Evidence map›Paper›PMID 35764870›Full record

ArticleDermatology and therapy2022

Treatment Patterns of Atopic Dermatitis Medication in 0-10-Year-Olds: A Nationwide Prescription-Based Study.

Cathrine Helene Mohn, Hege S Blix, Anja Maria Brænd, Per Nafstad, Ståle Nygard, Jon Anders Halvorsen

Open access · goldAbstract read
In one paragraph

Article in Dermatology and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 3 institutions in 1 country.

Cathrine Helene MohnDepartment of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway. c.h.mohn@medisin.uio.no.ORCID http://orcid.org/0000-0003-3637-4402
Hege S BlixDepartment of Drug Statistics, Norwegian Institute of Public Health, Oslo, Norway.ORCID http://orcid.org/0000-0002-4890-7555
Anja Maria BrændDepartment of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0003-0940-7555
Per NafstadDepartment of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0002-2147-7145
Ståle NygardOslo Centre for Biostatistics and Epidemiology, Oslo University Hospital and University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0002-5263-4748
Jon Anders HalvorsenDepartment of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0003-2427-9600
University of Oslo · NOOslo University Hospital · NONorwegian Institute of Public Health · NO

Funding

Norwegian Research Fund for General Practice AMFFSanofi Genzyme E003730120
6 · The paper itself

Abstract

introductionThe literature on treatment patterns for paediatric atopic dermatitis (AD) is scarce and is rarely based on real-world data. Using national registers, we sought to establish up-to-date, population-based prevalence estimates, predictors of risk and disease burden and a comprehensive overview of treatment patterns and course for paediatric patients with AD.

methodsDispensed prescriptions for the entire Norwegian child population aged 0-10 years from 2014 to 2020 were analysed.

resultsThere were 176,458 paediatric patients with AD. Of these, 99.2% received topical corticosteroids, 5.1% received topical calcineurin inhibitors, 37.1% received potent topical corticosteroids and 2.1% received systemic corticosteroids. Of the 59,335 live births in Norway (2014), 14,385 [24.8%; 95% confidence interval (CI) 24.5-25.1] paediatric patients were treated for AD before the age of 6 years, and of these, only 934 (6.5%; 95% CI 6.1-6.9) received medication annually for 5 years or more. Compared with girls, 17.9% (95% CI 6.5-27.9) more boys were treated for at least 5 years, receiving 6.4% (95% CI 1.2-11.3) more potent topical corticosteroids and 12.4% (95% CI 6.5-18.0) more were treated for skin infections. Compared with patients with late-onset treatment, 18.9% (95% CI 7.5-29.0) more paediatric patients with early-onset treatment were still receiving treatment at 5 years of age, 15.7% (95% CI 7.1-23.4) more paediatric patients received potent topical corticosteroids and 44.4% (95% CI 36.5-51.2) more paediatric patients were treated for skin infections.

conclusionMost paediatric patients were treated for a mild disease for a limited period. Although the prevalence of AD is higher at a younger age, these paediatric patients were the least likely to receive potent topical corticosteroids. Male sex and early-onset AD are associated with and are potential predictors of long-term treatment and treatment of potent topical corticosteroids, antihistamines and skin infections, which may have clinical utility for personalised prognosis, healthcare planning and future AD prevention trials.

Indexed as

Atopic dermatitisChildDermatologic agentsEczemaEmollientsPharmacoepidemiologyPrescriptionsTopical calcineurin inhibitorTopical corticosteroids

Identifiers

PMID35764870
PMCPMC9276863
OpenAlexW4283689327

What OpenQuestion holds

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Registered trials

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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.