Symptom burden of patients with moderate-to-severe atopic dermatitis

Eur J Dermatol. 2021 Dec 1;31(6):752-758. doi: 10.1684/ejd.2021.4166.

Abstract

Background: Atopic dermatitis (AD) is a chronic inflammatory skin disease associated with intense and persistent pruritus.

Objectives: To examine associations between AD symptoms and health-related quality of life (HRQoL) in adults (aged ≥18 years) with moderate-to-severe AD.

Materials & methods: Patient chart and survey data from physicians within Europe were derived from the Adelphi AD Disease Specific Programme (Q3 2019-Q2 2020). HRQoL measures included Euro-Qol 5-dimension, 3-level, questionnaire; Dermatology Life Quality Index; and Work Productivity and Activity Impairment-Atopic Dermatitis questionnaire. Data were evaluated using descriptive statistics and generalized linear models.

Results: Of 631 patients, 90.1%, 49.3%, 18.5% and 17.7% reported pruritus, sleep disruption, anxiety and depression, respectively. Adjusted analyses indicated an increased frequency of symptoms associated with worse HRQoL and greater work/activity impairments, particularly for patients with pruritus and sleep disruption.

Conclusion: Reductions in symptom frequency may have important implications for improving the overall health of patients with moderate-to-severe AD.

Keywords: atopic dermatitis; burden; health-related quality-of-life.

MeSH terms

  • Absenteeism
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anxiety / etiology
  • Cost of Illness
  • Depression / etiology
  • Dermatitis, Atopic / complications
  • Dermatitis, Atopic / epidemiology
  • Dermatitis, Atopic / psychology*
  • Efficiency
  • Europe / epidemiology
  • Female
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Pruritus / etiology
  • Quality of Life*
  • Severity of Illness Index
  • Sleep Wake Disorders / etiology
  • Young Adult