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Published in: BMC Pediatrics 1/2004

Open Access 01-12-2004 | Research article

Parents' reported preference scores for childhood atopic dermatitis disease states

Authors: Joëlle Y Friedman, Shelby D Reed, Kevin P Weinfurt, Kristijan H Kahler, Emmanuel B Walter, Kevin A Schulman

Published in: BMC Pediatrics | Issue 1/2004

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Abstract

Background

We sought to elicit preference weights from parents for health states corresponding to children with various levels of severity of atopic dermatitis. We also evaluated the hypothesis that parents with children who had been diagnosed with atopic dermatitis would assign different preferences to the health state scenarios compared with parents who did not have a child with atopic dermatitis.

Methods

Subjects were parents of children aged 3 months to 18 years. The sample was derived from the General Panel, Mommies Sub-Panel, and Chronic Illness Sub-Panel of Harris Interactive. Participants rated health scenarios for atopic dermatitis, asthma, and eyeglasses on a visual analog scale, imagining a child was experiencing the described state.

Results

A total of 3539 parents completed the survey. Twenty-nine percent had a child with a history of atopic dermatitis. Mean preference scores for atopic dermatitis were as follows: mild, 91 (95% confidence interval [CI], 90.7 to 91.5); mild/moderate, 84 (95%CI, 83.5 to 84.4); moderate, 73 (95%CI, 72.5 to 73.6); moderate/severe, 61 (95%CI, 60.6 to 61.8); severe, 49 (95% CI, 48.7 to 50.1); asthma, 58 (95%CI, 57.4 to 58.8); and eyeglasses, 87(95%CI, 86.3 to 87.4).

