Evidence map›Paper›PMID 30720903›Full record

ArticleJournal of the European Academy of Dermatology and Venereology : JEADV2019

Defining and measuring 'eczema control': an international qualitative study to explore the views of those living with and treating atopic eczema.

L Howells, K S Thomas, A V Sears, I Nasr, A Wollenberg, M L A Schuttelaar, G L E Romeijn, A S Paller, K Mueller, K Doytcheva and 10 more

Open access · hybridAbstract read
In one paragraph

Article 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

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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

20 authors at 13 institutions in 7 countries.

L HowellsCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK.
K S ThomasCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK.
A V SearsSt John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
I NasrGloucester, UK.
A WollenbergDepartment of Dermatology and Allergy, Ludwig Maximilian University, Munich, Germany.
M L A SchuttelaarDepartment of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
G L E RomeijnDepartment of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
A S PallerDepartment of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
K MuellerDepartment of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
K DoytchevaDepartment of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Y KataokaDepartment of Dermatology, Osaka Habikino Medical Center, Osaka, Japan.
J DaguzeDepartment of Dermatology, CHU Nantes, Nantes, France.
S BarbarotDepartment of Dermatology, CHU Nantes, Nantes, France.
L B von KobyletzkiDepartment of Dermatology, Lund University, Malmö, Sweden.
L BeckmanDepartment of Public Health Science, Karlstad University, Karlstad, Sweden.
S RatibCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK.
F CowdellFaculty of Health, Education and Life Sciences, Birmingham City University, Birmingham, UK.
M SanterPrimary Care and Population Sciences, University of Southampton, Southampton, UK.
J R ChalmersCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK.
long-term control of eczema working group for the HOME initiative
University of Nottingham · GBNorthwestern University · USCentre Hospitalier Universitaire de Nantes · FRBirmingham City University · GBKarlstad University · SEKing's College London · GBLudwig-Maximilians-Universität München · DELund University · SEOsaka Prefectural Medical Center · JPUniversity Medical Center Groningen · NLUniversity of Groningen · NLUniversity of Southampton · GBWildfowl & Wetlands Trust · GB

Funding

British Skin Foundation 8016
6 · The paper itself

Abstract

backgroundAtopic eczema (also known as eczema) is a chronic, inflammatory skin condition that often afflicts patients' health and well-being. The Harmonising Outcome Measures for Eczema (HOME) initiative recommends that 'long-term control of eczema' is measured in all clinical trials 3 months or longer in duration. However, little has been published on what eczema control means to those living with or treating atopic eczema.

objectivesTo (i) develop understanding of what eczema control means to patients, carers and clinicians and (ii) explore the feasibility and acceptability of different ways of measuring eczema control in the long term.

methodsOnline focus groups explored patients/carers experiences in the UK, the United States, the Netherlands, France, Sweden and Japan, and an international online survey gathered views of clinicians. The framework method was used to analyse the focus groups, and thematic analysis was used to analyse survey data. All findings were integrated into a theoretical framework to create overarching themes that cut across these diverse groups.

resultsEight focus groups with patients (16 years+) and eight groups with carers of children took place (N = 97). Sixty-two people took part in the survey. Eczema control was described as a multifaceted construct involving changes in disease activity, the treatment and management of the condition and psychological, social and physical functioning. Patient/carer measurement allows personal accounts and frequent measurement, whilst clinician measurement was deemed less subjective. The burden on patients/carers and issues for analysing and interpreting data should be considered.

conclusionsThis study formed the basis of judging the content validity and feasibility of measurement instruments/methods to assess control of eczema in clinical trials. This online approach to an international qualitative study is an example of how core outcome set developers with limited resources can engage with multiple stakeholder groups on an international basis to inform consensus meeting discussions.

Indexed as

AdolescentAdultChildDermatitis, AtopicEczemaFemaleFocus GroupsHumansMaleQualitative ResearchYoung Adult

Identifiers

PMID30720903
PMCPMC6594222
OpenAlexW2913499565

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.