Objective outcome measures: Collecting meaningful data on alopecia areata

J Am Acad Dermatol. 2018 Sep;79(3):470-478.e3. doi: 10.1016/j.jaad.2017.10.048. Epub 2017 Nov 8.

Abstract

Background: Although alopecia areata is a common disorder, it has no US Food and Drug Administration-approved treatment and evidence-based therapeutic data are lacking.

Objective: To develop guidelines for the diagnosis, evaluation, assessment, response criteria, and end points for alopecia areata.

Methods: Literature review and expert opinion of a group of dermatologists specializing in hair disorders.

Results: Standardized methods of assessing and tracking hair loss and growth, including new scoring techniques, response criteria, and end points in alopecia areata are presented.

Limitations: The additional time to perform the assessments is the primary limitation to use of the methodology in clinical practice.

Conclusion: Use of these measures will facilitate collection of standardized outcome data on therapeutic agents used in alopecia areata both in clinical practice and in clinical trials.

Keywords: ALODEX score; SALT score; alopecia areata; assessment measures; outcome measures; response criteria.

Publication types

  • Review

MeSH terms

  • Alopecia Areata / diagnosis*
  • Alopecia Areata / drug therapy
  • Data Collection
  • Diagnostic Self Evaluation
  • Endpoint Determination
  • Hair / growth & development*
  • Humans
  • Outcome Assessment, Health Care / methods*
  • Practice Guidelines as Topic*
  • Severity of Illness Index