Evidence map›Paper›PMID 39800943›Full record

ReviewContact dermatitis2025

The 'MOAHLFA(P) Index': An Attempt to Standardise a Widely Used Array of Descriptors of Patch-Tested Patients.

Wolfgang Uter, Klaus Ejner Andersen, Richard Brans, Magnus Bruze, Steffen Schubert, Margarida Gonçalo, EECDRG

Abstract readReview
In one paragraph

Review in Contact dermatitis, 2025. 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. Guideline
  2. 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

7 authors.

Wolfgang UterDepartment of Medical Informatics, Biometry and Epidemiology, Friedrich-Alexander Universität Erlangen/Nürnberg, Erlangen, Germany.ORCID https://orcid.org/0000-0002-4498-3710
Klaus Ejner AndersenDepartment of Dermatology and Allergy, Odense University Hospital, and Department of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0002-6181-824X
Richard BransInstitute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm), Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0000-0002-1245-024X
Magnus BruzeDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.ORCID https://orcid.org/0000-0002-2919-3227
Steffen SchubertInformation Network of Departments of Dermatology (IVDK), Institute at the University Medical Center Göttingen, Göttingen, Germany.ORCID https://orcid.org/0000-0002-2359-2518
Margarida GonçaloClinic of Dermatology, University Hospital and Faculty of Medicine, University of Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0000-0001-6842-1360
EECDRG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince its inception in 1980, the MOHL index (% patients who are male, have occupational, hand, or leg dermatitis, respectively) and its later evolutions until the presently used MOAHLFA(P) index (adding % patients with atopic dermatitis, face dermatitis, age 40+ years and positive reaction(s) to ≥ 1 baseline series allergen) have been intended to convey important demographic and clinical information on the patients patch tested in a certain area and time, aiding the interpretation of the observed spectrum of sensitisation.

objectivesTo examine the current usage of the MOAHLFA(P) index and suggest consolidated definitions for its single items.

methodsA title/abstract search in Medline identified publications mentioning the evolving acronyms. A Delphi-like survey among contact dermatitis experts collected agreement with suggested definitions.

resultsThe search term 'MOAHLFA' was used in 35 publications from a broad geographical origin. More than 80% of the 24 participants of the survey (65% response) agreed on maintaining to use (i) sex for the 'M' criterion, (ii) occupation-related dermatitis irrespective of medicolegal definitions for the 'O', (iii) atopic dermatitis (but not rhinitis or asthma) for the 'A'. The possibility to use more than one site among 'H', 'L' and 'F' and a more detailed description of age distribution were favoured, and the difficult interpretability of the 'P' measure was highlighted.

conclusionsThe 'classical' MOAHLFA(P) index may be extended. Some aspects, notably atopic dermatitis, need further standardisation.

Indexed as

Dermatitis, Allergic ContactDermatitis, OccupationalPatch TestsTerminology as TopicAdultDelphi TechniqueDermatitis, AtopicFacial DermatosesFemaleHand DermatosesHumansLeg DermatosesMaleMiddle Agedclinical epidemiologycontact dermatitispatch testing

Identifiers

PMID39800943
PMCPMC11880876

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.