Report from the fourth international consensus meeting to harmonize core outcome measures for atopic eczema/dermatitis clinical trials (HOME initiative)

J. R. Chalmers, Eric Simpson, C. J. Apfelbacher, K. S. Thomas, L. von Kobyletzki, J. Schmitt, J. A. Singh, Svensson, H. C. Williams, K. Abuabara, V. Aoki, M. Ardeleanu, M. Awici-Rasmussen, S. Barbarot, T. L. Berents, J. Block, A. Bragg, T. Burton, K. K. Bjerring Clemmensen, A. Creswell-MelvilleM. Dinesen, A. Drucker, L. Eckert, C. Flohr, M. Garg, L. A A Gerbens, A. L B Graff, Jon Hanifin, D. Heinl, R. Humphreys, H. A. Ishii, Y. Kataoka, Y. A. Leshem, B. Marquort, M. A. Massuel, S. Merhand, H. Mizutani, H. Murota, D. F. Murrell, T. Nakahara, I. Nasr, K. Nograles, Y. Ohya, I. Osterloh, J. Pander, C. Prinsen, L. Purkins, M. Ridd, T. Sach, M. L A Schuttelaar, S. Shindo, J. Smirnova, A. Sulzer, E. Synnøve Gjerde, R. Takaoka, H. Vestby Talmo, M. Tauber, F. Torchet, A. Volke, C. F. Wahlgren, S. Weidinger, E. Weisshaar, A. Wollenberg, K. Yamaga, C. Y. Zhao, P. I. Spuls

Research output: Contribution to journalArticle

72 Citations (Scopus)

Abstract

This article is a report of the fourth meeting of the Harmonising Outcome Measures for Eczema (HOME) initiative held in Malmö, Sweden on 23–24 April 2015 (HOME IV). The aim of the meeting was to achieve consensus over the preferred outcome instruments for measuring patient-reported symptoms and quality of life for the HOME core outcome set for atopic eczema (AE). Following presentations, which included data from systematic reviews, consensus discussions were held in a mixture of whole group and small group discussions. Small groups were allocated a priori to ensure representation of different stakeholders and countries. Decisions were voted on using electronic keypads. For the patient-reported symptoms, the group agreed by vote that itch, sleep loss, dryness, redness/inflamed skin and irritated skin were all considered essential aspects of AE symptoms. Many instruments for capturing patient-reported symptoms were discussed [including the Patient-Oriented SCOring Atopic Dermatitis index, Patient-Oriented Eczema Measure (POEM), Self-Administered Eczema Area and Severity Index, Itch Severity Scale, Atopic Dermatitis Quickscore and the Nottingham Eczema Severity Score] and, by consensus, POEM was selected as the preferred instrument to measure patient-reported symptoms. Further work is needed to determine the reliability and measurement error of POEM. Further work is also required to establish the importance of pain/soreness and the importance of collecting information regarding the intensity of symptoms in addition to their frequency. Much of the discussion on quality of life concerned the Dermatology Life Quality Index and Quality of Life Index for Atopic Dermatitis; however, consensus on a preferred instrument for measuring this domain could not be reached. In summary, POEM is recommended as the HOME core outcome instrument for measuring AE symptoms.

Original languageEnglish (US)
Pages (from-to)69-79
Number of pages11
JournalBritish Journal of Dermatology
Volume175
Issue number1
DOIs
StatePublished - Jul 1 2016

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Eczema
Atopic Dermatitis
Consensus
Outcome Assessment (Health Care)
Clinical Trials
Quality of Life
Skin
Dermatology
Sweden
Sleep
Pain

