A Qualitative Tool to Guide in the Interpretation of the Numerical Rating Scale for Pruritus Intensity in Patients with Atopic Dermatitis

Atopic dermatitis is a cutaneous inflammatory disease characterized by intense pruritus, which is often unhealth-related quality of life and the high burden it poses. The authors' goal was to design a qualitative tool to guide patients and healthcare professionals in their assessment and interp...

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Detalles Bibliográficos
Autores: Figueras Nart, Ignasi, Feito, Marta, García Bustinduy, Marta, Monte Boquet, Emilio, Ros, Sandra, Zaragoza, Violeta, Luca de Tena, África, Ortiz de Frutos, Francisco Javier
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/214953
Acceso en línea:https://hdl.handle.net/2445/214953
Access Level:acceso abierto
Palabra clave:Dermatitis atòpica
Qualitat de vida
Atopic dermatitis
Quality of life
Descripción
Sumario:Atopic dermatitis is a cutaneous inflammatory disease characterized by intense pruritus, which is often unhealth-related quality of life and the high burden it poses. The authors' goal was to design a qualitative tool to guide patients and healthcare professionals in their assessment and interpretation of pruritus intensity using a numerical rating scale. The draft of this tool, henceforth guideline, was developed based on a systematic literature review and focus groups comprising patients and a scientific committee. This draft was validated with an independent group of patients and the final version was designed following their feedback. According to the results of the systematic review, pruritus impacts 6 health-related quality of life domains: sleep quality; emotional status; overall health-related quality of life; physical function; social/sexual activity; productivity, particularly affecting sleep quality and the emotional domain. Patients considered that physical function was the most strongly affected domain, followed by sleep quality and emotional well-being, establishing that a minimum pruritus intensity of 4 and 7 points impacts moderately and severely, respectively, on the different domains of patients' healthrelated quality of life. The guideline may help patients and healthcare professionals to interpret and assess pruritus intensity using a numerical rating scale and to understand the impact of pruritus on patients' healthrelated quality of life.