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Correlation between quality of life and disease severity of pediatric patients with atopic dermatitis
Mara Sur1, Andreea Nicoleta Boca2, Roxana Flavia Ilies3
1Department of Dermatology, 'Iuliu Hatieganu' University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Insights
Atopic dermatitis significantly impacts children's quality of life, with itching being a major concern. This study highlights the effectiveness of specific questionnaires in assessing this impact in pediatric patients.
Area of Science:
- Pediatric Dermatology
- Quality of Life Research
- Chronic Skin Disease Management
Background:
- Atopic dermatitis (AD) is a chronic skin condition affecting children, characterized by impaired skin barrier function.
- AD significantly impacts patients' quality of life (QoL), encompassing physical and psychosocial well-being.
- Assessing QoL is crucial for comprehensive patient care and management strategies.
Purpose of the Study:
- To assess the quality of life (QoL) in pediatric patients diagnosed with atopic dermatitis (AD).
- To evaluate the correlation between AD severity and its impact on children's QoL.
- To validate the use of specific QoL indices in pediatric AD patients in Romania.
Main Methods:
- The study included 64 pediatric patients (0-16 years) clinically diagnosed with AD.
- QoL was measured using the Infants' Dermatitis Quality of Life Index (IDQoL) and the Children's Dermatology Life Quality Index (CDQoL).
- Disease severity was assessed using the SCORAD index; pruritus was identified as a key symptom.
Main Results:
- Pruritus (itching) was the most frequent symptom and significantly influenced patients' QoL.
- The study demonstrated the efficiency of IDQoL and CDQoL in correlating AD severity with QoL in young patients.
- QoL indices effectively captured the impact of AD on daily activities like sleep and play.
Conclusions:
- The validated QoL questionnaires are effective tools for assessing the impact of AD in pediatric populations.
- These tools can be integrated into clinical practice and guidelines for better disease management.
- This study provides the first analysis of pediatric AD QoL in Romania, forming a basis for future guidelines.
Abstract:
Atopic dermatitis (AD) is a complex, chronic skin disorder with a broad spectrum of clinical aspects, characterized by abnormal skin barrier function. This has a significant impact on patients' quality of life (QoL), which represents a crucial parameter for their wellbeing. This study assessed the QoL of patients with AD by following parameters such as itching, disturbance of sleep, disturbance of play activity, and community activities. The study included 64 patients clinically diagnosed with AD, aged 0 to 16 years. QoL of patients with AD was measured by evaluating the QoL indices for infants and young children (IDQoL-Infants' Dermatitis Quality of Life Index) and the QoL for children over 4 years (CDQoL-Children's Dermatology Life Quality Index). The severity of the disease was also monitored by evaluating the SCORAD index. The major symptom for atopic dermatitis, pruritus, was found most frequently in our study and influenced patients' QoL. The study showed that the above questionnaires are efficient tools for correlating AD severity with QoL even in younger patients and could be included in current guidelines. This is the first study that analyzed the QoL of pediatric patients with atopic dermatitis in Romania and can constitute the basis for elaborating a more comprehensive disease management guidelines.
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