Evidence map›Paper›PMID 30468530›Full record

Trial reportJournal of the European Academy of Dermatology and Venereology : JEADV2019

'High dose' vs. 'medium dose' UVA1 phototherapy in italian patients with severe atopic dermatitis.

A Pacifico, P Iacovelli, G Damiani, C Ferraro, S Cazzaniga, R R Z Conic, G Leone, A Morrone

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the European Academy of Dermatology and Venereology : JEADV, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Phototherapy for atopic eczema.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Observational
  3. Article
  4. Update on the Pathogenesis and Therapy of Atopic Dermatitis.Clinical reviews in allergy & immunology · 2021
    Review
  5. Article
  6. 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

8 authors at 3 institutions in 3 countries.

A PacificoClinical Dermatology Department, S. Gallicano Dermatological Institute, IRCCS, Rome, Italy.
P IacovelliClinical Dermatology Department, S. Gallicano Dermatological Institute, IRCCS, Rome, Italy.
G DamianiDipartimento di Fisiopatologia Medico-Chirurgica e Dei Trapianti, Unità Operativa di Dermatologia, IRCCS, Fondazione Cà Granda, Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milano, Italy.
C FerraroClinical Dermatology Department, S. Gallicano Dermatological Institute, IRCCS, Rome, Italy.
S CazzanigaCentro Studi GISED, Bergamo, Italy.
R R Z ConicDepartment of Dermatology, Case Western Reserve University, Cleveland, OH, USA.ORCID https://orcid.org/0000-0002-9209-2883
G LeoneClinical Dermatology Department, S. Gallicano Dermatological Institute, IRCCS, Rome, Italy.
A MorroneClinical Dermatology Department, S. Gallicano Dermatological Institute, IRCCS, Rome, Italy.
San Gallicano Hospital · ITCentro Studi GISED · ITCase Western Reserve University · US

Funding

Psoriasis Center of Research TranslationP50AR070590 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI CAMERON, MARK JAMES · 2017 to 2021
$6.5M
TRAINING IN INVESTIGATIVE AND MOLECULAR DERMATOLOGYT32AR007569 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI COOPER, KEVIN D · 1991 to 2019
$2.7M
National Institute of Health 5 T32 AR 7569-22NIAMS NIH HHS P50 AR070590NIAMS NIH HHS P50 AR 070590 01A1NIAMS NIH HHS T32 AR007569
6 · The paper itself

Abstract

backgroundThe current evidences attest UVA1 phototherapy as effective in the treatment of severe atopic dermatitis (AD). Furthermore, in this indication, 'medium dose' is as effective as 'high dose' regimen. To date, a randomized comparison study evaluating the effectiveness as well as safety of different UVA1 protocols in different skin types in the treatment of adult patients with severe AD is still lacking.

objectiveThe aim of the present study was to compare the safety and the efficacy of medium and high dose UVA1 either in fair or in dark skin types.

methodsTwenty-seven adult patients with severe AD were consecutively included in a randomized, controlled, open, two arms trial Severity of AD was determined by means of SCORAD index and clinical improvement was also monitored. A total of 13 out of 27 patients were treated with high dose (130 J/cm

resultsSkin status improved in all patients resulting in a reduction of SCORAD index in all groups. Our results demonstrated that among patients with darker skin types and higher MI, high dose UVA1 was significantly more effective than medium dose (P < 0.0001) while within the groups with skin type II, no significant differences between high and medium dose protocols were observed.

conclusionOur study, confirms previous observations that UVA1 phototherapy should be considered among the first approaches in the treatment of patients with severe generalized AD and also demonstrates that in darker skin types, high dose UVA1 phototherapy is more effective than medium dose in the treatment of adult patients with severe AD.

Indexed as

Skin PigmentationAdultDermatitis, AtopicFemaleHumansItalyMaleMiddle AgedRadiotherapy DosageSeverity of Illness IndexTreatment OutcomeUltraviolet TherapyYoung Adult

Identifiers

PMID30468530
PMCPMC6440836
OpenAlexW2900470868

What OpenQuestion holds

Textmetadata
LicenceTDM
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.