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1.
Arch Dermatol Res ; 315(1): 75-83, 2023 Jan.
Article in English | MEDLINE | ID: mdl-35112162

ABSTRACT

To optimally tailor atopic dermatitis (AD) care to patients' needs, especially considering the many emerging therapeutic options, insight into patients' needs and preferences regarding AD care is needed. To explore patients' needs and preferences regarding AD care, a qualitative study consisting of three focus groups with a total of 20 adult AD patients was conducted. All sessions were transcribed verbatim and inductively analyzed using several phases of coding to create an overview of patients' needs and preferences. AD patients emphasized the need for a patient-tailored approach in all identified aspects of AD care. With regard to consultations, patients stressed the need for a personal approach and increased recognition of the disease impact, which should mainly be determined by patients. With regard to the organization of AD care, the need for psychosocial and medical supportive care as well as quick access to health-care providers during disease flares was emphasized. Within the decision-making process, patients indicated that the provided information, the role of the patient and physician, whether or not treatment goals should be set, and decisive factors for indication and feasibility of novel therapies should be patient dependent. AD care should be patient tailored with increased attention for the psychosocial burden, as well as better access to health care during disease flares. To provide patient-tailored care, the personal situation, needs, and preferences of the patient should be taken into account in the therapeutic decision-making process, with respect for the autonomy of the patient.


Subject(s)
Dermatitis, Atopic , Adult , Humans , Dermatitis, Atopic/therapy , Qualitative Research , Patients
2.
Pediatr Dermatol ; 29(1): 24-7, 2012.
Article in English | MEDLINE | ID: mdl-22256990

ABSTRACT

Treatment of children with severe atopic dermatitis (AD) can be especially challenging because several possible intervention treatments have (relative) contraindications in childhood. In recent years, wet-wrap treatment (WWT) has been advocated as a relatively safe and efficacious intervention in children with severe or refractory AD. The goal of this article is to provide a practical guideline as a starting point for clinicians who are interested in using WWT in their own clinical practice. We will address several practical issues surrounding the use of WWT by describing our own experiences, supplemented with data from the literature.


Subject(s)
Bandages , Dermatitis, Atopic/drug therapy , Emollients/administration & dosage , Glucocorticoids/administration & dosage , Practice Guidelines as Topic , Bandages/adverse effects , Child , Emollients/adverse effects , Glucocorticoids/adverse effects , Humans , Water
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