ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2018
GPs' experiences of diagnosing and managing childhood eczema: a qualitative study in primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to improve primary care provider management of atopic dermatitis: A systematic review.Pediatric dermatology · 2021Pooled it
- Comparison of lotions, creams, gels and ointments for the treatment of childhood eczema: the BEE RCT.Health technology assessment (Winchester, England) · 2023Trial
- Management Strategies and Corticophobia among Healthcare Professionals Involved in the Care for Atopic Dermatitis: A Dutch Survey.Dermatology (Basel, Switzerland) · 2025Article
- Parents of children with atopic diseases - experiences with care and the interaction with healthcare professionals over time.Scandinavian journal of primary health care · 2024Article
- Underrepresentation of atopic dermatitis publications in pediatric journals: a bibliometric analysis.Dermatology reports · 2024Article
- Article
- Advanced Systemic Treatments in Patients with Moderate-to-Severe Atopic Dermatitis: Key Learnings from Physicians Practicing in Nine Asian Countries and Territories.Dermatology and therapy · 2024Article
- Brief Teaching Intervention Improves Medical Students' Dermatology Diagnostic Skills and Comfort in Performing Dermatology Exams.Healthcare (Basel, Switzerland) · 2024Article
- Perceived adherence and associated barriers to the national atopic dermatitis guideline: A survey among general practitioners.The European journal of general practice · 2023Article
- Knowledge, attitudes, and practice of Malagasy physicians regarding atopic dermatitis.JAAD international · 2023Article
- Is corticophobia spreading among pediatricians?-Insights from a self-efficacy survey on the management of pediatric atopic dermatitis.Translational pediatrics · 2023Article
- Assessment of Primary Care Physicians' Expertise of Common Dermatological Conditions in the Jouf Region, Saudi Arabia: A Mixed Methods Study.Healthcare (Basel, Switzerland) · 2023Article
- Article
- Israeli pediatricians' confidence level in diagnosing and treating children with skin disorders: a cross-sectional questionnaire pilot study.Frontiers in medicine · 2023Article
- General practitioners' explanation and advice on childhood eczema and factors influencing their treatment strategy: A qualitative study.Skin health and disease · 2022Article
- Young adults' perceptions of living with atopic dermatitis in relation to the concept of self-management: a qualitative study.BMJ open · 2021Article
- Patterns and trends in eczema management in UK primary care (2009-2018): A population-based cohort study.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2021Article
- General Practice Registrars' Management of and Specialist Referral Patterns for Atopic Dermatitis.Dermatology practical & conceptual · 2021Article
- Article
- The content and conduct of GP consultations for dermatology problems: a cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundEczema is common among children, and in the UK the majority are managed by GPs. The most common cause of poor disease control is incorrect use of topical treatments. There is a lack of research into the challenges faced by GPs in diagnosing and managing this condition.
aimTo explore the experiences of GPs in assessing and managing children with eczema. DESIGN AND
settingQualitative study in primary care in England.
methodSemi-structured interviews with 15 GPs were audiorecorded, transcribed verbatim, and analysed thematically using the framework method.
resultsGPs described a paucity of dermatology training. Although most GPs were confident diagnosing uncomplicated eczema, they reported using a trial-and-error approach to prescribing emollients, and were uncertain about quantities of topical treatments to issue. Mild and moderate potency topical corticosteroids (TCS) were commonly used, but most GPs lacked confidence in recommending potent TCS, and viewed parents or carers to be fearful of using all strengths of TCS. GPs perceived adherence to treatments to be low, but provision of information to support self-care was variable. Routine review of medication use or disease control was uncommon, which GPs attributed to service constraints. Participants' views on the causes and management of eczema were perceived to be at odds with parents and carers, who were said to be overly focused on an underlying cause, such as allergy.
conclusionGP uncertainty in managing eczema, lack of routine information and review, and perceived dissonance with parents around causation and management may be contributing to low concordance with treatments.
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