机构:[1]Department of Dermatology, Beijing Children’s Hospital, National Center for Children’s Health, Capital Medical University, Beijing 100045, China临床科室职能科室临床流行病与循证医学中心皮肤科首都医科大学附属北京儿童医院[2]Department of Obstetrics and Gynecology, Beijing Daxing District People’s Hospital, Daxing Teaching Hospital, Capital Medical University, Beijing 102600, China
Patient education is crucial for improving disease outcomes in atopic dermatitis (AD). This review aims to summarize evidence about the effectiveness of educational programs for parents of pediatric AD patients.
PubMed and Embase (inception to Feb 2020) were searched and randomized controlled trials (RCTs) in English were included. Risk of bias was assessed using Cochrane risk of bias tools and quality of evidence was assessed by Grading of Recommendations Assessment, Development and Evaluation (GRADE). Pooled standardized mean difference (SMD) and 95% confidence intervals (CIs) were calculated for the disease severity instrument (Scoring of Atopic Dermatitis, SCORAD) and quality of life (QoL) instruments using the random-effects model.
A total of 13 RCTs were included in the systematic review. The meta-analysis of SCORAD contained seven studies with a total of 1853 patients. The reduction in disease severity (SCORAD) was larger in the treatment group (SMD = - 8.22, 95% CI = - 11.29, - 5.15; P < 0.001; I2 = 78.6%). Subgroup analyses revealed that the association was modified by the frequency of sessions (P for Cochran Q < 0.01) and the duration of follow-up (P for Cochran Q < 0.01). No significant effect-modification was observed for disease severity and borderline significance was observed for session delivery (individual vs group session). The pooled effect sizes for QoL measures including Dermatitis Family Index (SMD = - 0.65, 95% CI = - 1.49, 0.18), Children's Dermatology Life Quality Index (SMD = - 1.61, 95% CI = - 3.76, 0.55; I2= 89.0%) and Infants' Dermatology Quality of Life Index (SMD = 0.30, 95% CI = - 1.04, 1.63; I2= 63.1%) were not significant.
Structured patient education is beneficial and should be implemented for the management of AD patients. However, an optimal delivery mode needs to be determined.
基金:
This work was supported by the Special Fund of The Pediatric Medical Coordinated Development Center of Beijing Hospitals Authority (XTZD20180502), the Daxing District Science Development Program (KT201902314), and the National Natural Science Foundation of China (81602754). The Journal’s Rapid Service Fee was funded by Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, and Daxing Teaching Hospital, Capital Medical University.
第一作者机构:[1]Department of Dermatology, Beijing Children’s Hospital, National Center for Children’s Health, Capital Medical University, Beijing 100045, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Dermatology, Beijing Children’s Hospital, National Center for Children’s Health, Capital Medical University, Beijing 100045, China[2]Department of Obstetrics and Gynecology, Beijing Daxing District People’s Hospital, Daxing Teaching Hospital, Capital Medical University, Beijing 102600, China
推荐引用方式(GB/T 7714):
Zhao Mutong,Liang Yuan,Shen Chunping,et al.Patient Education Programs in Pediatric Atopic Dermatitis: A Systematic Review of Randomized Controlled Trials and Meta-Analysis.[J].Dermatology and therapy.2020,-.doi:10.1007/s13555-020-00365-z.
APA:
Zhao Mutong,Liang Yuan,Shen Chunping,Wang Ying,Ma Lin&Ma Xiuhua.(2020).Patient Education Programs in Pediatric Atopic Dermatitis: A Systematic Review of Randomized Controlled Trials and Meta-Analysis..Dermatology and therapy,,
MLA:
Zhao Mutong,et al."Patient Education Programs in Pediatric Atopic Dermatitis: A Systematic Review of Randomized Controlled Trials and Meta-Analysis.".Dermatology and therapy .(2020):-