Evidence map›Paper›PMID 32803546›Full record

ArticleAmerican journal of clinical dermatology2020

Development of Clinician-Reported Outcome (ClinRO) and Patient-Reported Outcome (PRO) Measures for Eyebrow, Eyelash and Nail Assessment in Alopecia Areata.

Kathleen W Wyrwich, Helen Kitchen, Sarah Knight, Natalie V J Aldhouse, Jake Macey, Fabio P Nunes, Yves Dutronc, Natasha Mesinkovska, Justin M Ko, Brett A King

Open access · hybridAbstract read
In one paragraph

Article in American journal of clinical dermatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. S3 guideline diagnostics and therapy of alopecia areata - Part 1: Diagnostics and epidemiology.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Guideline
  2. Trial
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Ophthalmologic Comorbidities in Alopecia Areata.Journal of clinical medicine · 2025
    Review
  8. Article
  9. Psychosocial and mental impact of alopecia areata: Analysis of the Danish Skin Cohort.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Using qualitative methods to establish the clinically meaningful threshold for treatment success in alopecia areata.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    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

10 authors at 4 institutions in 1 country.

Kathleen W WyrwichPatient-Focused Outcomes Center of Expertise, Eli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46285, USA.ORCID http://orcid.org/0000-0002-8851-350X
Helen KitchenClinical Outcomes Assessment, DRG Abacus, The Lexicon, Mount Street, Manchester, M2 5NT, UK.ORCID http://orcid.org/0000-0001-5519-0794
Sarah KnightClinical Outcomes Assessment, DRG Abacus, The Lexicon, Mount Street, Manchester, M2 5NT, UK.ORCID http://orcid.org/0000-0002-3586-6184
Natalie V J AldhouseClinical Outcomes Assessment, DRG Abacus, The Lexicon, Mount Street, Manchester, M2 5NT, UK.ORCID http://orcid.org/0000-0001-6573-7431
Jake MaceyClinical Outcomes Assessment, DRG Abacus, The Lexicon, Mount Street, Manchester, M2 5NT, UK.ORCID http://orcid.org/0000-0003-2697-0438
Fabio P NunesLilly Bio-Medicines, Eli Lilly and Company, Eli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46285, USA.ORCID http://orcid.org/0000-0002-8833-2223
Yves DutroncLilly Bio-Medicines, Eli Lilly and Company, Eli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46285, USA.ORCID http://orcid.org/0000-0002-1284-1152
Natasha MesinkovskaUniversity of California Irvine Dermatology Clinical Research Center, Hewitt Hall Building, 843 Health Sciences Road, Room 1001, Irvine, CA, 92697, USA.ORCID http://orcid.org/0000-0002-2705-7002
Justin M KoStanford Dermatology, Stanford University School of Medicine, 291 Campus Drive, Li Ka Shing Building, Stanford, CA, 94305-5101, USA.ORCID http://orcid.org/0000-0003-4232-5906
Brett A KingDepartment of Dermatology, Yale School of Medicine, 333 Cedar Street, LMP 5040, New Haven, CT, 06520, USA. brett.king@yale.edu.ORCID http://orcid.org/0000-0002-4576-4616
Eli Lilly (United States) · USStanford University · USUniversity of California, Irvine · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundEyebrow and eyelash hair loss and nail damage-in addition to scalp hair loss-are important signs/symptoms of alopecia areata (AA) to patients and deserve assessment in AA clinical trials.

objectivesOur objective was to develop clinician-reported outcome (ClinRO) and patient-reported outcome (PRO) measures and accompanying photoguides to aid in the assessment of AA-related eyebrow, eyelash and nail signs/symptoms.

methodsIterative rounds of qualitative, semi-structured interviews were conducted with US expert dermatologists and North American patients with AA. Patients with eyebrow, eyelash and nail involvement were purposefully sampled. Interview transcripts were qualitatively analyzed.

resultsDermatologists (n = 10) described eyebrow and eyelash loss as concerning for affected patients and, along with nail appearance, as deserving assessment. Dermatologist data informed the development of single item, 4-point Likert-type ClinRO and PRO measures of current eyebrow loss, eyelash loss and nail appearance and a PRO measure of eye irritation. Patients (n = 45, age 15-72 years) confirmed the importance and relevance of these signs/symptoms. Interim revision resulted in measures that were understood by and relevant to patients. Dermatologists (n = 5) and patients (n = 10, age 21-54 years) participated in the development of the eyebrow, eyelash and nail photoguides and confirmed that they included photos that appropriately represented different severity levels and were helpful to derive and standardize ratings across raters.

conclusionsThe ClinRO and PRO measures for eyebrow, eyelash and nail appearance, with their accompanying photoguides and the PRO Measure for Eye Irritation provide clear and meaningful assessments of outcomes important to patients with AA.

Indexed as

Patient Reported Outcome MeasuresAdolescentAdultAgedAlopecia AreataClinical Trials as TopicCross-Sectional StudiesDermatologistsEyebrowsEyelashesFemaleHumansMaleMiddle AgedNailsPhotography

Identifiers

PMID32803546
PMCPMC7473969
OpenAlexW3049657126

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.