Evidence map›Paper›PMID 30652317›Full record

Trial reportContact dermatitis2019

Effectiveness of a skin care programme for the prevention of contact dermatitis in healthcare workers (the Healthy Hands Project): A single-centre, cluster randomized controlled trial.

Maryam Soltanipoor, Sanja Kezic, Judith K Sluiter, Fleur de Wit, Angela L Bosma, Ruth van Asperen, Thomas Rustemeyer

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contact dermatitis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Chronic Hand Eczema.American journal of clinical dermatology · 2024
    Review
  8. Occupational Hand Dermatitis.Current allergy and asthma reports · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. Fragranced hand gels: beware the risk of contact allergy.Clinical and experimental dermatology · 2021
    Article
  13. Article
  14. Addition of a sixth step in hand hygiene protocol: Moisturization.Journal of the American Academy of Dermatology · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. 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

7 authors at 3 institutions in 1 country.

Maryam SoltanipoorCoronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-1408-4351
Sanja KezicCoronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-1063-4547
Judith K SluiterCoronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Fleur de WitDepartment of Dermatology, Amsterdam UMC (De Boelelaan), Amsterdam, The Netherlands.
Angela L BosmaDepartment of Dermatology, Amsterdam UMC (Meibergdreef), Amsterdam, The Netherlands.
Ruth van AsperenDepartment of Dermatology, Amsterdam UMC (De Boelelaan), Amsterdam, The Netherlands.
Thomas RustemeyerDepartment of Dermatology, Amsterdam UMC (De Boelelaan), Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-7580-0684
Amsterdam Neuroscience · NLNetherlands Center for Occupational Diseases · NLAmsterdam University Medical Centers · NL

Funding

DEB Group Ltd, Denby, UK
6 · The paper itself

Abstract

backgroundHealthcare workers (HCWs) are at risk of developing hand dermatitis (HD). Guidelines recommend moisturizers to prevent HD, but in practice their effectiveness has been poorly investigated.

objectivesTo assess whether an intervention aimed at improving skin care leads to a reduction in HD severity.

methodsIn this 1-year randomized controlled trial, 9 wards (285 HCWs) were allocated to an intervention group (IG), and 10 wards (216 HCWs) were allocated to the control group (CG). The intervention included provision of cream dispensers with electronic monitoring of use, regularly communicated to the HCWs. The primary and secondary outcomes were change from baseline in Hand Eczema Severity Index (HECSI) score (ΔHECSI) and change in natural moisturizing factor (NMF) level (ΔNMF).

resultsAt 12 months, the rates of loss to follow-up were 41% and 39% in the IG and the CG, respectively. The HECSI score was reduced in the IG by -6.2 points (95%CI: -7.7 to -4.7) and in the CG by -4.2 points (95%CI: -6.0 to -2.4). There was no significant difference in ΔHECSI or ΔNMF between the groups. Relative improvement in the HECSI score was significantly higher in the IG than in the CG (56% vs 44%). In a subgroup of HCWs with mild HD, the IG showed a larger HECSI score decrease than the CG (P < 0.001).

conclusionAlthough there was no significant effect on the primary outcomes, the intervention showed overall positive effects on the HECSI score.

Indexed as

Health PersonnelDermatitis, Allergic ContactDermatitis, OccupationalFemaleHand DermatosesHumansMaleSeverity of Illness IndexSkin Creamhand dermatitishand moisturizershealthcarenursesprevention

Identifiers

PMID30652317
PMCPMC6593800
OpenAlexW2909223724

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.