Evidence map›Paper›PMID 31260715›Full record

ArticleThe Journal of allergy and clinical immunology2019

Clinical onset of atopic eczema: Results from 2 nationally representative British birth cohorts followed through midlife.

Katrina Abuabara, Morgan Ye, Charles E McCulloch, Alice Sullivan, David J Margolis, David P Strachan, Lavinia Paternoster, Yik Weng Yew, Hywel C Williams, Sinéad M Langan

Open access · hybridAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 6 pooled it
8.0field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 6 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Skin care interventions in infants for preventing eczema and food allergy.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. Pooled it
  4. Classifying atopic dermatitis: a systematic review of phenotypes and associated characteristics.Journal of the European Academy of Dermatology and Venereology : JEADV · 2022
    Pooled it
  5. Skin care interventions in infants for preventing eczema and food allergy.The Cochrane database of systematic reviews · 2021
    Pooled it
  6. Pooled it
  7. Article
  8. Observational
  9. Article
  10. Observational
  11. Article
  12. Article
  13. [Eczema and its treatment in older adults].Dermatologie (Heidelberg, Germany) · 2023
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Sex-specific developmental trajectories of eczema from infancy to age 26 years: A birth cohort study.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2022
    Article
  19. Article
  20. Review
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

10 authors at 8 institutions in 3 countries.

Katrina AbuabaraProgram for Clinical Research, Department of Dermatology, University of California, San Francisco School of Medicine, San Francisco, Calif. Electronic address: Katrina.abuabara@ucsf.edu.
Morgan YeProgram for Clinical Research, Department of Dermatology, University of California, San Francisco School of Medicine, San Francisco, Calif.
Charles E McCullochDivision of Biostatistics, University of California, San Francisco School of Medicine, San Francisco, Calif.
Alice SullivanUCL Institute of Education, University College, London, United Kingdom.
David J MargolisDepartment of Dermatology and Center for Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.
David P StrachanPopulation Health Research Institute, St George's University of London, London, United Kingdom.
Lavinia PaternosterMRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Yik Weng YewNational Skin Centre, Singapore.
Hywel C WilliamsCentre of Evidence Based Dermatology, Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham, United Kingdom.
Sinéad M LanganFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
University of California, San Francisco · USLondon School of Hygiene & Tropical Medicine · GBNational Skin Centre · SGSt George's, University of London · GBUniversity College London · GBUniversity of Bristol · GBUniversity of Nottingham · GBUniversity of Pennsylvania · US

Funding

Type 1 Diabetes Genetics ConsortiumU01DK062418 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI RICH, STEPHEN S. · 2002 to 2007
$59.8M
Social, environmental, and epigenetic drivers of atopic dermatitis disease courseK23AR073915 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ABUABARA, KATRINA ELAINE · 2018 to 2022
$881k
Department of Health NIHR/CS/010/014Medical Research Council G0000934Medical Research Council MR/N01104X/2NIAMS NIH HHS K23 AR073915NIDDK NIH HHS U01 DK062418Wellcome Trust 076113/B/04/ZWellcome Trust 079895Wellcome Trust 205039/Z/16/Z
6 · The paper itself

Abstract

backgroundAtopic eczema onset is described primarily in early childhood, and the frequency and characteristics of adult-onset disease remain controversial.

objectiveWe sought to determine the proportion of subjects who report atopic eczema symptoms between birth and midadulthood and to examine demographic, immunologic, and genetic factors associated with period of symptom onset.

methodsWe conducted a longitudinal study using data from 2 nationally representative community-based birth cohorts from the United Kingdom: the British Cohort Studies 1958 and 1970. Subjects were followed from birth through age 42 to 50 years. The primary outcome was the age period of self-reported atopic eczema symptom onset based on repeated measures of self-reported atopic eczema at each survey wave.

resultsThe annual period prevalence of atopic eczema ranged from 5% to 15% in 2 cohorts of more than 17,000 participants each followed from birth through middle age. There was no clear trend in prevalence by age, and among adults reporting active atopic eczema during a given year, only 38% had symptom onset reported in childhood. When compared with subjects whose eczema started in childhood, those with adult-onset disease were more likely to be women, from Scotland or Northern England, of lower childhood socioeconomic group, smokers in adulthood, and less likely to have a history of asthma. In a subanalysis using data from the 1958 cohort only, genetic mutations previously associated with atopic eczema, including filaggrin-null mutations, and allergen-specific IgE were more common among those with childhood-onset disease.

conclusionRates of self-reported atopic eczema remain high after childhood, and adult-onset atopic eczema has different risk factor associations than childhood-onset eczema.

Indexed as

AdolescentAdultChildChild, PreschoolCohort StudiesDermatitis, AtopicEnglandFemaleFilaggrin ProteinsHumansInfantInfant, NewbornLongitudinal StudiesMaleMiddle AgedSelf ReportFilaggrin Proteinsatopic dermatitisAtopic eczemaepidemiologynatural history

Identifiers

PMID31260715
PMCPMC6721832
OpenAlexW2953433428

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.