Attitude of the Adult Patient With Atopic Dermatitis to the Disease and Its Treatment: The ACTIDA Study

Betlloch, I.; Izu, R.; Lleonart, M.; Ferrer, M.; Ferrando, J.

doi:10.1016/S1578-2190(10)70600-4

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"apellidos" => "Rocamora" ] 23 => array:2 [ "nombre" => "M." "apellidos" => "Sàbat" ] 24 => array:2 [ "nombre" => "M." "apellidos" => "Salleras" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010705990?idApp=UINPBA000044" "url" => "/15782190/0000010100000002/v1_201304241515/S1578219010705990/v1_201304241515/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "Original Article" "titulo" => "Attitude of the Adult Patient With Atopic Dermatitis to the Disease and Its Treatment: The ACTIDA Study" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "143" "paginaFinal" => "150" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "I. Betlloch, R. Izu, M. Lleonart, M. Ferrer, J. Ferrando" "autores" => array:5 [ 0 => array:3 [ "nombre" => "I." "apellidos" => "Betlloch" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff1" ] ] ] 1 => array:3 [ "nombre" => "R." "apellidos" => "Izu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Lleonart" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff3" ] ] ] 3 => array:4 [ "nombre" => "M." "apellidos" => "Ferrer" "email" => array:1 [ 0 => "mirleferrer@adknoma.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "d" "identificador" => "aff4" ] 1 => array:2 [ "etiqueta" => "¿" "identificador" => "cor1" ] ] ] 4 => array:3 [ "nombre" => "J." "apellidos" => "Ferrando" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "e" "identificador" => "aff5" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital General de Alicante, Alicante, Spain" "etiqueta" => "a" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital de Basurto, Bilbao, Spain" "etiqueta" => "b" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Departamento Médico, Novartis Farmacéutica S.A., Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff3" ] 3 => array:3 [ "entidad" => "Adknoma Health Research S.L., Barcelona, Spain" "etiqueta" => "d" "identificador" => "aff4" ] 4 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Clínic de Barcelona, Barcelona, Spain" "etiqueta" => "e" "identificador" => "aff5" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Actitud del paciente adulto con dermatitis atópica frente a su patología y tratamiento. Estudio ACTIDA" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-04-06" "fechaAceptado" => "2009-07-28" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84693" "palabras" => array:3 [ 0 => "Atopic dermatitis" 1 => "Treatment" 2 => "Patient attitude" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84692" "palabras" => array:3 [ 0 => "Dermatitis atópica" 1 => "Tratamiento" 2 => "Actitud del paciente" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "ObjectiveTo determine the attitude of adult patients with atopic dermatitis (AD) to their disease and its treatment. Material and methodsA multicenter, cross-sectional study was performed in patients with at least 2 outbreaks of AD in the previous year. ResultsTwo hundred twenty-seven dermatologists recruited 1441 analyzable patients, the majority women, with a mean of 3.6 outbreaks per year. Most of the patients (97.2%) indicated that they always or sometimes requested medical evaluation of a new outbreak. In the most recent outbreak, 72.2% had used combined therapy, regardless of the severity of the episode; 2-drug combinations were the most common. The majority of dermatologists prescribed combined therapy, most commonly a 2-drug combination for mild or minimal disease, and 3 or more drugs for moderate to very severe outbreaks. ConclusionsTreatments used by patients for an outbreak of AD are similar to those prescribed by dermatologists in recent outbreaks." ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "Introducción y objetivosConocer la actitud de los pacientes adultos frente a la dermatitis atópica (DA) y su tratamiento. Material y métodosEstudio transversal, multicéntrico, realizado en pacientes con al menos 2 brotes en el último año. ResultadosDoscientos veintisiete dermatólogos reclutaron 1.441 pacientes analizables, mayoritariamente mujeres con 3,6 brotes al año de media. La mayoría de los pacientes (97,2%) indicó que solicitaba, al menos ocasionalmente, asesoramiento médico ante nuevos brotes. El 72,2% recurrió a la terapia combinada (TC) en el último brote, independientemente de su intensidad, siendo las combinaciones de 2 fármacos (TC2) las más utilizadas. Los dermatólogos indicaron mayoritariamente TC, siendo la TC2 más frecuente para formas leves y casi sin enfermedad, y la TC de más de 2 fármacos en brotes moderados a muy graves. 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Article information

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Abstract

Objective

To determine the attitude of adult patients with atopic dermatitis (AD) to their disease and its treatment.

Material and methods

A multicenter, cross-sectional study was performed in patients with at least 2 outbreaks of AD in the previous year.

Results

Two hundred twenty-seven dermatologists recruited 1441 analyzable patients, the majority women, with a mean of 3.6 outbreaks per year. Most of the patients (97.2%) indicated that they always or sometimes requested medical evaluation of a new outbreak. In the most recent outbreak, 72.2% had used combined therapy, regardless of the severity of the episode; 2-drug combinations were the most common. The majority of dermatologists prescribed combined therapy, most commonly a 2-drug combination for mild or minimal disease, and 3 or more drugs for moderate to very severe outbreaks.

Conclusions

Treatments used by patients for an outbreak of AD are similar to those prescribed by dermatologists in recent outbreaks.

Keywords:

Atopic dermatitis

Treatment

Patient attitude

Resumen

Introducción y objetivos

Conocer la actitud de los pacientes adultos frente a la dermatitis atópica (DA) y su tratamiento.

Material y métodos

Estudio transversal, multicéntrico, realizado en pacientes con al menos 2 brotes en el último año.

Resultados

Doscientos veintisiete dermatólogos reclutaron 1.441 pacientes analizables, mayoritariamente mujeres con 3,6 brotes al año de media. La mayoría de los pacientes (97,2%) indicó que solicitaba, al menos ocasionalmente, asesoramiento médico ante nuevos brotes. El 72,2% recurrió a la terapia combinada (TC) en el último brote, independientemente de su intensidad, siendo las combinaciones de 2 fármacos (TC2) las más utilizadas. Los dermatólogos indicaron mayoritariamente TC, siendo la TC2 más frecuente para formas leves y casi sin enfermedad, y la TC de más de 2 fármacos en brotes moderados a muy graves.

Conclusiones

Los tratamientos empleados por los pacientes ante un brote de DA son similares a los indicados por los dermatólogos.

Palabras clave:

Dermatitis atópica

Tratamiento

Actitud del paciente

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