Evidence map›Paper›PMID 31956966›Full record

ReviewAdvances in therapy2020

Development of a Conceptual Model of Chronic Hand Eczema (CHE) Based on Qualitative Interviews with Patients and Expert Dermatologists.

Laura Grant, Lotte Seiding Larsen, Kate Burrows, Donald V Belsito, Elke Weisshaar, Thomas Diepgen, Julie Hahn-Pedersen, Ole E Sørensen, Rob Arbuckle

Open access · hybridAbstract readReview
In one paragraph

Review in Advances in therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  10. Systemic exposure and bioavailability of delgocitinib cream in adults with moderate to severe Chronic Hand Eczema.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Article
  11. Article
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  13. Review
  14. Article
  15. Chronic Hand Eczema.American journal of clinical dermatology · 2024
    Review
  16. Article
  17. 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

9 authors at 4 institutions in 4 countries.

Laura GrantAdelphi Values, Adelphi Mill, Grimshaw Lane, Bollington, Cheshire, UK.
Lotte Seiding LarsenLEO Pharma A/S, Industriparken 55, 2750, Ballerup, Denmark.
Kate BurrowsAdelphi Values, Adelphi Mill, Grimshaw Lane, Bollington, Cheshire, UK. Kate.Burrows@Adelphivalues.com.
Donald V BelsitoColumbia University Medical Center, 16th St & Broadway, New York, NY, 10027, USA.
Elke WeisshaarUniversity Hospital Heidelberg, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany.
Thomas DiepgenUniversity Hospital Heidelberg, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany.
Julie Hahn-PedersenLEO Pharma A/S, Industriparken 55, 2750, Ballerup, Denmark.
Ole E SørensenLEO Pharma A/S, Industriparken 55, 2750, Ballerup, Denmark.
Rob ArbuckleAdelphi Values, Adelphi Mill, Grimshaw Lane, Bollington, Cheshire, UK.
Adelphi Group (United Kingdom) · GBLeo Pharma (Denmark) · DKUniversity Hospital Heidelberg · DEColumbia University Irving Medical Center · US

Funding

LEO Pharma Research Foundation 123
6 · The paper itself

Abstract

introductionChronic hand eczema (CHE) is a relapsing inflammatory dermatologic disease. Signs and symptoms can have a significant impact on patients' health-related quality of life (HRQoL). The aim of this study is to characterize the core signs, symptoms and impacts of CHE to develop a conceptual model.

methodsA structured literature search and qualitative interviews with 20 adult CHE patients in the US and 5 expert dermatologists were conducted to explore the patient experience of CHE signs, symptoms and impacts. Findings were used to support the development of a conceptual model.

resultsThere was a paucity of CHE qualitative research in the literature, supporting the need for the prospective qualitative research. The primary signs and symptoms identified from the literature review and interviews included itch, dryness, cracking, pain, thickened skin and bleeding. The most salient impacts included embarrassment and appearance concerns, frustration, impacts on work and sleep disturbance. Saturation was achieved for all signs, symptoms and impact concepts.

conclusionsFindings from this literature review and in-depth qualitative interviews supported the development of a comprehensive conceptual model documenting the signs, symptoms and impacts relevant to CHE patients. Such a model is of considerable value given the lack of existing studies in the literature focused on the qualitative exploration of the CHE patient experience. Limitations included the patient sample being only from the US and not including some CHE subtypes.

Indexed as

Symptom AssessmentAdultAgedChronic DiseaseEczemaFemaleHandHumansMaleMiddle AgedModels, TheoreticalProspective StudiesQualitative ResearchUnited StatesYoung AdultAdultChronic hand eczemaConceptual modelHand eczemaHealth-related quality of lifeImpactInterviewLiterature reviewQualitative researchSymptom

Identifiers

PMID31956966
PMCPMC7004418
OpenAlexW3000499660

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.