Evidence map›Paper›PMID 39505873›Full record

ArticleNature communications2024

Cohort studies on 71 outcomes among people with atopic eczema in UK primary care data.

Julian Matthewman, Anna Schultze, Helen Strongman, Krishnan Bhaskaran, Amanda Roberts, Spiros Denaxas, Kathryn E Mansfield, Sinéad M Langan

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Atopic dermatitis is associated with herpes zoster in adults - A matched cohort study using electronic health records data in England.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Article
  3. Article
  4. Article
  5. Article
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

8 authors.

Julian MatthewmanLondon School of Hygiene & Tropical Medicine, London, UK. julian.matthewman@lshtm.ac.uk.ORCID 0000-0003-3291-2381
Anna SchultzeLondon School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-1637-837X
Helen StrongmanLondon School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0001-8739-4601
Krishnan BhaskaranLondon School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0001-5364-8757
Amanda RobertsIndependent Patient Partner, London, UK.
Spiros DenaxasInstitute of Health Informatics, University College London, London, UK.ORCID 0000-0001-9612-7791
Kathryn E MansfieldLondon School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-2551-410X
Sinéad M LanganLondon School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-7022-7441

Funding

Wellcome Trust
6 · The paper itself

Abstract

Atopic eczema may be related to multiple subsequent adverse health outcomes. Here, we provide evidence to judge and compare associations between eczema and a comprehensive set of outcomes. We conducted 71 cohort studies (age, sex, general practice-matched) using Clinical Practice Research Datalink Aurum primary care records (1997-2023), comparing up to 3.6 million people with eczema to 16.8 million without. Eczema was associated with subsequent diagnosis of outcomes with adjusted hazard ratios (99% confidence intervals) from Cox regression of up to 4.02(3.95-4.10) for food allergy (rate difference [RD] per 1,000 person-years of 1.5). Besides strong associations with atopic and allergic conditions (e.g., asthma 1.87[1.39-1.82], RD5.4) and skin infections (e.g., molluscum contagiosum 1.81[1.64-1.96], RD1.8), the strongest associations were with Hodgkin's lymphoma (1.85[1.66-2.06], RD0.02), Alopecia Areata (1.77[1.71-1.83], RD0.2), Crohn's disease (1.62[1.54-1.69], RD0.1), Urticaria (1.58[1.57-1.60], RD1.9), Coeliac disease (1.42[1.37-1.47], RD0.1), Ulcerative colitis (1.40[1.34-1.46], RD0.1), Autoimmune liver disease (1.32[1.21-1.43], RD0.01), and Irritable bowel syndrome (1.31[1.29-1.32], RD0.7). Sensitivity analyses revealed the impact of consultation bias or choice of cohort age cut-off on findings. Comparatively large HRs in severe eczema were seen for some liver, gastrointestinal and cardiovascular conditions, osteoporosis, and fractures. Most cancers and neurological conditions were not associated with eczema.

Indexed as

Dermatitis, AtopicPrimary Health CareAdolescentAdultAgedAsthmaChildChild, PreschoolCohort StudiesFemaleFood HypersensitivityHumansInfantMaleMiddle AgedProportional Hazards Models

Identifiers

PMID39505873
PMCPMC11541564

What OpenQuestion holds

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LicenceCC BY
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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.