ArticleClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2021
Patterns and trends in eczema management in UK primary care (2009-2018): A population-based cohort study.
Article in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Systemic Therapy for Atopic Dermatitis in Children and Adolescents: A US Expert Consensus.Dermatology (Basel, Switzerland) · 2024Guideline
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- Cohort studies on 71 outcomes among people with atopic eczema in UK primary care data.Nature communications · 2024Article
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- Atopic eczema in primary care: evidence update and implications for practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Prevalence and treatment patterns of adult atopic dermatitis in the UK Clinical Practice Research Datalink.Skin health and disease · 2023Article
- Comparison of real-world treatment outcomes of systemic immunomodulating therapy in atopic dermatitis patients with dark and light skin types.JAAD international · 2023Article
- Care pathways in atopic dermatitis: a retrospective population-based cohort study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2022Observational
- Age-dependent Distribution of Atopic Dermatitis in Primary Care: A Nationwide Population-based Study from Finland.Acta dermato-venereologica · 2022Article
- Living with Atopic Dermatitis as a Young Adult in Relation to Health-related Quality of Life and Healthcare Contacts: A Population-based Study.Acta dermato-venereologica · 2022Article
- The epidemiology of alopecia areata: a population-based cohort study in UK primary care.The British journal of dermatology · 2022Article
- Comanagement of Rashes by Primary Care Providers and Dermatologists: A Retrospective Study.The Permanente journal · 2021Article
- Patterns and trends in eczema management in UK primary care (2009-2018): A population-based cohort study.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2021Article
- Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the high disease burden of eczema, a contemporary overview of the patterns and trends in primary care healthcare utilization and treatment is lacking.
objectiveTo quantify primary care consultations, specialist referrals, prescribing, and treatment escalation, in children and adults with eczema in England.
methodsA large primary care research database was used to examine healthcare and treatment utilization in people with active eczema (n = 411,931). Management trends and variations by age, sex, socioeconomic status, and ethnicity were described from 2009 to 2018 inclusive.
resultsPrimary care consultation rates increased from 87.8 (95% confidence interval [95% CI] 87.3-88.3) to 112.0 (95% CI 111.5-112.6) per 100 person-years over 2009 to 2018. Specialist referral rates also increased from 3.8 (95% CI 3.7-3.9) to 5.0 (95% CI 4.9-5.1) per 100 person-years over the same period. Consultation rates were highest in infants. Specialist referrals were greatest in the over 50s and lowest in people of lower socioeconomic status, despite a higher rate of primary care consultations. There were small changes in prescribing over time; emollients increased (prescribed to 48.5% of people with active eczema in 2009 compared to 51.4% in 2018) and topical corticosteroids decreased (57.3%-52.0%). Prescribing disparities were observed, including less prescribing of potent and very potent topical corticosteroids in non-white ethnicities and people of lower socioeconomic status. Treatment escalation was more common with increasing age and in children of non-white ethnicity. CONCLUSION AND CLINICAL RELEVANCE: The management of eczema varies by sociodemographic status in England, with lower rates of specialist referral in people from more-deprived backgrounds. There are different patterns of healthcare utilization, treatment, and treatment escalation in people of non-white ethnicity and of more-deprived backgrounds.
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