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The burden of atopic dermatitis
Allergy and Asthma Proceedings
|November 8, 2018
Summary
Atopic dermatitis (AD) significantly impacts quality of life, affecting sleep, daily activities, and mental health for patients and caregivers. This condition incurs substantial medical costs and burdens, underscoring the need for comprehensive patient evaluation beyond visible symptoms.
Area of Science:
- Dermatology
- Public Health
- Health Economics
Background:
- Atopic dermatitis (AD) is a prevalent chronic skin condition affecting numerous children and adults.
- Current treatments focus on symptom management (e.g., pruritus) as no cure exists.
- AD causes significant morbidity and burden despite not being fatal.
Purpose of the Study:
- To review the impact of atopic dermatitis on patient quality of life (QOL).
- To examine effects on sleep, daily activities, psychological well-being, and caregiver burden.
- To analyze the direct and indirect economic costs associated with AD.
Main Methods:
- Conducted a literature search focusing on QOL, health-related QOL, and costs in AD patients.
- Utilized generic and specific QOL questionnaires for assessment.
- Included studies evaluating sleep, daily activity, psychological impact, and economic burden.
Main Results:
- AD significantly diminishes QOL, with skin pain frequently reported.
- Sleep disturbances, increased school/work absenteeism, and psychological stressors are common.
- Caregivers experience substantial burdens, and medical costs are elevated for AD patients.
Conclusions:
- The overall impact of AD is more profound than previously recognized.
- AD leads to considerable morbidity, evidenced by QOL, sleep, and psychological assessments.
- Healthcare providers should assess AD patients holistically, beyond rash and symptoms, for optimal care.
