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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Atopic dermatitis is a chronic inflammatory skin disease that more commonly affects children&#44; although it is increasingly diagnosed in adults&#46; As with other chronic skin diseases such as psoriasis&#44; there is growing evidence that systemic processes affect an individual&#39;s health&#46; A recent study published in the <span class="elsevierStyleItalic">Journal of the American Academy of Dermatology</span> examines comorbidities in adults with atopic dermatitis and analyzes resource usage and the costs of this disease in the United States&#46; The authors conclude that the cost burden generated by patients with atopic dermatitis is similar to that generated by patients with psoriasis&#44; with more frequent visits to the emergency department in the former&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> In this issue of <span class="elsevierStyleSmallCaps">Actas Dermosifiliogr&#225;ficas</span>&#44; Sicras-Mainar et al&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> present the results of an excellent population-based study carried out in the area of Badalona &#40;Catalonia&#41;&#46; In addition to showing that patients with atopic dermatitis are more likely to have comorbidities &#40;atopic &#91;asthma&#93;&#44; psychological &#91;depression&#93;&#44; or metabolic &#91;cardiovascular events&#44; obesity&#44; smoking&#93;&#41;&#44; the authors calculated the cost to be &#8364;<span class="elsevierStyleHsp" style=""></span>1504 per patient-year&#44; which is higher in severe cases &#40;&#8364;<span class="elsevierStyleHsp" style=""></span>3397 vs &#8364;<span class="elsevierStyleHsp" style=""></span>2111 and &#8364;<span class="elsevierStyleHsp" style=""></span>886&#41;&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Our training as doctors focuses on gaining in-depth knowledge of diseases&#44; often without taking into account the cost burden these diseases generate for society&#46; However&#44; studies such as that by Sicras-Mainar et al&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> are necessary&#44; since they can help us to allocate resources&#44; evaluate the efficiency of new treatments&#44; and design multidisciplinary strategies to ensure better management of chronic diseases&#44; in this case atopic dermatitis&#46;</p></span>"
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The Burden of Atopic Dermatitis in Adults
La dermatitis atópica del adulto: una enfermedad impactante
Y. Gilaberte
Servicio de Dermatología, Hospital Universitario Miguel Servet, IIS Aragón, Zaragoza, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Atopic dermatitis is a chronic inflammatory skin disease that more commonly affects children&#44; although it is increasingly diagnosed in adults&#46; As with other chronic skin diseases such as psoriasis&#44; there is growing evidence that systemic processes affect an individual&#39;s health&#46; A recent study published in the <span class="elsevierStyleItalic">Journal of the American Academy of Dermatology</span> examines comorbidities in adults with atopic dermatitis and analyzes resource usage and the costs of this disease in the United States&#46; The authors conclude that the cost burden generated by patients with atopic dermatitis is similar to that generated by patients with psoriasis&#44; with more frequent visits to the emergency department in the former&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> In this issue of <span class="elsevierStyleSmallCaps">Actas Dermosifiliogr&#225;ficas</span>&#44; Sicras-Mainar et al&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> present the results of an excellent population-based study carried out in the area of Badalona &#40;Catalonia&#41;&#46; In addition to showing that patients with atopic dermatitis are more likely to have comorbidities &#40;atopic &#91;asthma&#93;&#44; psychological &#91;depression&#93;&#44; or metabolic &#91;cardiovascular events&#44; obesity&#44; smoking&#93;&#41;&#44; the authors calculated the cost to be &#8364;<span class="elsevierStyleHsp" style=""></span>1504 per patient-year&#44; which is higher in severe cases &#40;&#8364;<span class="elsevierStyleHsp" style=""></span>3397 vs &#8364;<span class="elsevierStyleHsp" style=""></span>2111 and &#8364;<span class="elsevierStyleHsp" style=""></span>886&#41;&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Our training as doctors focuses on gaining in-depth knowledge of diseases&#44; often without taking into account the cost burden these diseases generate for society&#46; However&#44; studies such as that by Sicras-Mainar et al&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> are necessary&#44; since they can help us to allocate resources&#44; evaluate the efficiency of new treatments&#44; and design multidisciplinary strategies to ensure better management of chronic diseases&#44; in this case atopic dermatitis&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Gilaberte Y&#46; La dermatitis at&#243;pica del adulto&#58; una enfermedad impactante&#46; Actas Dermosifiliogr&#46; 2018&#59;109&#58;1&#46;</p>"
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                  "comentario" => "pii&#58; S0190-9622&#40;17&#41;32181-3"
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                    0 => array:2 [
                      "titulo" => "The burden of atopic dermatitis in US adults&#58; Health care resource utilization data from the 2013 National Health and wellness survey"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L&#46; Eckert"
                            1 => "S&#46; Gupta"
                            2 => "C&#46; Amand"
                            3 => "A&#46; Gadkari"
                            4 => "P&#46; Mahajan"
                            5 => "J&#46;M&#46; Gelfand"
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                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2017.08.002"
                      "Revista" => array:2 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2017"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impacto econ&#243;mico de la dermatitis at&#243;pica en adultos&#58; estudio de base poblacional &#40;estudio IDEA&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Sicras-Mainar"
                            1 => "R&#46; Navarro-Artieda"
                            2 => "J&#46;M&#46; Carrascosa-Carrillo"
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                      "Revista" => array:5 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2018"
                        "volumen" => "109"
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ISSN: 15782190
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