Nurse-led clinics reduce severity of childhood atopic eczema: a review of the literature

Moore, Elizabeth; Williams, Allison; Manias, Elizabeth; Varigos, George

doi:10.1111/j.1365-2133.2006.07534.x

Cited by 57 publications

(57 citation statements)

References 23 publications

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“…This pathway was been developed around the competences required to diagnose and optimally manage eczema 62 64. These competences have not been assigned to specific health professionals or settings in order to encourage flexibility in service delivery.…”

Section: Resultsmentioning

confidence: 99%

Emollients, education and quality of life: the RCPCH care pathway for children with eczema

Cox

Lloyd²,

Williams³

et al. 2011

Archives of Disease in Childhood

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Effective eczema management is holistic and encompasses an assessment of severity and impact on quality of life, treatment of the inflamed epidermal skin barrier, recognition and treatment of infection and assessment and management of environmental and allergy triggers. Patient and family education which seeks to maximise understanding and concordance with treatment is also important in all children with eczema.

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Section: Resultsmentioning

confidence: 99%

Emollients, education and quality of life: the RCPCH care pathway for children with eczema

Cox

Lloyd²,

Williams³

et al. 2011

Archives of Disease in Childhood

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“…However, the algorithm was not superior to individual treatment by dermatologists so that the algorithm approach might not be needed in a dermatological setting. Notably, adequate management of AE does not only require effective anti-inflammatory treatment, but also the management of exacerbating factors and adjunctive treatment with emollients as well as sufficient patient education and instruction [1, 9, 19, 36, 53]. There is increasing evidence that nurse-led clinics for children with AE might be an effective and well-accepted alternative to conventional care from a doctor [53].…”

Section: Discussionmentioning

confidence: 99%

“…Notably, adequate management of AE does not only require effective anti-inflammatory treatment, but also the management of exacerbating factors and adjunctive treatment with emollients as well as sufficient patient education and instruction [1, 9, 19, 36, 53]. There is increasing evidence that nurse-led clinics for children with AE might be an effective and well-accepted alternative to conventional care from a doctor [53]. Future studies should explore the acceptability, effectiveness, efficiency and ease of use of an algorithm-based treatment of AE in a large cohort of patients by means of a multi-disciplinary study including paediatricians, dermatologists, general practitioners and nurse-led clinics.…”

Section: Discussionmentioning

confidence: 99%

Treatment Following an Evidence-Based Algorithm versus Individualised Symptom-Oriented Treatment for Atopic Eczema

Schmitt¹,

Meurer²,

Schwanebeck³

et al. 2008

Dermatology

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Background: Evidence-based treatment algorithms, successfully established for asthma, are missing for atopic eczema (AE). Objectives: To investigate whether treatment according to an evidence-based algorithm is an effective and applicable concept for the management of AE. Methods: Based on a systematic literature review, we developed an evidence-based severity-score-oriented treatment algorithm for AE and compared its effectiveness to that of an individualised symptom-oriented treatment (individual therapy) in a randomised controlled trial. Sixty-three participants were randomised to algorithm (n = 32) or individual therapy (n = 31) and treated accordingly for 12 months. Study end points included difference between baseline SCORAD and mean SCORAD under treatment (primary end point), quality of life and treatment utilisation. Analysis was by intention to treat (registration: ClinicalTrials.gov:NCT00148746). Results: No statistically significant differences in clinical or subjective response were observed between groups. Treatment following the algorithm and individual treatment both effectively controlled AE. Mean SCORAD reductions were 47% (95% confidence interval, CI = 38–55; algorithm) and 42% (95% CI = 29–54; individual). Clinical response was paralleled by improved quality of life in both groups. Physicians adhered to the algorithm option in 93% of their treatment decisions. Conclusion: Treatment following an evidence-based algorithm is an effective and applicable concept for the management of AE but does not show clear advantages compared to individualised treatment in a dermatological setting.

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“…There is consensus among allergy experts that educational interventions should form part of the management of AE (Stalder et al, 2013). Time spent on the educational intervention is an important factor which impacts on the success of educating the parents (Moore, Williams, Manias, & Varigos, 2006). Alternative treatment: In a South African study by Stear (2011) it was found that more than half of the participants (general practitioners, specialists and dieticians) indicated that their patients were using complementary and alternative therapy before seeking conventional medical care, and that 43% were using this together with the medical treatment received from the participants.…”

Section: Literature Controlmentioning

confidence: 99%

Primary health care management challenges for childhood atopic eczema as experienced by the parents in a Gauteng district in South Africa

Meintjes

Nolte

2016

Health SA Gesondheid

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Childhood atopic eczema Parents Experience a b s t r a c tThe goal of this study was to explore and describe the experience of parents regarding the primary health care (PHC) management of their children's atopic eczema in a Gauteng district.A qualitative, explorative, descriptive, contextual embedded single case study design was employed. Data were collected through semi-structured individual interviews, field notes and direct observation until saturation occurred; analysed according to Tesch's steps of descriptive data analysis. Trustworthiness and ethical measures were used and were employed.Three themes were identified. Management challenges, the second theme with subthemes: drug management, knowledge levels of PHC clinicians, health education and financial challenges, will be discussed.

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Nurse-led clinics reduce severity of childhood atopic eczema: a review of the literature

Cited by 57 publications

References 23 publications

Emollients, education and quality of life: the RCPCH care pathway for children with eczema

Emollients, education and quality of life: the RCPCH care pathway for children with eczema

Treatment Following an Evidence-Based Algorithm versus Individualised Symptom-Oriented Treatment for Atopic Eczema

Primary health care management challenges for childhood atopic eczema as experienced by the parents in a Gauteng district in South Africa

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