Evidence map›Paper›PMID 32171558›Full record

ArticleThe Journal of pediatrics2020

Management of Atopic Dermatitis in Children Younger Than Two Years of Age by Community Pediatricians: A Survey and Chart Review.

Anna B Fishbein, Noor Hamideh, Jennifer Lor, Sharon Zhao, Lacey Kruse, Maryann Mason, Adolfo Ariza, Liliana Bolanos, Jonathan Necheles, Bennett Kaye

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Antiatopic dermatitis activity ofTurkish journal of biology = Turk biyoloji dergisi · 2026
    Article
  2. Novel drug delivery systems in topical treatment of atopic dermatitis.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
  3. Article
  4. Design of the Intervention to Reduce Early Peanut Allergy in Children (iREACH): A practice-based clinical trial.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2024
    Article
  5. Article
  6. Review
  7. Article
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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

10 authors at 2 institutions in 1 country.

Anna B FishbeinDivision of Pediatric Allergy & Immunology, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital, Chicago, IL. Electronic address: afishbein@luriechildrens.org.
Noor HamidehDivision of Pediatric Allergy & Immunology, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital, Chicago, IL.
Jennifer LorDivision of Pediatric Allergy & Immunology, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital, Chicago, IL.
Sharon ZhaoDivision of Pediatric Allergy & Immunology, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital, Chicago, IL.
Lacey KruseDivision of Pediatric Dermatology, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital, Chicago, IL.
Maryann MasonDepartment of Pediatrics, Ann & Robert H. Lurie Children's Hospital, Northwestern University, Chicago, IL.
Adolfo ArizaDepartment of Pediatrics, Ann & Robert H. Lurie Children's Hospital, Northwestern University, Chicago, IL.
Liliana BolanosDepartment of Pediatrics, Ann & Robert H. Lurie Children's Hospital, Northwestern University, Chicago, IL.
Jonathan NechelesChildren's Healthcare Associates, Chicago, IL; Community-Based Medicine, Ann & Robert H. Lurie Children's Hospital, Chicago, IL.
Bennett KayeChildren's Healthcare Associates, Chicago, IL; Community-Based Medicine, Ann & Robert H. Lurie Children's Hospital, Chicago, IL.
Lurie Children's Hospital · USNorthwestern University · US

Funding

Northwestern University Patient-centered Intervention and Engagement TrainingK12HS023011 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CELLA, DAVID · 2014 to 2018
$3.7M
Circadian Rhythms of Skin Barrier, Pruritus and Inflammation in Atopic DermatitisK23AR075108 · NIAMS · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI FISHBEIN, ANNA B · 2019 to 2022
$674k
AHRQ HHS K12 HS023011NIAID NIH HHS L40 AI113827NIAMS NIH HHS K23 AR075108
6 · The paper itself

Abstract

objectivesTo characterize primary care providers' (PCPs) practice patterns for atopic dermatitis (AD) in children <2 years old and determine the need for AD guidelines for PCPs focused on this age group. STUDY

designThis is a mixed-methods study consisting of a survey and a retrospective medical record review of PCP practices in the Chicago metropolitan area. The survey was analyzed using both quantitative and qualitative methods.

resultsIn the survey (n = 52 respondents), PCPs reported management of AD is different in children <2 years compared with older children (88%). They were more likely to refer to a specialist (65%) and less likely to use high-potency topical corticosteroids (64%). In the chart review, PCP visits for children 2-5 years old (n = 50 914) vs those <2 years old (n = 71 913) for AD, older children had medium- and high-potency topical corticosteroids prescribed more frequently than younger children (0.66% vs 0.37%, P < .01 and .15% vs 0.05%, P < .01, respectively). In the subset of children <2 years of age who also were evaluated by a specialist (n = 109), medium- and high-potency topical corticosteroids were prescribed disproportionately at visits to providers in dermatology (57%) vs allergy (30%) vs pediatrics (15%) (P < .01). PCPs suggested that guidelines for this age group should include recommendations for preferred corticosteroids (39%), allergy management (35%), referral criteria (22%), and assessment of disease severity (11%).

conclusionsPCP management of AD in children <2 years is different from older children, with possible underuse of medium/high-potency topical corticosteroids. Clear guidelines for this age group are needed.

Indexed as

PediatriciansAdministration, TopicalBoron CompoundsBridged Bicyclo Compounds, HeterocyclicCalcineurin InhibitorsChild, PreschoolDermatitis, AtopicDrug PrescriptionsFemaleGlucocorticoidsHumansMalePractice Patterns, Physicians'Primary Health CareReferral and ConsultationRetrospective StudiesBoron CompoundsBridged Bicyclo Compounds, HeterocyclicCalcineurin InhibitorscrisaboroleGlucocorticoidsatopic dermatitiseczemaphysicians' practice patternsprimary healthcaresurveys and questionnaires

Identifiers

PMID32171558
PMCPMC7480084
OpenAlexW3011748432

What OpenQuestion holds

Textmetadata
LicenceTDM
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.