Evidence map›Paper›PMID 31186066›Full record

ReviewOrphanet journal of rare diseases2019

Psychosocial recommendations for the care of children and adults with epidermolysis bullosa and their family: evidence based guidelines.

K Martin, S Geuens, J K Asche, R Bodan, F Browne, A Downe, N García García, G Jaega, B Kennedy, P J Mauritz and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in Orphanet journal of rare diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
4.0field-weighted citation impact, top 6% 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

44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Clinical practice guidelines: Oral health care for children and adults living with epidermolysis bullosa.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry · 2020
    Pooled it
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Parental Caregiving Experiences in Epidermolysis Bullosa: A Phenomenological Study.International journal of community based nursing and midwifery · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. The Saudi National Policy and Protocol for Epidermolysis Bullosa.Risk management and healthcare policy · 2025
    Article
  18. Article
  19. Article
  20. 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

14 authors at 8 institutions in 7 countries.

K MartinUniversity Hospitals Birmingham NHS Trust, Solihull Hospital, Solihull, B91 2JL, UK. office@debra-international.org.ORCID 0000-0001-9176-2497
S GeuensUniversital Hospitals Leuven, Leuven, Belgium.
J K AscheDEBRA Norge and person living with JEB, Stavanger, Norway.
R BodanCalifornia State University, Fullerton, CA, USA.
F BrowneOur Lady's Children's Hospital Crumlin, Dublin, Ireland.
A DowneGuy's and St Thomas' Hospitals NHS Foundation Trust, London, UK.
N García GarcíaDEBRA Spain, Marbella, Spain.
G JaegaPsychology graduate and person living with EBS, Liverpool, UK.
B KennedyOur Lady's Children's Hospital Crumlin, Dublin, Ireland.
P J MauritzThe University Medical Center Groningen, Groningen, the Netherlands.
F PérezDEBRA Chile, Santiago, Chile.
K SoonGreat Ormond Street Hospital NHS Foundation Trust, London, UK.
V ZmazekDEBRA Croatia, Zagreb, Croatia.
K M Mayre-ChiltonGuy's and St Thomas' Hospitals NHS Foundation Trust, London, UK.
Children's Health Ireland at Crumlin · IESt Thomas' Hospital · GBCalifornia State University, Fullerton · USCroatian Science Foundation · HRGreat Ormond Street Hospital for Children NHS Foundation Trust · GBSolihull Hospital · GBUniversitair Ziekenhuis Leuven · BEUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidermolysis Bullosa (EB) is a group of rare genetic disorders resulting in skin fragility and other symptoms. Commissioned by DEBRA International and funded by DEBRA Norway, this evidence-bases guideline provides recommendations to optimise psychosocial wellbeing in EB.An international multidisciplinary panel of social and health care professionals (HCP) and people living with EB was formed. A systematic international literature review was conducted by the panel following the Scottish Intercollegiate Guidelines Network (SIGN) methodology. The resulting papers underwent systematic selection and critique processes. Included papers were allocated to 6 different outcome groups to allow data synthesis and exploration: quality of life, coping, family, wellbeing, access to HCP and pain. Based on the evidence in those papers, recommendations were made for individuals living with EB, family and caregivers and HCP working in the field.Few studies have investigated interventions and which factors lead to better outcomes, but general recommendations can be made. EB is a complex disease impacting enormously on every aspect of psychosocial life. People and families living with EB need access to multidisciplinary support, including psychological guidance, in order to improve quality of life and psychosocial wellbeing. Interventions should stimulate social participation to prevent isolation. People with EB and their families should be able to access a supportive network. HCP should be well supported and educated about the complexity of EB. They should work collaboratively with those around the individual with EB (e.g. schools, employers etc.) to provide psychosocial opportunity and care.Attention should be paid to the psychosocial impact of EB as well as physical needs. Directions for research are indicated.

Indexed as

Adaptation, PsychologicalEpidermolysis BullosaHumansQuality of LifeEpidermolysis bullosaFamilyGuidelineProfessionalsPsychologicalPsychosocialRecommendationsSocial

Identifiers

PMID31186066
PMCPMC6560722
OpenAlexW2949698711

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.