Evidence map›Paper›PMID 40632479›Full record

ArticleAdvances in therapy2025

Burden of Atopic Dermatitis in Patients Initiating Systemic Therapies in the United States.

Matthew Zirwas, Nicole Princic, Megan K Richards, Aamir Qureshi, Lorenzo Sabatelli, Peter Lio

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Article in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

6 authors.

Matthew ZirwasDOCS Dermatology, Probity Medical Research, Ohio University, Bexley, OH, USA.
Nicole PrincicMerative, Ann Arbor, MI, USA.
Megan K RichardsMerative, Ann Arbor, MI, USA.
Aamir QureshiGalderma, Boston, MA, USA.
Lorenzo SabatelliGalderma, Zug, Zug, Switzerland. lorenzo.sabatelli@galderma.com.ORCID http://orcid.org/0000-0001-7373-9306
Peter LioMedical Dermatology Associates of Chicago, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to describe treatment patterns, frequency of comorbidities, and healthcare cost burden among patients with atopic dermatitis (AD) initiating systemic therapy (or re-initiating it after more than 12 months) versus matched controls without AD.

methodsPatients with AD initiating oral corticosteroids (OCS), immunosuppressants (SIS), or biologics between 1/1/2017 and 6/30/2022 (index = first treatment) were identified for analysis in the MarketScan claims databases. Patients were continuously enrolled 12 months before (baseline) and after index (follow-up). Direct and propensity score matching were used to adjust for baseline differences between cases and controls. Comorbidities and all-cause healthcare costs within service categories were compared between AD cases and matched controls during follow-up and treatment patterns were described for all patients with AD.

resultsA total of 20,503 patients with AD were identified. On index,12% initiated biologics, 86% OCS, and 2% SIS, and discontinuation rates were high during follow-up (SIS: 80%; biologics: 35%) The incidence of several comorbidities, including cardiovascular disease, atopic conditions, and mental health disorders, was higher in the AD cohort compared with matched controls (p < 0.001). Patients with AD (vs. matched controls) also had significantly higher mean total all-cause healthcare costs (US$15,134 vs. $6832; p < 0.001).

conclusionsPatients with AD who are initiating systemic treatment experience an increased risk of being newly diagnosed with several comorbidities and higher healthcare costs compared with matched controls, which places increased burden on patients and healthcare systems.

Indexed as

Adrenal Cortex HormonesBiological ProductsDermatitis, AtopicHealth Care CostsImmunosuppressive AgentsAdolescentAdultCase-Control StudiesChildComorbidityCost of IllnessFemaleHumansMaleMiddle AgedUnited StatesAdrenal Cortex HormonesBiological ProductsImmunosuppressive AgentsAtopic dermatitisComorbidityHealthcare costsHealthcare resource utilization

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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.