Evidence map›Paper›PMID 37789992›Full record

ReviewCureus2023

Assessment and Management of Atopic Dermatitis in Primary Care Settings: A Systematic Review.

Saad M Alqahtani, Bassam H Awaji, Abdulaziz M Mahdi, Fatimah H Althawab, Hadeel M Aljohani, Raghad A Rayes, Rahaf K Shafie, Raneem Abdulrahman Aljohani, Sarah Alkhorayef, Mohammed K Alghamdi

Abstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Saad M AlqahtaniFamily Medicine, King Salman Armed Forces Hospital, Tabuk, SAU.
Bassam H AwajiFaculty of Medicine, University of Tabuk, Tabuk, SAU.
Abdulaziz M MahdiOrthopedic Surgery, University of Jeddah, Jeddah, SAU.
Fatimah H AlthawabMedicine and Surgery, King Faisal University, Hofuf, SAU.
Hadeel M AljohaniMedicine and Surgery, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.
Raghad A RayesFamily Medicine, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.
Rahaf K ShafieMedicine, Ibn Sina National College for Medical Studies, Jeddah, SAU.
Raneem Abdulrahman AljohaniDermatology, Faculty of Medicine, University of Tabuk, Tabuk, SAU.
Sarah AlkhorayefMedicine and Surgery, Ibn Sina National College for Medical Studies, Jeddah, SAU.
Mohammed K AlghamdiMedicine, University of Jeddah, Jeddah, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atopic dermatitis is a complex, recurrent, chronic inflammatory skin condition. It frequently begins to manifest in early childhood and may last throughout adulthood. The need for clinical practice guidelines that are based on evidence is critical for efficient and secure care. Little is known about how primary care providers (PCPs) should handle pediatric and adult atopic dermatitis cases and whether they should follow national recommendations. Our systemic review aimed to examine management strategies for treating adult and pediatric (family) atopic dermatitis, including topical calcineurin inhibitors (TCIs), topical corticosteroids (TCS), skin emollients, oral antihistamines, and diet. Data sources were PubMed (MEDLINE) and Embase. Our review investigated English-language articles from 2014 to 2023 that studied the management of adult and children atopic dermatitis. Overall, there were 15 articles included. Surveys and analyses of national databases were the most widely used methods (n=7). The use of TCS by PCPs was common, but they also overprescribed nonsedating antihistamines, favored low-potency drugs, and avoided TCIs. Most studies relied on healthcare personnel reporting their typical behaviors rather than looking at specific patient encounters and it is considered a limitation. Finally, there are gaps in knowledge and management of critical topics such as prescribing TCIs and understanding the safety profiles of TCS, when it comes to treating adult and pediatric atopic dermatitis. Future research in this area is urgently needed because the current systemic assessment is mostly restricted to small studies that assess prescribing behaviors with scant information describing nonmedication management.

Indexed as

atopic dermatitisearly childhoodeczemainflammatory skin conditionprimary care provider

Identifiers

PMID37789992
PMCPMC10544800

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.