Real-world burden of atopic dermatitis: Austrian and Swiss data from the MEASURE-AD study.

IF 3.9 The Journal of dermatological treatment Pub Date : 2024-12-01 Epub Date: 2024-10-17 DOI:10.1080/09546634.2024.2415407
Basile Darbellay, Melanie Huber, Izak Johannes Bisschoff, Caroline Guillod, Rainer Hügel, Detlev Pirkhammer, Paul G Sator, Timur Taskesen, Claudia C V Lang
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Abstract

Background: Atopic dermatitis (AD) is characterized by flares of eczematous lesions accompanied by intense pruritus, which can tremendously impact quality of life (QoL). Despite continuous therapeutic progress, there are still unmet needs regarding AD management.

Objective: This sub-analysis of the cross-sectional global study MEASURE-AD with 1558 AD patients treated with or eligible for systemic therapy aimed at characterizing the real-world burden of 98 patients in Austria and Switzerland. Patients were enrolled between October 2019 and June 2020. Assessing patient characteristics, treatment, disease severity, and patient-reported outcomes.

Results: Mean age at time of diagnosis was 19.4 years with delayed diagnosis by an average of almost 3 years. All patients obtained treatment, 57.1% of them systemic therapy, mostly dupilumab. 45.9%-73.5% of all patients presented with moderate to severe disease and more than half of them suffered from moderate to severe pruritus, impaired QoL, and had experienced several flares. Furthermore, a negative impact on sleep, mental health, social life, and work productivity was revealed.

Conclusions: This analysis confirms that AD is associated with a multidimensional burden despite treatment and demonstrates unmet needs regarding diagnostic delay, under-treatment with systemic therapy, and the development of efficacious therapies to improve clinical symptoms and QoL.

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特应性皮炎的现实负担:来自 MEASURE-AD 研究的奥地利和瑞士数据。
背景:特应性皮炎(AD)的特点是湿疹发作并伴有剧烈瘙痒,严重影响生活质量(QoL)。尽管治疗方法在不断进步,但在特应性皮炎的治疗方面仍有许多需求尚未得到满足:这项横断面全球研究 MEASURE-AD 的子分析涉及 1558 名接受或符合系统治疗条件的 AD 患者,旨在描述奥地利和瑞士 98 名患者的实际负担。患者入组时间为 2019 年 10 月至 2020 年 6 月。评估患者特征、治疗、疾病严重程度和患者报告结果:诊断时的平均年龄为 19.4 岁,平均诊断延迟近 3 年。所有患者都接受了治疗,其中57.1%接受了全身治疗,主要是杜比单抗。45.9%-73.5%的患者病情为中度至重度,其中半数以上患者患有中度至重度瘙痒症,生活质量受损,并曾多次复发。此外,患者的睡眠、心理健康、社交生活和工作效率也受到了负面影响:这项分析证实,尽管接受了治疗,但注意力缺失症仍会给患者带来多方面的负担,并表明在诊断延迟、系统治疗不足以及开发有效疗法以改善临床症状和生活质量等方面的需求尚未得到满足。
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