Evidence map›Paper›PMID 35170524›Full record

ArticleDermatitis : contact, atopic, occupational, drug

Systemic Therapy for Atopic Dermatitis in Older Adults and Adults With Comorbidities: A Scoping Review and International Eczema Council Survey.

Aaron M Drucker, Megan Lam, Carsten Flohr, Jacob P Thyssen, Kenji Kabashima, Robert Bissonnette, Ncoza C Dlova, Valeria Aoki, Max Chen, Joshua Yu and 3 more

Open access · greenAbstract readScoping Review
In one paragraph

Article in Dermatitis : contact, atopic, occupational, drug. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Cutaneous T-cell lymphomas and dupilumab for atopic dermatitis: A systematic review and expert consensus.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Pooled it
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  17. Infections in the era of immunobiologicals.Anais brasileiros de dermatologia
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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

13 authors at 9 institutions in 7 countries.

Aaron M DruckerFrom the Division of Dermatology, Department of Medicine, University of Toronto and Women's College Hospital.
Megan LamMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Carsten FlohrSt John's Institute of Dermatology, King's College London and Guy's & St Thomas' NHS Foundation Trust, London, United Kingdom.
Jacob P ThyssenDepartment of Dermatology, Bispebjerg Hospital, University of Copenhagen, Denmark.
Kenji Kabashima
Robert BissonnetteInnovaderm Research, Montreal, Quebec, Canada.
Ncoza C DlovaDepartment of Dermatology, Nelson R Mandela School of Medicine, Durban, South Africa.
Valeria AokiDepartment of Dermatology, University of São Paulo Medical School, Brazil.
Max ChenMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Joshua YuMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Jie Wei ZhuMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Robert MicieliDivision of Dermatology, Department of Medicine, University of Toronto, Ontario, Canada.
Audrey Nosbaum
McMaster University · CABispebjerg Hospital · DKGuy's and St Thomas' NHS Foundation Trust · GBInnovaderm (Canada) · CAKyoto University · JPNelson Mandela Academic Hospital · ZAUniversidade de São Paulo · BRUniversité Claude Bernard Lyon 1 · FRUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical trials of systemic therapies for atopic dermatitis (AD) often exclude patients based on age and comorbidities.

objectivesWe conducted a scoping review of observational studies and survey of International Eczema Council (IEC) members on the treatment of AD in patients with liver disease, renal disease, viral hepatitis, HIV, or history of malignancy.

methodsWe searched MEDLINE via Ovid, Embase via Ovid, and Web of Science from inception to September 14, 2020. We mapped the available evidence on the use of cyclosporine, methotrexate, azathioprine, mycophenolate, systemic corticosteroids, and dupilumab for AD in older adults (≥65 years) and adults with the previously mentioned comorbidities. We surveyed IEC members on their preferred systemic medications for each patient population.

resultsWe identified 25 studies on the use of systemic medications in special populations of adults with AD. Although IEC members preferred dupilumab as the first-line systemic agent across all special populations, many could not identify viable third-line systemic therapy options for some populations.

conclusionsData on systemic therapy for AD for older adults and adults with comorbidities are limited. Although IEC members' access to systemic therapies differs geographically, expert opinion suggests that dupilumab is preferred for those patients.

Indexed as

Dermatitis, AtopicEczemaAgedAzathioprineCyclosporineHumansMethotrexateTreatment OutcomeAzathioprineCyclosporineMethotrexate

Identifiers

PMID35170524
PMCPMC9154305
OpenAlexW4213217478

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.