Evidence map›Paper›PMID 40673473›Full record

ArticleJournal of the European Academy of Dermatology and Venereology : JEADV2026

A multidisciplinary Delphi consensus on the modern definition of pruritus: Sensation and disease.

Sonja Ständer, Martin Schmelz, Ethan Lerner, Hiroyuki Murota, Leigh Nattkemper, Adam Reich, Lea-Sophie Stahl, Gil Yosipovitch, Elke Weisshaar, Henning Wiegmann and 2 more

Abstract readConsensus Statement
In one paragraph

Article in Journal of the European Academy of Dermatology and Venereology : JEADV, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. European S2k Guideline on Chronic PruritusActa dermato-venereologica · 2025
    Guideline
  4. Immunopathogenesis of itch: an integrative framework for chronic pruritus.JID innovations : skin science from molecules to population health · 2026
    Review
  5. Article
  6. Article
  7. A multidisciplinary Delphi consensus on the modern definition of pruritus: Sensation and disease.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Article
  8. Article
  9. 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

12 authors.

Sonja StänderDepartment of Dermatology and Center for Chronic Pruritus, University Hospital Münster, Münster, Germany.ORCID https://orcid.org/0000-0003-3612-7786
Martin SchmelzInstitut für Experimentelle Schmerzforschung, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Germany.ORCID https://orcid.org/0000-0002-9736-7241
Ethan LernerCutaneous Biology Research Center, Massachusetts General Hospital, Charlestown, Massachusetts, USA.ORCID https://orcid.org/0000-0001-5480-4133
Hiroyuki MurotaDepartment of Dermatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID https://orcid.org/0000-0002-0450-1377
Leigh NattkemperMiami Itch Center, Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.ORCID https://orcid.org/0000-0003-0895-7985
Adam ReichDepartment of Dermatology, University of Rzeszow, Rzeszów, Poland.ORCID https://orcid.org/0000-0002-5573-1754
Lea-Sophie StahlDepartment of Dermatology and Center for Chronic Pruritus, University Hospital Münster, Münster, Germany.ORCID https://orcid.org/0009-0008-1886-1294
Gil YosipovitchMiami Itch Center, Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.ORCID https://orcid.org/0000-0001-6303-1822
Elke WeisshaarUniversitätsklinikum Heidelberg, Klinik für Dermatologie / Sektion Berufsdermatologie, Heidelberg, Germany.ORCID https://orcid.org/0000-0002-7016-0224
Henning WiegmannDepartment of Dermatology and Center for Chronic Pruritus, University Hospital Münster, Münster, Germany.ORCID https://orcid.org/0000-0001-6289-8600
Christian ApfelbacherInstitute of Social Medicine and Health Systems Research, Medical Faculty, Otto von Guericke University, Magdeburg, Germany.ORCID https://orcid.org/0000-0003-3805-8219
Brian S KimKimberly and Eric J. Waldman Department of Dermatology, The Mount Sinai Hospital, New York, New York, USA.ORCID https://orcid.org/0000-0002-8100-7161

Funding

Neuronal MRGPR signaling in itch and allergic skin inflammationR01AR082401 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI Ethan A Lerner · 2024 to 2026
$1.8M
Deutsche Forschungsgemeinschaft FOR2690Deutsche Forschungsgemeinschaft FOR5211International Dermatology Outcome MeasuresNIAMS NIH HHS R01 AR082401Westfälische Wilhelms-Universität Münster
6 · The paper itself

Abstract

backgroundThe definition of pruritus (synonym: itch) dates back to the 17th century and does not address the complexity of the sensation or the nature of pruritus as a disease.

objectivesElaborate a new definition of pruritus comprising emotional aspects, stages and causal attributes.

methodsIn a pre-Delphi phase, stakeholders from pruritus-relevant global societies and patients elaborated itch definition proposals. In a Delphi phase, consensus was achieved when ≥75% of the voting participants agreed (7-9 Likert scale rating range) on a statement.

resultsIn two Delphi rounds, two statements defining the itch sensation and nine defining chronic pruritus as a disease achieved consensus. The definition of pruritus as an unpleasant sensation commonly triggering an urge to scratch mentions that external or internal factors can trigger, worsen, or improve pruritus. Chronic pruritus is described as a symptom of diseases but also as an independent disease. The definition of chronic pruritus includes temporal, physiological, causal, and quality of life aspects.

conclusionsThe new definition of pruritus allows the sensation to be separated from a disease state and aims to support practical use, including communication with patients, health authorities, and other stakeholders.

Indexed as

PruritusSensationTerminology as TopicChronic DiseaseDelphi TechniqueHumansQuality of LifedefinitionDelphiitchpruritusscratchingskin sensation

Identifiers

PMID40673473
PMCPMC12512202

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.