Evidence map›Paper›PMID 29048751›Full record

ArticleThe British journal of dermatology2018

Severity strata for five patient-reported outcomes in adults with atopic dermatitis.

P P Vakharia, R Chopra, R Sacotte, N Patel, S Immaneni, T White, R Kantor, D Y Hsu, E L Simpson, J I Silverberg

Abstract read
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. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Severity bands for atopic dermatitis measures: Analysis from adult dupilumab randomized clinical trials.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Article
  7. Observational
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  14. Prevalence and associations of fatigue in childhood atopic dermatitis: A cross-sectional study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2023
    Observational
  15. Article
  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

P P VakhariaDepartment of Dermatology, Feinberg School of Medicine at Northwestern University, Chicago, IL, 60611, U.S.A.
R ChopraDepartment of Dermatology, Feinberg School of Medicine at Northwestern University, Chicago, IL, 60611, U.S.A.
R SacotteDepartment of Dermatology, Feinberg School of Medicine at Northwestern University, Chicago, IL, 60611, U.S.A.
N PatelDepartment of Dermatology, Feinberg School of Medicine at Northwestern University, Chicago, IL, 60611, U.S.A.
S ImmaneniDepartment of Dermatology, Feinberg School of Medicine at Northwestern University, Chicago, IL, 60611, U.S.A.
T WhiteNorthwestern Medicine Multidisciplinary Eczema Center, Chicago, IL, U.S.A.
R KantorDepartment of Dermatology, Feinberg School of Medicine at Northwestern University, Chicago, IL, 60611, U.S.A.
D Y HsuDepartment of Dermatology, Feinberg School of Medicine at Northwestern University, Chicago, IL, 60611, U.S.A.
E L SimpsonDepartment of Dermatology, Oregon Health & Science University, Portland, OR, U.S.A.
J I SilverbergDepartment of Dermatology, Feinberg School of Medicine at Northwestern University, Chicago, IL, 60611, U.S.A.ORCID 0000-0003-3686-7805

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Multidisciplinary Clinical and Translational Science (MCTS) Program (UL1)UL1TR000150 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LLOYD-JONES, DONALD M · 2012 to 2013
$10.1M
Northwestern University Patient-centered Intervention and Engagement TrainingK12HS023011 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CELLA, DAVID · 2014 to 2018
$3.7M
AHRQ HHS K12 HS023011NCATS NIH HHS UL1 TR000150NCATS NIH HHS UL1 TR001422
6 · The paper itself

Abstract

backgroundSeveral patient-reported outcomes have been used to assess the burden of atopic dermatitis (AD). Some are disease specific, such as the Patient-Oriented Eczema Measure (POEM), while others pertain to itch, for example the numerical rating scale (NRS)-itch, ItchyQoL and 5-D itch, or dermatological disease in general, for example the Dermatology Life Quality Index (DLQI). Development of severity strata is essential for proper interpretability of these assessments.

objectivesTo confirm previously developed strata for POEM, DLQI and raw ItchyQoL, and develop strata for the NRS-itch, mean ItchyQoL and 5-D itch scale for use in adults with AD.

methodsSelf-administered questionnaires were completed by 210 adults with AD in a dermatology practice setting. Strata were selected using an anchoring approach based on patient-reported disease severity.

resultsWe confirmed the existing strata for POEM (mild 0-7, moderate 8-16, severe 17-28; κ = 0·440), DLQI (mild 0-5, moderate 6-10, severe 11-30; κ = 0·398) and NRS-itch (mild 0-3, moderate 4-6, severe 7-10; κ = 0·499). However, the preferred band for raw ItchyQoL was mild 22-58, moderate 59-74 and severe 75-110 (κ = 0·379) and for mean ItchyQoL, mild 1-2·9, moderate 3·0-3·9, severe 4·0-5·0 (κ = 0·374). The preferred band for 5-D itch scale was mild 0-11, moderate 12-17 and severe 18-25 (κ = 0·331).

conclusionsExisting strata for POEM and DLQI performed well in adult AD. Previously reported strata for visual analogue scale-itch performed best for NRS-itch. We identified banding for the raw ItchyQoL for our AD population that varies slightly from the banding published for a more heterogeneous population. Finally, we proposed strata for mean ItchyQoL and 5-D itch scale in adult AD.

Indexed as

Quality of LifeAdolescentAdultAgedAged, 80 and overCost of IllnessDermatitis, AtopicFemaleHumansMaleMiddle AgedPatient Outcome AssessmentPatient Reported Outcome MeasuresProspective StudiesPruritusSurveys and Questionnaires

Identifiers

PMID29048751
PMCPMC5906166

What OpenQuestion holds

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LicenceTDM
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Registered trials

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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.