A multiple-domain framework of clinical, economic, and patient-reported outcomes for evaluating benefits of intervention in atopic dermatitis

J Drugs Dermatol. 2007 Apr;6(4):416-23.

Abstract

Atopic dermatitis (AD) increases health care utilization, affects patient quality of life, places a burden on caregivers, decreases patient/parent productivity, and adds to health care costs. Few studies have examined the effect of specific treatment modalities across a variety of AD-related outcomes. This prospective, multicenter, open-label longitudinal study of adult and pediatric patients with moderate to severe AD was conducted to evaluate the effect of a specific therapeutic intervention on AD-related outcomes over a period of 6 months. Surveys collected physician clinical assessments and patient- and caregiver-reported data across the following domains: clinical outcome, health care utilization/costs, quality of life, physical appearance, productivity/absenteeism, and medication compliance. This study is intended to help guide future research efforts on the net costs and benefits of different interventions across a diverse set of domains and in larger populations.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Topical
  • Adolescent
  • Child
  • Child, Preschool
  • Cost of Illness
  • Dermatitis, Atopic / drug therapy*
  • Dermatitis, Atopic / economics*
  • Dermatitis, Atopic / pathology
  • Female
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / economics
  • Immunosuppressive Agents / therapeutic use
  • Male
  • Nonprescription Drugs / economics
  • Nonprescription Drugs / therapeutic use
  • Ointments
  • Patient Compliance / statistics & numerical data
  • Patient Dropouts / statistics & numerical data
  • Prospective Studies
  • Quality of Life*
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Tacrolimus / administration & dosage
  • Tacrolimus / economics
  • Tacrolimus / therapeutic use
  • Time Factors
  • Treatment Outcome

Substances

  • Immunosuppressive Agents
  • Nonprescription Drugs
  • Ointments
  • Tacrolimus