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Patient treatment needs in atopic dermatitis: A real-world cohort study
Kristina Ludemann1, Stephan Traidl1, Angela Cornelius1
1Department of Dermatology and Allergy, Hannover Medical School, Hannover, Germany.
Summary
Patient needs in atopic dermatitis (AD) care vary, with itch relief being the top priority. Patient-reported outcomes better reflect treatment success than physician assessments, guiding personalized care.
Area of Science:
- Dermatology
- Patient-centered care
- Quality of life research
Background:
- Atopic dermatitis (AD) significantly impacts patient quality of life.
- Standardized severity measures may not fully capture patient priorities.
- Systematic needs assessment is crucial for personalized AD management.
Purpose of the Study:
- To systematically assess and rank treatment needs in adults with moderate to severe AD.
- To identify patient subgroups with distinct treatment need profiles.
- To evaluate the achievement of patient-centered goals after two years of specialized dermatological care.
Main Methods:
- Prospective observational study using the TREATgermany registry.
- 697 adults with moderate to severe AD completed the Patient Benefit Index (PBI) at baseline and 2-year follow-up.
- Subgroup analyses explored variations based on demographics and AD onset; associations between clinical measures and perceived benefit were analyzed.
Main Results:
- Itch relief (97.8%), disease control (95.3%), and relief from skin burning (92.0%) were top priorities.
- Treatment needs differed across subgroups (age, sex, education, AD onset).
- Patient-reported outcomes (POEM) correlated better with perceived benefit than physician assessments (oSCORAD, EASI).
Conclusions:
- Patient treatment needs in AD are diverse and influenced by demographic and clinical factors.
- Pruritus remains the highest priority for AD patients.
- Patient-reported outcomes are vital for assessing treatment benefit and guiding individualized care decisions.