Evidence map›Paper›PMID 35355606›Full record

SynthesisFrontiers in medicine2022

Treatment Guidelines for Atopic Dermatitis Since the Approval of Dupilumab: A Systematic Review and Quality Appraisal Using AGREE-II.

Stephanie Ghazal, Zainab Ridha, Kathleen D'Aguanno, David Nassim, Andrea Quaiattini, Elena Netchiporouk, Yves Poulin, Sunil Kalia, Danielle Marcoux, Vincent Piguet and 1 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. 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

11 authors at 8 institutions in 1 country.

Stephanie GhazalFaculty of Medicine, McGill University, Montreal, QC, Canada.
Zainab RidhaFaculty of Medicine, Université Laval, Quebec City, QC, Canada.
Kathleen D'AguannoFaculty of Medicine, McGill University, Montreal, QC, Canada.
David NassimFaculty of Medicine, McGill University, Montreal, QC, Canada.
Andrea QuaiattiniSchulich Library of Physical Sciences, Life Sciences, and Engineering, McGill University, Montreal, QC, Canada.
Elena NetchiporoukDivision of Dermatology, McGill University Health Center, Montreal, QC, Canada.
Yves PoulinCentre de Recherche Dermatologique du Québec Métropolitain, Quebec City, QC, Canada.
Sunil KaliaDepartment of Dermatology and Skin Science, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.
Danielle MarcouxDepartment of Pediatrics, Division of Dermatology, Sainte-Justine University Hospital Center, University of Montreal, Montreal, QC, Canada.
Vincent PiguetDivision of Dermatology, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Carolyn JackFaculty of Medicine, McGill University, Montreal, QC, Canada.
McGill University · CACentre de Recherche Dermatologique du Québec Métropolitain · CAMcGill University Health Centre · CASt Mary's Hospital · CAUniversité de Montréal · CAUniversité Laval · CAUniversity of Toronto · CAVancouver Coastal Health Research Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Since its approval for adults with moderate-to-severe atopic dermatitis (AD) in 2017, dupilumab has been incorporated into clinical practice guidelines (CPGs). However, recommendations differ internationally, and the quality assessment of their development is unclear. Objective: We aimed to systematically review and appraise the quality of CPGs for adult AD reported since 2017 and map the recommendations for dupilumab initiation relative to conventional systemic therapy (CST). Materials and Methods: A literature search was conducted in June 2020 in MEDLINE, EMBASE, SCOPUS, and CINAHL. Twelve CPGs were retrieved. Methodological quality was assessed using the validated Appraisal of Guidelines for Research & Evaluation II tool (AGREE-II). Recommendations were extracted and compared. Results: AGREE-II median scores per domain of the CPGs were (%, r = range): scope/purpose, 78% (50-96); stakeholder involvement, 54% (28-85); rigor of development, 39% (21-63); clarity of presentation, 85% (69-100); applicability, 27% (6-51); and editorial independence, 76% (42-100). Neither met the threshold of 70% quality criteria for rigor of development nor the applicability domains. Three CPGs met the criteria for recommendation without modification. CPGs' approach to dupilumab initiation was as follows: second line, preferred over CST and nbUVB ( Conclusion and Relevance: Dupilumab is now incorporated into CPGs for adult AD. These CPGs exhibited good quality in scope/purpose, clarity, and editorial independence domains. However, none met AGREE-II criteria for methodological rigor/applicability. Gaps were found in mechanisms for updates, facilitators/barriers, resource implications, and stakeholder involvement. Only

Indexed as

AGREE-IIatopic dermatitisdupilumabquality appraisalsystematic reviewtreatment guideline

Identifiers

PMID35355606
PMCPMC8959491
OpenAlexW4220855693

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.