ASJC Scopus subject areas

  • Medicine(all)
  • Dermatology

Cite this

Report from the fourth international consensus meeting to harmonize core outcome measures for atopic eczema/dermatitis clinical trials (HOME initiative). / Chalmers, J. R.; Simpson, Eric; Apfelbacher, C. J.; Thomas, K. S.; von Kobyletzki, L.; Schmitt, J.; Singh, J. A.; Svensson; Williams, H. C.; Abuabara, K.; Aoki, V.; Ardeleanu, M.; Awici-Rasmussen, M.; Barbarot, S.; Berents, T. L.; Block, J.; Bragg, A.; Burton, T.; Bjerring Clemmensen, K. K.; Creswell-Melville, A.; Dinesen, M.; Drucker, A.; Eckert, L.; Flohr, C.; Garg, M.; Gerbens, L. A A; Graff, A. L B; Hanifin, Jon; Heinl, D.; Humphreys, R.; Ishii, H. A.; Kataoka, Y.; Leshem, Y. A.; Marquort, B.; Massuel, M. A.; Merhand, S.; Mizutani, H.; Murota, H.; Murrell, D. F.; Nakahara, T.; Nasr, I.; Nograles, K.; Ohya, Y.; Osterloh, I.; Pander, J.; Prinsen, C.; Purkins, L.; Ridd, M.; Sach, T.; Schuttelaar, M. L A; Shindo, S.; Smirnova, J.; Sulzer, A.; Synnøve Gjerde, E.; Takaoka, R.; Vestby Talmo, H.; Tauber, M.; Torchet, F.; Volke, A.; Wahlgren, C. F.; Weidinger, S.; Weisshaar, E.; Wollenberg, A.; Yamaga, K.; Zhao, C. Y.; Spuls, P. I.

In: British Journal of Dermatology, Vol. 175, No. 1, 01.07.2016, p. 69-79.

