TY - JOUR
T1 - Translating atopic dermatitis management guidelines into practice for primary care providers
AU - Eichenfield, Lawrence F.
AU - Boguniewicz, Mark
AU - Simpson, Eric L.
AU - Russell, John J.
AU - Block, Julie K.
AU - Feldman, Steven R.
AU - Clark, Adele R.
AU - Tofte, Susan
AU - Dunn, Jeffrey D.
AU - Paller, Amy S.
N1 - Publisher Copyright:
© 2015 by the American Academy of Pediatrics.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - 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.
AB - 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.
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U2 - 10.1542/peds.2014-3678
DO - 10.1542/peds.2014-3678
M3 - Review article
C2 - 26240216
AN - SCOPUS:84940831103
SN - 0031-4005
VL - 136
SP - 554
EP - 565
JO - Pediatrics
JF - Pediatrics
IS - 3
ER -