Evidence map›Paper›PMID 34424533›Full record

Trial reportThe Australasian journal of dermatology2021

Moisturisers from birth in at-risk infants of atopic dermatitis - a pragmatic randomised controlled trial.

Pamela Si Min Ng, Lynette Wei Yi Wee, Valerie Pui Yoong Ho, Weixuan Colin Tan, Priya Bishnoi, Uma Alagappan, Sharon Mun Yee Wong, Emily Yiping Gan, Bin Huey Quek, Liang Shen and 3 more

Open access · hybridAbstract readPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in The Australasian journal of dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Skin care interventions in infants for preventing eczema and food allergy.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Review
  3. Review
  4. Review
  5. 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

13 authors at 3 institutions in 1 country.

Pamela Si Min NgDepartment of Paediatric Medicine, KK Women's and Children's Hospital, Singapore.ORCID https://orcid.org/0000-0002-7180-7990
Lynette Wei Yi WeeDermatology Service, KK Women's and Children's Hospital, Singapore.ORCID https://orcid.org/0000-0002-5395-0734
Valerie Pui Yoong HoDermatology Service, KK Women's and Children's Hospital, Singapore.
Weixuan Colin TanDermatology Service, KK Women's and Children's Hospital, Singapore.
Priya BishnoiDermatology Service, KK Women's and Children's Hospital, Singapore.
Uma AlagappanDermatology Service, KK Women's and Children's Hospital, Singapore.
Sharon Mun Yee WongDermatology Service, KK Women's and Children's Hospital, Singapore.
Emily Yiping GanDermatology Service, KK Women's and Children's Hospital, Singapore.
Bin Huey QuekDepartment of Neonatology, KK Women's and Children's Hospital, Singapore.
Liang ShenSaw Swee Hock School of Public Health, National University of Singapore, Singapore.
Bing SuResearch Center, KK Women's and Children's Hospital, Singapore.
John Ea CommonSkin Research Institute of Singapore, Agency for Science, Technology and Research (A*STAR), Singapore.
Mark Jean Aan KohDermatology Service, KK Women's and Children's Hospital, Singapore.ORCID https://orcid.org/0000-0002-4136-4105
KK Women's and Children's Hospital · SGAgency for Science, Technology and Research · SGNational University of Singapore · SG

Funding

Galderma
6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) is a common, chronic dermatosis, with onset of disease often manifesting in early infancy. Past studies evaluating the early use of moisturisers in the prevention of AD had mixed results.

objectivesTo compare the incidence of moderate or severe AD and total incidence of AD in a cohort of 'at-risk' infants treated with moisturisers from the first 2 weeks of life, to a similar group without moisturisers.

methodsWe performed a single-centre, prospective, parallel-group, randomised study in infants with at least 2 first-degree relatives with atopy. Subjects were randomised into either a treatment group with moisturisers or a control group without moisturisers. Participants were assessed at 2, 6, and 12 months for AD and if present, the severity was assessed using SCORAD index. We also compared the overall incidence of AD, trans-epidermal water loss (TEWL), stratum corneum (SC) hydration, pH, and incidence of food and environmental sensitisation and allergies between both groups. Genotyping for loss-of-functions mutations in the FLG gene was conducted.

resultsA total of 200 subjects were recruited, with 100 subjects in each arm. There was no significant difference in incidence of moderate or severe AD, and total incidence of AD at 12 months between the treatment and control groups. There was a lower mean SCORAD in the treatment group than in the control group, but no significant difference in TEWL, SC hydration, and skin pH. No significant side-effects were reported.

conclusionsThe early use of moisturisers in 'at-risk' infants does not reduce the incidence of moderate-to-severe AD and overall incidence of AD in infancy.

Indexed as

Age FactorsCohort StudiesDermatitis, AtopicDermatologic AgentsDrug CombinationsFemaleHumansIncidenceInfantInfant, NewbornMaleOintmentsPropylene GlycolsRisk FactorsSkin CreamSodium Dodecyl Sulfatecetyl alcohol, propylene glycol, sodium lauryl sulfate non-lipid cleansing lotionDermatologic AgentsDrug CombinationsOintmentsPropylene GlycolsSodium Dodecyl Sulfateatopic dermatitisceramidefilaggrinfood sensitisationmoisturiser

Identifiers

PMID34424533
PMCPMC9291182
OpenAlexW3195284332

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.