Research output: Contribution to journalArticle

Chalmers, JR, Simpson, E, Apfelbacher, CJ, Thomas, KS, von Kobyletzki, L, Schmitt, J, Singh, JA, Svensson, Williams, HC, Abuabara, K, Aoki, V, Ardeleanu, M, Awici-Rasmussen, M, Barbarot, S, Berents, TL, Block, J, Bragg, A, Burton, T, Bjerring Clemmensen, KK, Creswell-Melville, A, Dinesen, M, Drucker, A, Eckert, L, Flohr, C, Garg, M, Gerbens, LAA, Graff, ALB, Hanifin, J, Heinl, D, Humphreys, R, Ishii, HA, Kataoka, Y, Leshem, YA, Marquort, B, Massuel, MA, Merhand, S, Mizutani, H, Murota, H, Murrell, DF, Nakahara, T, Nasr, I, Nograles, K, Ohya, Y, Osterloh, I, Pander, J, Prinsen, C, Purkins, L, Ridd, M, Sach, T, Schuttelaar, MLA, Shindo, S, Smirnova, J, Sulzer, A, Synnøve Gjerde, E, Takaoka, R, Vestby Talmo, H, Tauber, M, Torchet, F, Volke, A, Wahlgren, CF, Weidinger, S, Weisshaar, E, Wollenberg, A, Yamaga, K, Zhao, CY & Spuls, PI 2016, 'Report from the fourth international consensus meeting to harmonize core outcome measures for atopic eczema/dermatitis clinical trials (HOME initiative)', British Journal of Dermatology, vol. 175, no. 1, pp. 69-79. https://doi.org/10.1111/bjd.14773
Chalmers, J. R. ; Simpson, Eric ; Apfelbacher, C. J. ; Thomas, K. S. ; von Kobyletzki, L. ; Schmitt, J. ; Singh, J. A. ; Svensson ; Williams, H. C. ; Abuabara, K. ; Aoki, V. ; Ardeleanu, M. ; Awici-Rasmussen, M. ; Barbarot, S. ; Berents, T. L. ; Block, J. ; Bragg, A. ; Burton, T. ; Bjerring Clemmensen, K. K. ; Creswell-Melville, A. ; Dinesen, M. ; Drucker, A. ; Eckert, L. ; Flohr, C. ; Garg, M. ; Gerbens, L. A A ; Graff, A. L B ; Hanifin, Jon ; Heinl, D. ; Humphreys, R. ; Ishii, H. A. ; Kataoka, Y. ; Leshem, Y. A. ; Marquort, B. ; Massuel, M. A. ; Merhand, S. ; Mizutani, H. ; Murota, H. ; Murrell, D. F. ; Nakahara, T. ; Nasr, I. ; Nograles, K. ; Ohya, Y. ; Osterloh, I. ; Pander, J. ; Prinsen, C. ; Purkins, L. ; Ridd, M. ; Sach, T. ; Schuttelaar, M. L A ; Shindo, S. ; Smirnova, J. ; Sulzer, A. ; Synnøve Gjerde, E. ; Takaoka, R. ; Vestby Talmo, H. ; Tauber, M. ; Torchet, F. ; Volke, A. ; Wahlgren, C. F. ; Weidinger, S. ; Weisshaar, E. ; Wollenberg, A. ; Yamaga, K. ; Zhao, C. Y. ; Spuls, P. I. / Report from the fourth international consensus meeting to harmonize core outcome measures for atopic eczema/dermatitis clinical trials (HOME initiative). In: British Journal of Dermatology. 2016 ; Vol. 175, No. 1. pp. 69-79.
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title = "Report from the fourth international consensus meeting to harmonize core outcome measures for atopic eczema/dermatitis clinical trials (HOME initiative)",
abstract = "This article is a report of the fourth meeting of the Harmonising Outcome Measures for Eczema (HOME) initiative held in Malm{\"o}, Sweden on 23–24 April 2015 (HOME IV). The aim of the meeting was to achieve consensus over the preferred outcome instruments for measuring patient-reported symptoms and quality of life for the HOME core outcome set for atopic eczema (AE). Following presentations, which included data from systematic reviews, consensus discussions were held in a mixture of whole group and small group discussions. Small groups were allocated a priori to ensure representation of different stakeholders and countries. Decisions were voted on using electronic keypads. For the patient-reported symptoms, the group agreed by vote that itch, sleep loss, dryness, redness/inflamed skin and irritated skin were all considered essential aspects of AE symptoms. Many instruments for capturing patient-reported symptoms were discussed [including the Patient-Oriented SCOring Atopic Dermatitis index, Patient-Oriented Eczema Measure (POEM), Self-Administered Eczema Area and Severity Index, Itch Severity Scale, Atopic Dermatitis Quickscore and the Nottingham Eczema Severity Score] and, by consensus, POEM was selected as the preferred instrument to measure patient-reported symptoms. Further work is needed to determine the reliability and measurement error of POEM. Further work is also required to establish the importance of pain/soreness and the importance of collecting information regarding the intensity of symptoms in addition to their frequency. Much of the discussion on quality of life concerned the Dermatology Life Quality Index and Quality of Life Index for Atopic Dermatitis; however, consensus on a preferred instrument for measuring this domain could not be reached. In summary, POEM is recommended as the HOME core outcome instrument for measuring AE symptoms.",
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T1 - Report from the fourth international consensus meeting to harmonize core outcome measures for atopic eczema/dermatitis clinical trials (HOME initiative)

AU - Chalmers, J. R.

AU - Simpson, Eric

AU - Apfelbacher, C. J.

AU - Thomas, K. S.

AU - von Kobyletzki, L.

AU - Schmitt, J.

AU - Singh, J. A.

AU - Svensson,

AU - Williams, H. C.

AU - Abuabara, K.

AU - Aoki, V.

AU - Ardeleanu, M.

AU - Awici-Rasmussen, M.

AU - Barbarot, S.

AU - Berents, T. L.

AU - Block, J.

AU - Bragg, A.

AU - Burton, T.

AU - Bjerring Clemmensen, K. K.

AU - Creswell-Melville, A.

AU - Dinesen, M.

AU - Drucker, A.

AU - Eckert, L.

AU - Flohr, C.

AU - Garg, M.

AU - Gerbens, L. A A

AU - Graff, A. L B

AU - Hanifin, Jon

AU - Heinl, D.

AU - Humphreys, R.

AU - Ishii, H. A.

AU - Kataoka, Y.

AU - Leshem, Y. A.

AU - Marquort, B.

AU - Massuel, M. A.

AU - Merhand, S.

AU - Mizutani, H.

AU - Murota, H.

AU - Murrell, D. F.

