Department of Dermatology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Department of Dermatology, Nippon Medical School, Tokyo, Japan.
J Dermatol. 2019 Apr;46(4):290-300. doi: 10.1111/1346-8138.14787. Epub 2019 Feb 13.
Moderate to severe atopic dermatitis (AD) has a high disease burden and a significant effect on quality of life. Observational studies are necessary to determine the patient disease burden and long-term disease control in the Japanese population. ADDRESS-J is a non-interventional, observational registry of adult Japanese patients with moderate to severe AD. Herein, we report baseline data from the ADDRESS-J study describing disease characteristics and current treatment practices. At baseline, 300 adult AD patients with Investigator's Global Assessment (IGA) scores (range, 0-4) of 3 (moderate) or 4 (severe) whose treatments for AD were intensified, were assessed for clinical and patient-reported outcomes and current AD treatments. The registry patients' median age was 34.0 years; 60.7% were male and 71.7% had had AD for more than 20 years. At baseline, 220 study patients had an IGA score of 3 and 80 had an IGA score of 4. The median Eczema Area and Severity Index score was 21.7 (range, 0-72), the median body surface area involvement was 46.25%, and the median pruritus numerical rating scale score was 7.0 (range, 0-10); for each of these measures, higher scores represent greater severity. Most registry patients (86.7%) had recently used topical corticosteroids or topical calcineurin inhibitors as treatment for AD. This registry cohort represents a population of Japanese patients with moderate to severe AD and provides an important resource for characterizing the disease burden and evaluating the safety and effectiveness of various AD treatments.
中重度特应性皮炎(AD)疾病负担高,对生活质量有重大影响。需要进行观察性研究来确定日本人群中的患者疾病负担和长期疾病控制情况。ADDRESS-J 是一项针对中重度 AD 日本成年患者的非干预性、观察性登记研究。在此,我们报告 ADDRESS-J 研究的基线数据,描述疾病特征和当前的治疗实践。在基线时,300 名 AD 患者的研究者全球评估(IGA)得分为 3(中度)或 4(重度),其 AD 治疗得到了强化,评估了临床和患者报告的结局以及当前的 AD 治疗。登记患者的中位年龄为 34.0 岁;60.7%为男性,71.7%的患者 AD 病史超过 20 年。在基线时,220 名研究患者的 IGA 评分为 3,80 名患者的 IGA 评分为 4。湿疹面积和严重程度指数(EASI)的中位数为 21.7(范围,0-72),体表面积受累的中位数为 46.25%,瘙痒数字评定量表评分的中位数为 7.0(范围,0-10);对于这些指标中的每一个,更高的分数表示更严重的程度。大多数登记患者(86.7%)最近使用过局部皮质类固醇或局部钙调磷酸酶抑制剂治疗 AD。该登记队列代表了一个中重度 AD 日本患者群体,为评估各种 AD 治疗的安全性和有效性提供了重要的疾病负担特征资源。