Measuring atopic eczema symptoms in clinical practice: The first consensus statement from the Harmonising Outcome Measures for Eczema in clinical practice initiative

Measuring patient-centered outcomes in clinical practice is valuable for monitoring patients and advancing real-world research. A new initiative from the Harmonising Outcome Measures for Eczema (HOME) group aims to recommend what might be recorded for atopic eczema patients in routine clinical care....

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Bibliographic Details
Published in:Journal of the American Academy of Dermatology 2020-05, Vol.82 (5), p.1181-1186
Main Authors: Leshem, Yael A., Chalmers, Joanne R., Apfelbacher, Christian, Furue, Masutaka, Gerbens, Louise A.A., Prinsen, Cecilia A.C., Schmitt, Jochen, Spuls, Phyllis I., Thomas, Kim S., Williams, Hywel C., Simpson, Eric L.
Format: Article
Language:English
Subjects:
atopic dermatitis
atopic eczema
clinical practice
eczema
Harmonising Outcome Measures for Eczema
HOME
instruments
outcome measures
outcomes
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Summary:Measuring patient-centered outcomes in clinical practice is valuable for monitoring patients and advancing real-world research. A new initiative from the Harmonising Outcome Measures for Eczema (HOME) group aims to recommend what might be recorded for atopic eczema patients in routine clinical care. Prioritize outcome domains to measure atopic eczema in clinical practice and select valid and practical outcome measurement instruments for the highest-priority domain. An online survey of HOME members identified and ranked 21 possible health domains. Suitable instruments were then selected for the top-prioritized domain at the HOME VI meeting, using established consensus processes informed by systematic reviews of instrument quality. Patient-reported symptoms was the top-prioritized domain. In accordance with psychometric properties and feasibility, there was consensus that the recommended instruments to measure atopic eczema symptoms in clinical practice are the POEM, the PO-SCORAD index, or both. The numeric rating scale for itch received support pending definition and validation in atopic eczema. Following the first step of the HOME Clinical Practice initiative, we endorse using the POEM, the PO-SCORAD index, or both for measuring atopic eczema symptoms in clinical practice. Additional high-priority domains for clinical practice will be assessed at subsequent HOME meetings.
ISSN:0190-9622
1097-6787
DOI:10.1016/j.jaad.2019.12.055