Conclusions

Parents perceive that atopic dermatitis has a negative effect on quality of life that increases with disease severity. Estimates of parents' preferences can provide physicians with insight into the value that parents place on their children's treatment and can be used to evaluate new medical therapies for atopic dermatitis.
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Literature
1.
go back to reference Schultz Larsen F, Hanifin JM: Epidemiology of atopic dermatitis. Immunol Allergy Clin North Am. 2002, 22: 1-24.CrossRef Schultz Larsen F, Hanifin JM: Epidemiology of atopic dermatitis. Immunol Allergy Clin North Am. 2002, 22: 1-24.CrossRef
2.
go back to reference Taylor B, Wadsworth J, Wadsworth M, Peckham C: Changes in the reported prevalence of childhood eczema since the 1939-45 war. Lancet. 1984, 2: 1255-1257. 10.1016/S0140-6736(84)92805-8.CrossRefPubMed Taylor B, Wadsworth J, Wadsworth M, Peckham C: Changes in the reported prevalence of childhood eczema since the 1939-45 war. Lancet. 1984, 2: 1255-1257. 10.1016/S0140-6736(84)92805-8.CrossRefPubMed
3.
go back to reference Ellis CN, Drake LA, Prendergast MM, Abramovits W, Boguniewicz M, Daniel CR, Lebwohl M, Stevens SR, Whitaker-Worth DL, Cheng JW, Tong KB: Cost of atopic dermatitis and eczema in the United States. J Am Acad Dermatol. 2002, 46: 361-370. 10.1067/mjd.2002.120528.CrossRefPubMed Ellis CN, Drake LA, Prendergast MM, Abramovits W, Boguniewicz M, Daniel CR, Lebwohl M, Stevens SR, Whitaker-Worth DL, Cheng JW, Tong KB: Cost of atopic dermatitis and eczema in the United States. J Am Acad Dermatol. 2002, 46: 361-370. 10.1067/mjd.2002.120528.CrossRefPubMed
4.
go back to reference Lapidus CS, Kerr PE: Social impact of atopic dermatitis. Med Health R I. 2001, 84: 294-295.PubMed Lapidus CS, Kerr PE: Social impact of atopic dermatitis. Med Health R I. 2001, 84: 294-295.PubMed
5.
go back to reference Lawson V, Lewis-Jones MS, Finlay AY, Reid P, Owens RG: The family impact of childhood atopic dermatitis: the dermatitis family impact questionnaire. Br J Dermatol. 1998, 138: 107-113. 10.1046/j.1365-2133.1998.02034.x.CrossRefPubMed Lawson V, Lewis-Jones MS, Finlay AY, Reid P, Owens RG: The family impact of childhood atopic dermatitis: the dermatitis family impact questionnaire. Br J Dermatol. 1998, 138: 107-113. 10.1046/j.1365-2133.1998.02034.x.CrossRefPubMed
6.
go back to reference Long CC, Funnell CM, Collard R, Finlay AY: What do Members of the National-Eczema-Society Really Want. Clin Exp Dermatol. 1993, 18: 516-522.CrossRefPubMed Long CC, Funnell CM, Collard R, Finlay AY: What do Members of the National-Eczema-Society Really Want. Clin Exp Dermatol. 1993, 18: 516-522.CrossRefPubMed
7.
go back to reference Lewis-Jones MS, Finlay AY, Dykes PJ: The infants' dermatitis quality of life index. Br J Dermatol. 2001, 144: 104-110. 10.1046/j.1365-2133.2001.03960.x.CrossRefPubMed Lewis-Jones MS, Finlay AY, Dykes PJ: The infants' dermatitis quality of life index. Br J Dermatol. 2001, 144: 104-110. 10.1046/j.1365-2133.2001.03960.x.CrossRefPubMed
8.
go back to reference Reid P, Lewisjones MS: Sleep Difficulties and Their Management in Preschoolers with Atopic Eczema. Clin Exp Dermatol. 1995, 20: 38-41.CrossRefPubMed Reid P, Lewisjones MS: Sleep Difficulties and Their Management in Preschoolers with Atopic Eczema. Clin Exp Dermatol. 1995, 20: 38-41.CrossRefPubMed
9.
go back to reference Fivenson D, Arnold RJ, Kaniecki DJ, Cohen JL, Frech F, Finlay AY: The effect of atopic dermatitis on total burden of illness and quality of life on adults and children in a large managed care organization. J Manag Care Pharm. 2002, 8: 333-342.PubMed Fivenson D, Arnold RJ, Kaniecki DJ, Cohen JL, Frech F, Finlay AY: The effect of atopic dermatitis on total burden of illness and quality of life on adults and children in a large managed care organization. J Manag Care Pharm. 2002, 8: 333-342.PubMed
10.
go back to reference Ben Gashir MA, Seed PT, Hay RJ: Quality of life and disease severity are correlated in children with atopic dermatitis. Br J Dermatol. 2004, 150: 284-290. 10.1111/j.1365-2133.2004.05776.x.CrossRefPubMed Ben Gashir MA, Seed PT, Hay RJ: Quality of life and disease severity are correlated in children with atopic dermatitis. Br J Dermatol. 2004, 150: 284-290. 10.1111/j.1365-2133.2004.05776.x.CrossRefPubMed
11.
go back to reference Whalley D, McKenna SP, Dewar AL, Erdman RA, Kohlmann T, Niero M, Cook SA, Crickx B, Herdman MJ, Frech F, Van Assche D: A new instrument for assessing quality of life in atopic dermatitis: international development of the Quality of Life Index for Atopic Dermatitis (QoLIAD). Br J Dermatol. 2004, 150: 274-283. 10.1111/j.1365-2133.2004.05783.x.CrossRefPubMed Whalley D, McKenna SP, Dewar AL, Erdman RA, Kohlmann T, Niero M, Cook SA, Crickx B, Herdman MJ, Frech F, Van Assche D: A new instrument for assessing quality of life in atopic dermatitis: international development of the Quality of Life Index for Atopic Dermatitis (QoLIAD). Br J Dermatol. 2004, 150: 274-283. 10.1111/j.1365-2133.2004.05783.x.CrossRefPubMed
12.
