Quality of health care of atopic eczema in Germany: results of the national health care study AtopicHealth

Langenbruch, Anna; Radtke, Marc Alexander; Franzke, Nadine; Ring, Johannes; Foelster-Holst, Regina; Augustin, Matthias

doi:10.1111/jdv.12154

Cited by 53 publications

(60 citation statements)

References 27 publications

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“…In agreement with the limited previous studies using EQ-5D, impairment was found in HS, psoriasis, pimples and AE [8,16,38,39,40,41,42,43]. Greater impairment was however found in the Swedish population having hand rash [16].…”

Section: Discussionsupporting

confidence: 79%

Self-Reported Skin Morbidities and Health-Related Quality of Life: A Population-Based Nested Case-Control Study

et al. 2014

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Background: Impaired dermatological health-related quality of life (HRQoL) has been observed in hospital-based studies, but little is known on a population-based level. Objective: To investigate self-reported dermatological HRQoL in the general population. Methods: Hidradenitis suppurativa, psoriasis, pimples, hand rash or atopic eczema were identified using questionnaires in a 15,177 person population sample. A nested case-control study of 180 cases and 259 controls was made using the Dermatology Life Quality Index (DLQI), Skindex-29 and EQ-5D. Results: Cases had higher scores in DLQI and Skindex-29 and a lower score in EQ-5D, suggesting lower HRQoL. Adjusting for age and sex, the differences in Skindex-29 and DLQI were significant (p < 0.001). Conclusions: Persons with self-reported skin morbidity had lower HRQoL than the general population. The impairment is not as significant as in studies of hospital-based cases, but considering the high prevalence of skin diseases it may still represent a significant burden of disease on society in aggregate.

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Section: Discussionsupporting

confidence: 79%

Self-Reported Skin Morbidities and Health-Related Quality of Life: A Population-Based Nested Case-Control Study

et al. 2014

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“…The nationwide study ‘Atopic Health' shows several limitations as already described in the paper of Langenbruch et al [18]. A selection bias on patients and physicians with a stronger participation of more competent practices and more motivated patients might have resulted in an overestimated health care situation.…”

Section: Discussionmentioning

confidence: 99%

“…For further details on the patient collective, please refer to the recently published overview of Langenbruch et al [18]. …”

Section: Resultsmentioning

confidence: 99%

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Therapeutic Benefits in Atopic Dermatitis Care from the Patients' Perspective: Results of the German National Health Care Study ‘Atopic Health'

Steinke

Langenbruch²,

Ständer³

et al. 2014

Dermatology

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Background/Aims: Numerous therapies are recommended to treat atopic dermatitis. The German national health care study ‘Atopic Health' generated nationwide data on the care situation from the patients' perspective. Methods: Data for 1,678 adult patients were collected within a retrospective cohort study throughout the year 2010. Six scores to capture satisfaction with care, quality of life (Dermatology Life Quality Index, EQ-5D-VAS), therapeutic success and benefits (Patient Benefit Index) were analyzed using descriptive methods and analysis of variance. Results: 82.1% of patients were highly satisfied with their treatment. Topical corticosteroids and climate therapies were associated with the best success ratings. Quality of life was moderately impaired (mean Dermatology Life Quality Index 8.5 ± 6.5). 88.4% of the patients indicated a relevant therapeutic benefit (Patient Benefit Index ≥1) with significantly better scores for topical immunomodulating therapies and climate therapies. Conclusion: The most frequently applied therapies presented pleasant success and benefit ratings, even if quality of life could be improved for more than one third of patients.

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“…Patients with psoriasis were recruited by 130 dermatological practices and outpatient clinics, partially overlapping with those that previously recruited 2,009 (PsoHealth2) patients [7,8]. Furthermore, the results of the current study were compared with those from patients with atopic dermatitis, collected in the cross-sectional AtopicHealth study in 2010 [21]. Data from 1,678 adult patients with atopic dermatitis were collected in 91 dermatological centres [21].…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Obesity in Patients with Psoriasis: Results of the National Study PsoHealth3

Jacobi

Langenbruch²,

Purwins³

et al. 2015

Dermatology

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Background: Psoriasis is frequently associated with obesity which possibly contributes to reduced treatment response. Objectives: Assessment of the prevalence of obesity in patients with psoriasis in Germany 2013/2014. Patients and Methods: The frequency of overweight and obesity was assessed by the body mass index (BMI) and evaluated according to the severity of psoriasis [Psoriasis Area and Severity Index (PASI)]. Results: This national, cross-sectional survey involved 83 dermatological practices and outpatient clinics, including 1,265 patients (mean age 52 years; 43.4% female). The BMI of patients with psoriasis in 2013/2014 was found to be 28.0 and therefore was significantly higher compared to that of patients with psoriasis in 2007 with a BMI of 26.9 as well as compared to the normal population in 2013 with an overall BMI of 25.9. Conclusions: The prevalence of obesity in patients with psoriasis is higher than in the normal population. The trend towards a higher BMI in patients with psoriasis continues over time.

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Quality of health care of atopic eczema in Germany: results of the national health care study AtopicHealth

Cited by 53 publications

References 27 publications

Self-Reported Skin Morbidities and Health-Related Quality of Life: A Population-Based Nested Case-Control Study

Self-Reported Skin Morbidities and Health-Related Quality of Life: A Population-Based Nested Case-Control Study

Therapeutic Benefits in Atopic Dermatitis Care from the Patients' Perspective: Results of the German National Health Care Study ‘Atopic Health'

Prevalence of Obesity in Patients with Psoriasis: Results of the National Study PsoHealth3

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