Evidence map›Paper›PMID 28865094›Full record

ArticleThe British journal of dermatology2018

Use of systemic corticosteroids for atopic dermatitis: International Eczema Council consensus statement.

A M Drucker, K Eyerich, M S de Bruin-Weller, J P Thyssen, P I Spuls, A D Irvine, G Girolomoni, S Dhar, C Flohr, D F Murrell and 2 more

Registry-linked trialOpen access · bronzeAbstract readConsensus StatementVideo-Audio Media
In one paragraph

Article in The British journal of dermatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05719649 (The Efficacy of NTU 101 Lactic Acid Bacteria Powder in the Adjuvant Improvement of Atopic Dermatitis - A Double-blind, Multi-center Randomized, Placebo-controlled Clinical Trial), which is not on this map. Cited by 91 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 4 pooled it
12.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05719649 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Efficacy of NTU 101 Lactic Acid Bacteria Powder in the Adjuvant Improvement of Atopic Dermatitis - A Double-blind, Multi-center Randomized, Placebo-controlled Clinical Trial

TypeinterventionalSponsorSunWay Biotech Co., LTD.Ran2023 to 2023Enrolled72ConditionsAtopic Dermatitis, Atopic Dermatitis EczemaArmsLactic acid bacteria NTU 101, Placebo
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 4 syntheses or guidelines pooled it, 171 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Aqueous extract ofPharmaceutical biology · 2026
    Article
  15. Article
  16. Atopic dermatitis is associated with herpes zoster in adults - A matched cohort study using electronic health records data in England.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Review

31 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 12 institutions in 10 countries.

A M DruckerDepartment of Dermatology, Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI, U.S.A.ORCID 0000-0002-7388-9475
K EyerichDepartment of Dermatology and Allergy, Technical University of Munich, Munich, Germany.
M S de Bruin-WellerNational Expertise Center for Atopic Dermatitis, Department of Dermatology and Allergology, University Medical Center Utrecht, Utrecht, the Netherlands.ORCID 0000-0002-1249-6993
J P ThyssenDepartment of Dermatology and Allergy, Herlev-Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.
P I SpulsDepartment of Dermatology, Academic Medical Centre, Amsterdam, the Netherlands.
A D IrvineTrinity College Dublin, National Children's Research Centre, Paediatric Dermatology, Our Lady's Children's Hospital, Dublin, Ireland.
G GirolomoniDepartment of Medicine, Section of Dermatology, University of Verona, Verona, Italy.
S DharDepartment of Pediatric Dermatology, Institute of Child Health, Kolkata, India.
C FlohrUnit for Population-Based Dermatology Research, St John's Institute of Dermatology, King's College London and Guy's & St Thomas' NHS Foundation Trust, London, U.K.
D F MurrellFaculty of Medicine, University of Sydney, Sydney, NSW, Australia.ORCID 0000-0003-2971-0199
A S PallerDepartments of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, U.S.A.
E Guttman-YasskyDepartment of Dermatology, Icahn School of Medicine at Mount Sinai Medical Center, New York, NY, U.S.A.ORCID 0000-0002-9363-324X
Amsterdam UMC Location University of Amsterdam · NLGuy's and St Thomas' NHS Foundation Trust · GBInstitute of Child Health · INMount Sinai Medical Center · USNorthwestern University · USTechnical University of Munich · DEThe University of Sydney · AUTrinity College Dublin · IEUniversity of Copenhagen · DKUniversity of Toronto · CAUniversity of Verona · ITUtrecht University · NL

Funding

Department of Health CDF-2014-07-037
6 · The paper itself

Abstract

backgroundGuidelines discourage the use of systemic corticosteroids for atopic dermatitis (AD), but their use remains widespread.

objectivesTo reach consensus among an international group of AD experts on the use of systemic corticosteroids for AD.

methodsA survey consisting of statements accompanied by visual analogue scales ranging from 'strongly disagree' to 'neutral' to 'strongly agree' was distributed to the International Eczema Council (IEC). Consensus was reached in agreement on a statement if < 30% of respondents marked to the left of 'neutral' towards 'strongly disagree'.

resultsSixty of 77 (78%) IEC members participated. Consensus was reached on 12 statements, including that systemic corticosteroids should generally be avoided but can be used rarely for severe AD under certain circumstances, including a lack of other treatment options, as a bridge to other systemic therapies or phototherapy, during acute flares in need of immediate relief, in anticipation of a major life event or in the most severe cases. If used, treatment should be limited to the short term. Most respondents agreed that systemic corticosteroids should never be used in children, but consensus was not reached on that statement. The conclusions of our expert group are limited by a dearth of high-quality published evidence. If more stringent consensus criteria were applied (e.g. requiring < 20% of respondents marking towards 'strongly disagree'), consensus would have been reached on fewer statements.

conclusionsBased on expert opinion from the IEC, routine use of systemic corticosteroids for AD is generally discouraged and should be reserved for special circumstances.

Indexed as

AdolescentAdrenal Cortex HormonesAdultAgedAge FactorsChildChild, PreschoolConsensusDermatitis, AtopicDermatologic AgentsHumansInfantInfant, NewbornMiddle AgedYoung AdultAdrenal Cortex HormonesDermatologic Agents

Identifiers

PMID28865094
PMCPMC5901393
OpenAlexW2751469248

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.