Evidence map›Paper›PMID 39414726›Full record

ArticleDermatology and therapy2024

Alopecia Areata Treatment Patterns and Satisfaction: Results of a Real-World Cross-Sectional Survey in Europe.

Peter Anderson, James Piercy, Jenny Austin, Simran Marwaha, Kent A Hanson, Ernest H Law, Gregor Schaefer, Samantha K Kurosky, Sergio Vañó-Galván

Erratum issuedAbstract read
In one paragraph

Article in Dermatology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
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  5. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Peter AndersonAdelphi Real World, Bollington, UK. peter.anderson@adelphigroup.com.ORCID http://orcid.org/0000-0002-2171-8228
James PiercyAdelphi Real World, Bollington, UK.ORCID http://orcid.org/0000-0001-7015-1021
Jenny AustinAdelphi Real World, Bollington, UK.ORCID http://orcid.org/0000-0003-4297-6290
Simran MarwahaAdelphi Real World, Bollington, UK.ORCID http://orcid.org/0000-0003-0380-0372
Kent A HansonPfizer Inc, New York, NY, USA.ORCID http://orcid.org/0000-0002-7201-3324
Ernest H LawPfizer Inc, New York, NY, USA.ORCID http://orcid.org/0000-0002-6111-8008
Gregor SchaeferPfizer Pharma GmbH, Berlin, Germany.
Samantha K KuroskyPfizer Inc, New York, NY, USA.ORCID http://orcid.org/0000-0003-2392-8111
Sergio Vañó-GalvánHair Disorders Unit of the Ramón y Cajal University Hospital and Hair Disorders and Hair Transplant Unit of Pedro Jaén Group Clinic, University of Alcalá, Madrid, Spain.ORCID http://orcid.org/0000-0003-2773-7494

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlopecia areata (AA) is an autoimmune disease that causes scalp, face, and/or body hair loss. Recently, oral treatments with kinases inhibition became the first approved therapies for severe AA. An understanding of the use and effectiveness of traditional therapies in real-world treatment settings is needed to guide integration of novel therapies into the treatment paradigm. This study aimed to describe traditional treatment patterns, dermatologists' reasons for therapy choice, and dermatologists' satisfaction with disease control among patients with AA.

methodsData were drawn from the 2021-2022 Adelphi Real World AA Disease Specific Programme™, a cross-sectional survey of dermatologists and adult patients with AA, conducted in France, Germany, Italy, Spain, and the UK. For each patient, using data from patient consultation and medical records, dermatologists reported % scalp hair loss (SHL), characteristics of current and prior AA therapies, and satisfaction with disease control.

resultsOverall, 239 dermatologists provided data for 1720 patients with AA. Mean (SD) patient age was 35.8 (11.6) years, and 51% were male. Based on dermatologist perception, among patients with ≤ 10% SHL, 74% were experiencing mild AA, while ≥ 95% of patients with ≥ 50% SHL were experiencing severe/very severe AA. In patients with ≥ 50% SHL, the most common therapies received included systemic immunosuppressants (31%), topical corticosteroids (24%), and oral corticosteroids (24%). Among all patients who had switched therapies, 49%, 26%, and 24% switched because of worsening AA, lack of initial efficacy with prior treatment, and loss of response over time, respectively. Among those with SHL ≥ 50%, dermatologists reported satisfaction with current therapy in < 30% of patients.

conclusionDermatologists reported low satisfaction with traditional AA therapies used in patients with extensive SHL, with some patients discontinuing treatment because of worsening disease. This suggests more effective treatments are needed for patients with severe AA.

Indexed as

Alopecia areataBurden of diseaseCross-sectional studyPatient satisfactionPhysicians’ practice patterns

Identifiers

PMID39414726
PMCPMC11604861

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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.