Translating atopic dermatitis management guidelines into practice for primary care providers

Lawrence F. Eichenfield, Mark Boguniewicz, Eric Simpson, John J. Russell, Julie K. Block, Steven R. Feldman, Adele R. Clark, Susan Tofte, Jeffrey D. Dunn, Amy S. Paller

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Atopic dermatitis affects a substantial number of children, many of whom seek initial treatment from their pediatrician or other primary care provider. Approximately two-thirds of these patients have mild disease and can be adequately managed at the primary care level. However, recent treatment guidelines are written primarily for use by specialists and lack certain elements that would make them more useful to primary care providers. This article evaluates these recent treatment guidelines in terms of evaluation criteria, treatment recommendations, usability, accessibility, and applicability to nonspecialists and integrates them with clinical evidence to present a streamlined severity-based treatment model for the management of a majority of atopic dermatitis cases. Because each patient's situation is unique, individualization of treatment plans is critical as is efficient communication and implementation of the plan with patients and caregivers. Specifically, practical suggestions for individualizing, optimizing, implementing, and communicating treatment plans such as choosing a moisturizer formulation, avoiding common triggers, educating patients/caregivers, providing written treatment plans, and scheduling physician follow-up are provided along with a discussion of available resources for patients/caregivers and providers.

Original languageEnglish (US)
Pages (from-to)554-565
Number of pages12
JournalPediatrics
Volume136
Issue number3
DOIs
StatePublished - Sep 1 2015

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Atopic Dermatitis
Practice Guidelines
Primary Health Care
Caregivers
Therapeutics
Guidelines
Communication
Physicians

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Eichenfield, L. F., Boguniewicz, M., Simpson, E., Russell, J. J., Block, J. K., Feldman, S. R., ... Paller, A. S. (2015). Translating atopic dermatitis management guidelines into practice for primary care providers. Pediatrics, 136(3), 554-565. https://doi.org/10.1542/peds.2014-3678

Translating atopic dermatitis management guidelines into practice for primary care providers. / Eichenfield, Lawrence F.; Boguniewicz, Mark; Simpson, Eric; Russell, John J.; Block, Julie K.; Feldman, Steven R.; Clark, Adele R.; Tofte, Susan; Dunn, Jeffrey D.; Paller, Amy S.

In: Pediatrics, Vol. 136, No. 3, 01.09.2015, p. 554-565.

Research output: Contribution to journalArticle

Eichenfield, LF, Boguniewicz, M, Simpson, E, Russell, JJ, Block, JK, Feldman, SR, Clark, AR, Tofte, S, Dunn, JD & Paller, AS 2015, 'Translating atopic dermatitis management guidelines into practice for primary care providers', Pediatrics, vol. 136, no. 3, pp. 554-565. https://doi.org/10.1542/peds.2014-3678
Eichenfield LF, Boguniewicz M, Simpson E, Russell JJ, Block JK, Feldman SR et al. Translating atopic dermatitis management guidelines into practice for primary care providers. Pediatrics. 2015 Sep 1;136(3):554-565. https://doi.org/10.1542/peds.2014-3678
Eichenfield, Lawrence F. ; Boguniewicz, Mark ; Simpson, Eric ; Russell, John J. ; Block, Julie K. ; Feldman, Steven R. ; Clark, Adele R. ; Tofte, Susan ; Dunn, Jeffrey D. ; Paller, Amy S. / Translating atopic dermatitis management guidelines into practice for primary care providers. In: Pediatrics. 2015 ; Vol. 136, No. 3. pp. 554-565.
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