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Reducing costs in atopic dermatitis
Elisha M Myers1, Patrick O Perche1, Joseph L Jorizzo1
1Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Managing atopic dermatitis (AD) involves cost-effective strategies like prophylactic moisturizers and patient education. Tailoring treatments by severity, including corticosteroids for mild cases and considering phototherapy for severe AD, reduces overall healthcare costs.
Area of Science:
- Dermatology
- Health Economics
Background:
- Atopic dermatitis (AD) is a prevalent, chronic inflammatory skin condition with significant direct and indirect costs.
- AD disproportionately affects children and minority populations, with high treatment costs posing barriers to care.
Purpose of the Study:
- To review and describe cost-conscious treatment and management strategies for atopic dermatitis.
- To identify methods for reducing the economic burden associated with AD.
Main Methods:
- A literature review was conducted using PubMed.
- Keywords included: AD, cost, medications, treatment, management, efficacy, adherence, education, and prophylactic.
Main Results:
- Prophylactic moisturizer use in high-risk infants may decrease AD incidence and costs.
- Improving medication adherence and consistent moisturizing reduce costs.
- Corticosteroids are cost-effective for mild AD; severe AD may require costly biologics or cost-effective phototherapy.
- Patient and family education programs reduce long-term management costs.
Conclusions:
- Reducing AD treatment costs requires a multifaceted approach.
- Key strategies include prophylactic therapies, patient education, and disease severity-tailored management.
- A comprehensive approach can lower costs and overcome healthcare barriers.
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