go back to reference Drake L, Prendergast M, Maher R, Breneman D, Korman N, Satoi Y, Beusterien KM, Lawrence I: The impact of tacrolimus ointment on health-related quality of life of adult and pediatric patients with atopic dermatitis. J Am Acad Dermatol. 2001, 44: S65-S72. 10.1067/mjd.2001.109814.CrossRefPubMed Drake L, Prendergast M, Maher R, Breneman D, Korman N, Satoi Y, Beusterien KM, Lawrence I: The impact of tacrolimus ointment on health-related quality of life of adult and pediatric patients with atopic dermatitis. J Am Acad Dermatol. 2001, 44: S65-S72. 10.1067/mjd.2001.109814.CrossRefPubMed
13.
go back to reference Lundberg L, Johannesson M, Silverdahl M, Hermansson C, Lindberg M: Quality of life, health-state utilities and willingness to pay in patients with psoriasis and atopic eczema. Br J Dermatol. 1999, 141: 1067-1075. 10.1046/j.1365-2133.1999.03207.x.CrossRefPubMed Lundberg L, Johannesson M, Silverdahl M, Hermansson C, Lindberg M: Quality of life, health-state utilities and willingness to pay in patients with psoriasis and atopic eczema. Br J Dermatol. 1999, 141: 1067-1075. 10.1046/j.1365-2133.1999.03207.x.CrossRefPubMed
14.
go back to reference Zug KA, Littenberg B, Baughman RD, Kneeland T, Nease RF, Sumner W, Oconnor GT, Jones R, Morrison E, Cimis R: Assessing the Preferences of Patients with Psoriasis - A Quantitative, Utility Approach. Arch Dermatol. 1995, 131: 561-568. 10.1001/archderm.131.5.561.CrossRefPubMed Zug KA, Littenberg B, Baughman RD, Kneeland T, Nease RF, Sumner W, Oconnor GT, Jones R, Morrison E, Cimis R: Assessing the Preferences of Patients with Psoriasis - A Quantitative, Utility Approach. Arch Dermatol. 1995, 131: 561-568. 10.1001/archderm.131.5.561.CrossRefPubMed
15.
go back to reference Theunissen NCM, Vogels AGC, Veripps GH, Koopman HM, Kamphuis RP, vanZoelen CWM, Feekes M, VerlooveVanhorick SP, Wit JM: The proxy problem: Parents and children's views on children's health-related quality of life. Qual Life Res. 1997, 6: 39-39. Theunissen NCM, Vogels AGC, Veripps GH, Koopman HM, Kamphuis RP, vanZoelen CWM, Feekes M, VerlooveVanhorick SP, Wit JM: The proxy problem: Parents and children's views on children's health-related quality of life. Qual Life Res. 1997, 6: 39-39.
16.
go back to reference Barbier N, Paul C, Luger T, Allen R, De Prost Y, Papp K, Eichenfield LF, Cherill R, Hanifin J: Validation of the Eczema Area and Severity Index for atopic dermatitis in a cohort of 1550 patients from the pimecrolimus cream 1% randomized controlled clinical trials programme. Br J Dermatol. 2004, 150: 96-102. 10.1111/j.1365-2133.2004.05696.x.CrossRefPubMed Barbier N, Paul C, Luger T, Allen R, De Prost Y, Papp K, Eichenfield LF, Cherill R, Hanifin J: Validation of the Eczema Area and Severity Index for atopic dermatitis in a cohort of 1550 patients from the pimecrolimus cream 1% randomized controlled clinical trials programme. Br J Dermatol. 2004, 150: 96-102. 10.1111/j.1365-2133.2004.05696.x.CrossRefPubMed
17.
go back to reference Cost-Effectiveness in Health and Medicine. Edited by: GoldMR, SiegelJE, RussellLB and WeinsteinMC. 1996, New York, Oxford University Press Cost-Effectiveness in Health and Medicine. Edited by: GoldMR, SiegelJE, RussellLB and WeinsteinMC. 1996, New York, Oxford University Press
18.
go back to reference Yabroff KR, Linas BP, Schulman K: Evaluation of quality of life for diverse patient populations. Breast Cancer Res Treat. 1996, 40: 87-104.CrossRefPubMed Yabroff KR, Linas BP, Schulman K: Evaluation of quality of life for diverse patient populations. Breast Cancer Res Treat. 1996, 40: 87-104.CrossRefPubMed
19.
go back to reference Dolan P: The effect of experience of illness on health state valuations. J Clin Epidemiol. 1996, 49: 551-564. 10.1016/0895-4356(95)00532-3.CrossRefPubMed Dolan P: The effect of experience of illness on health state valuations. J Clin Epidemiol. 1996, 49: 551-564. 10.1016/0895-4356(95)00532-3.CrossRefPubMed
20.
go back to reference Gabriel SE, Kneeland TS, Melton LJ,III, Moncur MM, Ettinger B, Tosteson AN: Health-related quality of life in economic evaluations for osteoporosis: whose values should we use?. Med Decis Making. 1999, 19: 141-148.CrossRefPubMed Gabriel SE, Kneeland TS, Melton LJ,III, Moncur MM, Ettinger B, Tosteson AN: Health-related quality of life in economic evaluations for osteoporosis: whose values should we use?. Med Decis Making. 1999, 19: 141-148.CrossRefPubMed
21.
go back to reference Badia X, Herdman M, Kind P: The influence of ill-health experience on the valuation of health. Pharmacoeconomics. 1998, 13: 687-696.CrossRefPubMed Badia X, Herdman M, Kind P: The influence of ill-health experience on the valuation of health. Pharmacoeconomics. 1998, 13: 687-696.CrossRefPubMed
Metadata
Title
Parents' reported preference scores for childhood atopic dermatitis disease states
Authors
Joëlle Y Friedman
Shelby D Reed
Kevin P Weinfurt
Kristijan H Kahler
Emmanuel B Walter
Kevin A Schulman
Publication date
01-12-2004
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2004
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/1471-2431-4-21

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