Practice Gaps in Pruritus

doi:10.1016/j.det.2016.02.008

Review

. 2016 Jul;34(3):257-61.

doi: 10.1016/j.det.2016.02.008.

Practice Gaps in Pruritus

Jonathan I Silverberg¹

Affiliations

Affiliation

¹ Department of Dermatology, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 1600, Chicago, IL 60611, USA; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 1600, Chicago, IL 60611, USA; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 1600, Chicago, IL 60611, USA; Northwestern Medicine Multidisciplinary Eczema Center, 676 North St. Clair Street, Suite 1600, Chicago, IL 60611, USA. Electronic address: JonathanISilverberg@Gmail.com.

PMID: 27363881
PMCID: PMC5216168
DOI: 10.1016/j.det.2016.02.008

Review

Practice Gaps in Pruritus

Jonathan I Silverberg. Dermatol Clin. 2016 Jul.

. 2016 Jul;34(3):257-61.

doi: 10.1016/j.det.2016.02.008.

Author

Jonathan I Silverberg¹

Affiliation

¹ Department of Dermatology, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 1600, Chicago, IL 60611, USA; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 1600, Chicago, IL 60611, USA; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 1600, Chicago, IL 60611, USA; Northwestern Medicine Multidisciplinary Eczema Center, 676 North St. Clair Street, Suite 1600, Chicago, IL 60611, USA. Electronic address: JonathanISilverberg@Gmail.com.

PMID: 27363881
PMCID: PMC5216168
DOI: 10.1016/j.det.2016.02.008

Abstract

There are several practice gaps in the evaluation and management of itch. These gaps include a dearth of objective measures of itch, infrequent use of validated patient-reported outcomes for itch, non-evidence-based treatment, and lack of consensus about the ideal workup for generalized itch. The present article reviews these gaps and presents potential solutions.

Keywords: Assessment; Education; Itch; Pruritus; Treatment; Workup.

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Cited by

Emerging Methods to Objectively Assess Pruritus in Atopic Dermatitis.
Smith MP, Ly K, Thibodeaux Q, Weerasinghe T, Wu JJ, Yosipovitch G, Bhutani T, Liao W. Smith MP, et al. Dermatol Ther (Heidelb). 2019 Sep;9(3):407-420. doi: 10.1007/s13555-019-0312-3. Epub 2019 Jun 29. Dermatol Ther (Heidelb). 2019. PMID: 31256388 Free PMC article. Review.
A Comprehensive Conceptual Model of the Experience of Chronic Itch in Adults.
Silverberg JI, Kantor RW, Dalal P, Hickey C, Shaunfield S, Kaiser K, Lai JS, Cella D. Silverberg JI, et al. Am J Clin Dermatol. 2018 Oct;19(5):759-769. doi: 10.1007/s40257-018-0381-6. Am J Clin Dermatol. 2018. PMID: 30155595 Free PMC article.

References

1. Phan NQ, Blome C, Fritz F, et al. Assessment of pruritus intensity: prospective study on validity and reliability of the visual analogue scale, numerical rating scale and verbal rating scale in 471 patients with chronic pruritus. Acta Derm Venereol. 2012;92:502–7. - PubMed
1. Murray CS, Rees JL. Are subjective accounts of itch to be relied on? The lack of relation between visual analogue itch scores and actigraphic measures of scratch. Acta Derm Venereol. 2011;91:18–23. - PMC - PubMed
1. Warlich B, Fritz F, Osada N, et al. Health-related quality of life in chronic pruritus: an analysis related to disease etiology, clinical skin conditions and itch intensity. Dermatology. 2015;231:253–9. - PubMed
1. Erturk IE, Arican O, Omurlu IK, et al. Effect of the pruritus on the quality of life: a preliminary study. Ann Dermatol. 2012;24:406–12. - PMC - PubMed
1. Kini SP, DeLong LK, Veledar E, et al. The impact of pruritus on quality of life: the skin equivalent of pain. Arch Dermatol. 2011;147:1153–6. - PubMed

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[1] Phan NQ, Blome C, Fritz F, et al. Assessment of pruritus intensity: prospective study on validity and reliability of the visual analogue scale, numerical rating scale and verbal rating scale in 471 patients with chronic pruritus. Acta Derm Venereol. 2012;92:502–7. - PubMed

[2] Phan NQ, Blome C, Fritz F, et al. Assessment of pruritus intensity: prospective study on validity and reliability of the visual analogue scale, numerical rating scale and verbal rating scale in 471 patients with chronic pruritus. Acta Derm Venereol. 2012;92:502–7. - PubMed

[3] Murray CS, Rees JL. Are subjective accounts of itch to be relied on? The lack of relation between visual analogue itch scores and actigraphic measures of scratch. Acta Derm Venereol. 2011;91:18–23. - PMC - PubMed

[4] Murray CS, Rees JL. Are subjective accounts of itch to be relied on? The lack of relation between visual analogue itch scores and actigraphic measures of scratch. Acta Derm Venereol. 2011;91:18–23. - PMC - PubMed

[5] Warlich B, Fritz F, Osada N, et al. Health-related quality of life in chronic pruritus: an analysis related to disease etiology, clinical skin conditions and itch intensity. Dermatology. 2015;231:253–9. - PubMed

[6] Warlich B, Fritz F, Osada N, et al. Health-related quality of life in chronic pruritus: an analysis related to disease etiology, clinical skin conditions and itch intensity. Dermatology. 2015;231:253–9. - PubMed

[7] Erturk IE, Arican O, Omurlu IK, et al. Effect of the pruritus on the quality of life: a preliminary study. Ann Dermatol. 2012;24:406–12. - PMC - PubMed

[8] Erturk IE, Arican O, Omurlu IK, et al. Effect of the pruritus on the quality of life: a preliminary study. Ann Dermatol. 2012;24:406–12. - PMC - PubMed

[9] Kini SP, DeLong LK, Veledar E, et al. The impact of pruritus on quality of life: the skin equivalent of pain. Arch Dermatol. 2011;147:1153–6. - PubMed

[10] Kini SP, DeLong LK, Veledar E, et al. The impact of pruritus on quality of life: the skin equivalent of pain. Arch Dermatol. 2011;147:1153–6. - PubMed

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Practice Gaps in Pruritus

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Practice Gaps in Pruritus

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