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ArticleClinical, cosmetic and investigational dermatology2021

Burden of Disease, Unmet Needs in the Diagnosis and Management of Atopic Dermatitis: An Indian Expert Consensus.

Murlidhar Rajagopalan, Amar Jeet Chitkara, Samir Dalwai, Abhishek De, Ram Gulati, Samipa Mukherjee, Sharad Mutalik, Nidhi Sharma, Shrutakirthi Shenoi, Prakash Vaidya and 2 more

Open access · goldAbstract read
In one paragraph

Article in Clinical, cosmetic and investigational dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Review
  3. Corticosteroid Phobia in Patients with Atopic Dermatitis: A Narrative Review.Clinical, cosmetic and investigational dermatology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

12 authors at 9 institutions in 1 country.

Murlidhar RajagopalanDepartment of Dermatology, Apollo Hospitals, Chennai, Tamil Nadu, India.
Amar Jeet ChitkaraDepartment of Pediatrics, Max Super Specialty Hospital, Shalimar Bagh, Delhi, India.
Samir DalwaiNew Horizons Child Development Center, Mumbai, Maharashtra, India.
Abhishek DeDepartment of Dermatology, Calcutta National Medical College, Kolkata, West Bengal, India.
Ram GulatiSDM Hospital, Jaipur, Rajasthan, India.
Samipa MukherjeeCloudnine Hospitals, Bengaluru, Karnataka, India.
Sharad MutalikDepartment of Dermatology, Maharashtra Medical Foundation, Pune, Maharashtra, India.
Nidhi SharmaMedanta Hospital, Gurugram, Haryana, India.
Shrutakirthi ShenoiDepartment of Dermatology, Kanachur Institute of Medical Sciences, Mangaluru, Karnataka, India.ORCID 0000-0002-1495-9322
Prakash VaidyaDepartment of Pediatrics and Neonatology, Fortis Hospital, Mulund, Maharashtra, India.
Amod TilakPfizer India Ltd., Pfizer Biopharmaceuticals Group (Emerging Markets), Mumbai, India.
Charles AdhavPfizer India Ltd., Pfizer Biopharmaceuticals Group (Emerging Markets), Mumbai, India.
Pfizer (India) · INApollo Hospitals · INCalcutta National Medical College and Hospital · INCloudnine · INFortis Hospital · INInstitute of Medical Sciences · INJoshi Hospital · INMax Super Speciality Hospital · INMedanta The Medicity · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) is a chronic inflammatory, non-communicable, and relapsing skin disease that affects all age groups. There is a dearth of literature that reports the disease burden, and epidemiology and highlights unmet needs in the diagnosis and management of AD in India.

methodsA total of ten specialists including dermatologists, pediatric dermatologists, and pediatricians with more than ten years of experience and practicing in different parts of India served as the expert panel during the virtual meet conducted on January 24, 2021. A questionnaire comprising 32 questions on different aspects of AD management was categorized among different sections: burden of disease (five questions), age of onset and prevalence (five questions), etiology and pathogenesis (six questions), diagnosis and severity of the disease (seven questions), and treatment (nine questions). Consensus was defined when agreement was provided by ≥90% of the experts.

resultsConsidering the profound impact AD has on the quality of life (QoL) of patients, the expert panel recommended patient counseling while moderate to severe cases of AD need a prompt referral to a specialist. The panel did not recommend any specific diagnostic and severity criteria as a standard due to the inherent limitations associated with every criterion. The role of environment and changing lifestyle in addition to genetic and familial risk factors for AD was also considered. The panel unanimously recommended to conduct a countrywide, multicenter survey/study to estimate the true prevalence of AD in India. Further, the experts recommended to follow proper treatment protocols and to perform longitudinal monitoring for understanding corticosteroid treatment associated side effects.

conclusionThis guidance focuses on identifying the unmet gaps and provides practical recommendations for improving QoL, diagnosis, prognosis, and overall management of patients with AD in India.

Indexed as

consensus developmentcost of illnessdermatologistepidemiologypediatricianquality of life

Identifiers

PMID34848986
PMCPMC8626844
OpenAlexW3214767367

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.