Evidence map›Paper›PMID 30402408›Full record

ArticleAsia Pacific allergy2018

A clinician's reference guide for the management of atopic dermatitis in Asians.

Steven Chow, Chew Swee Seow, Maria Victoria Dizon, Kiran Godse, Henry Foong, Vicheth Chan, Tran Hau Khang, Leihong Xiang, Syarief Hidayat, M Yulianto Listiawan and 11 more

Abstract read
In one paragraph

Article in Asia Pacific allergy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% 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.

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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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  13. Short-term exposure of PMFrontiers in public health · 2022
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  16. Asia Pacific allergy · 2018
    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

21 authors at 10 institutions in 6 countries.

Steven ChowPantai Hospital, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-9094-2653
Chew Swee SeowNational Skin Centre, Singapore, Singapore.
Maria Victoria DizonMakati Medical Center, Manila, the Philippines.
Kiran GodseDY Patil School of Medicine, Nerul, Navi Mumbai, India.
Henry FoongFoong Skin Specialist Clinic, Ipoh, Malaysia.
Vicheth ChanCadau Skin and Laser Clinic, Pnomh Penh, Cambodia.
Tran Hau KhangHanoi Medical University, Hanoi, Vietnam.
Leihong XiangFudan University, Shanghai, China.
Syarief HidayatLeague of ASEAN Dermatologic Societies, Kuala Lumpur, Malaysia.
M Yulianto ListiawanSurabaya Skin Centre, Jawa Timur, Indonesia.
Danang TriwahyudiRumah Sakit Metropolitan Medical Centre, Jakarta, Indonesia.
Srie Prihianti GondokaryonoUniverity of Padjadjaran, Bandung, Indonesia.
Endang SutedjaUniverity of Padjadjaran, Bandung, Indonesia.
Inne Arline DianaUniverity of Padjadjaran, Bandung, Indonesia.
Oki SuwarsaUniverity of Padjadjaran, Bandung, Indonesia.
Hartati Purbo DharmadjiUniverity of Padjadjaran, Bandung, Indonesia.
Agnes Sri SiswatiGadjah Mada University, Yogyakarta, Indonesia.
Retno DanartiGadjah Mada University, Yogyakarta, Indonesia.
Retno SoebaryoUniversity of Indonesia, Jakarta, Indonesia.
Windy Keumala BudiantiCipto Mangunkusumo Hospital, Jakarta, Indonesia.
Asian Academy of Dermatology & Venereology
Hospital Kuala Lumpur · MYUniversitas Gadjah Mada · IDD.Y. Patil University · INFudan University · CNHanoi Medical University · VNInstitut Penyelidikan Veterinar · MYNational Brain Centre · IDNational Skin Centre · SGRumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo · IDUniversity of Indonesia · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) is a common skin condition among Asians. Recent studies have shown that Asian AD has a unique clinical and immunologic phenotype compared with European/American AD.

objectiveThe Asian Academy of Dermatology and Venereology Expert Panel on Atopic Dermatitis developed this reference guide to provide a holistic and evidence-based approach in managing AD among Asians.

methodsElectronic searches were performed to retrieve relevant systematic reviews and guidelines on AD. Recommendations were appraised for level of evidence and strength of recommendation based on the U.K. National Institute for Health and Care Excellence and Scottish Intercollegiate Guidelines Network guidelines. These practice points were based on the consensus recommendations discussed during the Asia Pacific Meeting of Experts in Dermatology held in Bali, Indonesia in October 2016 and April 2017.

resultsThe Expert Panel recommends an approach to treatment based on disease severity. The use of moisturizers is recommended across all levels of AD severity, while topical steroids are recommended only for flares not controlled by conventional skin care and moisturizers. Causes of waning efficacy must be explored before using topical corticosteroids of higher potency. Topical calcineurin inhibitors are recommended for patients who have become recalcitrant to steroid, in chronic uninterrupted use, and when there is steroid atrophy, or when there is a need to treat sensitive areas and pediatric patients. Systemic steroids have a limited role in AD treatment and should be avoided if possible. Educational programs that allow a patient-centered approach in AD management are recommended as an adjunct to conventional therapies. Recommendations on the use of phototherapy, systemic drugs, and emerging treatments are also included.

conclusionThe management of AD among Asians requires a holistic approach, integrating evidence-based treatments while considering accessibility and cultural acceptability.

Indexed as

AsiansAtopic dermatitisAtopyDermatologyEczema

Identifiers

PMID30402408
PMCPMC6209602
OpenAlexW2899159625

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.