMs, followed by the impression that patients dislike PROMs. Users of AD and CU PROM would like training in selecting the proper PROM. CONCLUSIONS: Although PROMs offer several bene fi ts, their use in routine practice is suboptimal, and physicians perceive barriers to their use. It is essential to attain higher levels of PROM implementation in accordance with national and international standards. (c) 2024 The Authors. Published by Elsevier Inc. on behalf of the American Academy of Allergy, Asthma & Immunology. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/). (J Allergy Clin Immunol Pract 2024;12:1575-83)
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页数:10
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