Evidence map›Paper›PMID 30191254›Full record

ArticleDer Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete2018

[Decreased professional performance and quality of life in patients with moderate-to-severe atopic eczema : Results from the German atopic eczema registry TREATgermany].

E Haufe, S Abraham, A Heratizadeh, I Harder, A Zink, E Weisshaar, A Kleinheinz, R von Kiedrowski, M Worm, M Bell and 14 more

Abstract read
PubMed Publisher
In one paragraph

Article in Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Observational
  3. Navigating through the healthcare system with atopic dermatitis: Analysing patient journeys in Germany.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Article
  4. Article
  5. Healthcare of patients with atopic dermatitis by general practitioners - a nationwide survey in Germany.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2024
    Article
  6. [Quality of care for patients with atopic dermatitis in Germany-no improvements in indicators after ten years].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2021
    Article
  7. Observational
  8. Review
  9. Review
  10. [Health care of chronic inflammatory skin diseases : Do affected individuals seek dermatological care?]Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2019
    Article
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

24 authors.

E HaufeZentrum für Evidenzbasierte Gesundheitsversorgung, Universitätsklinikum, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
S AbrahamKlinik und Poliklinik für Dermatologie, Universitätsklinikum, TU Dresden, Dresden, Deutschland.
A HeratizadehKlinik für Dermatologie, Allergologie und Venerologie, Medizinische Hochschule Hannover, Hannover, Deutschland.
I HarderKlinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland.
A ZinkKlinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Klinikum rechts der Isar, TU München, München, Deutschland.
E WeisshaarAbteilung Klinische Sozialmedizin, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
A KleinheinzKlinik für Dermatologie, Elbe Klinikum Buxtehude, Buxtehude, Deutschland.
R von KiedrowskiCMSS - Company for Medical Study and Service Selters/Westerwald, Selters, Deutschland.
M WormKlinik für Dermatologie, Venerologie und Allergologie, Charité Berlin, Berlin, Deutschland.
M BellDr. Magnus Bell, Thomas Kaiser, Hautärzte, Allergologie, Andernach, Deutschland.
A WollenbergKlinik und Poliklinik für Dermatologie und Allergologie, LMU München, München, Deutschland.
K NeubertPraxis Dipl.-Med. Kathrin Neubert, Burgstädt, Deutschland.
P Staubach-RenzKlinik für Dermatologie und Allergologie, Universitätsmedizin Mainz, Mainz, Deutschland.
M HilgersKlinik für Dermatologie und Allergologie, Universitätsklinikum Aachen, Aachen, Deutschland.
T BieberKlinik und Poliklinik für Dermatologie und Allergologie, Universitätsklinikum Bonn, Bonn, Deutschland.
I FellHautmedizin Bad Soden, Bad Soden, Deutschland.
B HomeyHautklinik, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
I EffendyHautklinik, Klinikum Bielefeld gem. GmbH, Bielefeld, Deutschland.
M MempelHautarztpraxis Prof. Dr. med. Martin Mempel, Elmshorn, Deutschland.
K SchäkelUniversitäts-Hautklinik Heidelberg, Heidelberg, Deutschland.
S BeissertKlinik und Poliklinik für Dermatologie, Universitätsklinikum, TU Dresden, Dresden, Deutschland.
S WeidingerKlinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland.
T WerfelKlinik für Dermatologie, Allergologie und Venerologie, Medizinische Hochschule Hannover, Hannover, Deutschland.
J SchmittZentrum für Evidenzbasierte Gesundheitsversorgung, Universitätsklinikum, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland. Jochen.Schmitt@uniklinikum-dresden.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical registries may provide high-quality evidence on the use and effectiveness of therapeutic interventions under real-life conditions. Adults with moderate-to-severe atopic eczema (atopic dermatitis [AD]) are enrolled into TREATgermany and prospectively followed over at least 2 years. This paper analyses the association between dermatological quality of life and work limitations. MATERIALS AND

methodsTreatment modalities and a broad set of physician- and patient-reported outcome measures are documented using validated instruments to assess clinical disease severity (EASI [Eczema Area and Severity Index], objective SCORAD [objective-SCORing Atopic Dermatitis]), quality of life (DLQI [Dermatology Life Quality Index]), symptoms (POEM [Patient-oriented Eczema Measure]), global disease severity, as well as patient satisfaction and work limitations including presenteeism (WLQ [Work Limitation Questionnaire]). From 06/2016 until 12/2017, 241 individuals (mean age 43 ± 15 years, 38.6% female) were enrolled at 19 recruitment centers; 69% of the patients were employed.

resultsEmployed persons had DLQI and WLQ scores of 10.6 ± 6.9 points and 17.7 ± 18.1%, respectively. Mean presenteeism was substantial accounting for 9.2%. With coefficients of 0.39 and 0.33 WLQ and presenteeism scores significantly correlate with DLQI (p < 0.000). Bootstrapped regression models showed that the limitations in coping with work requirements increase by 1.7% as DLQI increases by one point. Lower quality of life due to AD is most strongly associated with limitations in the area of physical and performance requirements in general. Presenteeism increases by 0.5% as DLQI increases by one point.

conclusionModerate-to-severe AD has substantial adverse economic impact with mean productivity loss of patients of almost 10%. Future analyses from TREATgermany will address the impact of innovative treatment modalities on quality of life and work productivity of patients with moderate-to-severe AD.

Indexed as

Clinical CompetenceDermatitis, AtopicEczemaRegistriesAdultFemaleHumansMaleMiddle AgedQuality of LifeSeverity of Illness IndexBenefitCostsEvidence-based medicineHealth careHealth economy

Identifiers

What OpenQuestion holds

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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.