AU - Nakahara, T.

AU - Nasr, I.

AU - Nograles, K.

AU - Ohya, Y.

AU - Osterloh, I.

AU - Pander, J.

AU - Prinsen, C.

AU - Purkins, L.

AU - Ridd, M.

AU - Sach, T.

AU - Schuttelaar, M. L A

AU - Shindo, S.

AU - Smirnova, J.

AU - Sulzer, A.

AU - Synnøve Gjerde, E.

AU - Takaoka, R.

AU - Vestby Talmo, H.

AU - Tauber, M.

AU - Torchet, F.

AU - Volke, A.

AU - Wahlgren, C. F.

AU - Weidinger, S.

AU - Weisshaar, E.

AU - Wollenberg, A.

AU - Yamaga, K.

AU - Zhao, C. Y.

AU - Spuls, P. I.

PY - 2016/7/1

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N2 - This article is a report of the fourth meeting of the Harmonising Outcome Measures for Eczema (HOME) initiative held in Malmö, Sweden on 23–24 April 2015 (HOME IV). The aim of the meeting was to achieve consensus over the preferred outcome instruments for measuring patient-reported symptoms and quality of life for the HOME core outcome set for atopic eczema (AE). Following presentations, which included data from systematic reviews, consensus discussions were held in a mixture of whole group and small group discussions. Small groups were allocated a priori to ensure representation of different stakeholders and countries. Decisions were voted on using electronic keypads. For the patient-reported symptoms, the group agreed by vote that itch, sleep loss, dryness, redness/inflamed skin and irritated skin were all considered essential aspects of AE symptoms. Many instruments for capturing patient-reported symptoms were discussed [including the Patient-Oriented SCOring Atopic Dermatitis index, Patient-Oriented Eczema Measure (POEM), Self-Administered Eczema Area and Severity Index, Itch Severity Scale, Atopic Dermatitis Quickscore and the Nottingham Eczema Severity Score] and, by consensus, POEM was selected as the preferred instrument to measure patient-reported symptoms. Further work is needed to determine the reliability and measurement error of POEM. Further work is also required to establish the importance of pain/soreness and the importance of collecting information regarding the intensity of symptoms in addition to their frequency. Much of the discussion on quality of life concerned the Dermatology Life Quality Index and Quality of Life Index for Atopic Dermatitis; however, consensus on a preferred instrument for measuring this domain could not be reached. In summary, POEM is recommended as the HOME core outcome instrument for measuring AE symptoms.

AB - This article is a report of the fourth meeting of the Harmonising Outcome Measures for Eczema (HOME) initiative held in Malmö, Sweden on 23–24 April 2015 (HOME IV). The aim of the meeting was to achieve consensus over the preferred outcome instruments for measuring patient-reported symptoms and quality of life for the HOME core outcome set for atopic eczema (AE). Following presentations, which included data from systematic reviews, consensus discussions were held in a mixture of whole group and small group discussions. Small groups were allocated a priori to ensure representation of different stakeholders and countries. Decisions were voted on using electronic keypads. For the patient-reported symptoms, the group agreed by vote that itch, sleep loss, dryness, redness/inflamed skin and irritated skin were all considered essential aspects of AE symptoms. Many instruments for capturing patient-reported symptoms were discussed [including the Patient-Oriented SCOring Atopic Dermatitis index, Patient-Oriented Eczema Measure (POEM), Self-Administered Eczema Area and Severity Index, Itch Severity Scale, Atopic Dermatitis Quickscore and the Nottingham Eczema Severity Score] and, by consensus, POEM was selected as the preferred instrument to measure patient-reported symptoms. Further work is needed to determine the reliability and measurement error of POEM. Further work is also required to establish the importance of pain/soreness and the importance of collecting information regarding the intensity of symptoms in addition to their frequency. Much of the discussion on quality of life concerned the Dermatology Life Quality Index and Quality of Life Index for Atopic Dermatitis; however, consensus on a preferred instrument for measuring this domain could not be reached. In summary, POEM is recommended as the HOME core outcome instrument for measuring AE symptoms.

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