Interventions to improve primary care provider management of atopic dermatitis: A systematic review.
Interventions to improve primary care provider management of atopic dermatitis: A systematic review.
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DOI：
10.1111/pde.14667
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发表时间：
2021-09
影响因子：
1.5
通讯作者：
Silverberg JI
中科院分区：
文献类型：
--
作者：
Croce EA;Lopes FCPS;Ruth J;Silverberg JI
大多数特应性皮炎（AD）患者由初级保健提供者（PCP）管理。PCP不适诊断和管理AD导致次优患者结局。确定旨在改善五氯苯酚对阿尔茨海默病管理的干预措施的有效性。进行了系统的文献综述，以改善AD的初级保健管理。检索了PubMed、MEDLINE、Embase、Scopus、LILACS、科克伦、GREAT和CINAHL，数据库起始日期至2020年2月24日。两名审查员独立进行了标题/摘要和全文审查以及数据提取。总体而言，筛选了3，009篇非重复文章;评估了145篇全文文章。13项研究符合纳入标准，包括8项随机对照试验、2项队列研究、2项定性研究和1项未指明设计。7项干预措施（53.8%）显著改善了PCP知识/能力和/或患者结局，包括患者咨询皮肤科培训的护士，将临床教育与专家咨询配对，将受训人员与临床导师配对，为临床医生提供治疗指南，将临床教育与治疗指南配对，并提供湿疹行动计划。研究具有中高偏倚风险、中等质量和异质性设计。很少有研究发表，几乎没有证据支持旨在改善AD初级保健管理的干预措施的有效性。需要进一步的研究来制定和实施有效的干预措施，以改善AD的初级保健管理。
Most atopic dermatitis (AD) patients are managed by primary care providers (PCPs). PCP discomfort diagnosing and managing AD leads to suboptimal patient outcomes. To determine the efficacy of interventions aimed at improving PCP management of AD. A systematic literature review was performed for interventions to improve primary care management of AD. PubMed, MEDLINE, Embase, Scopus, LILACS, Cochrane, GREAT, and CINAHL were searched from database origin to February 24, 2020. Two reviewers independently performed the title/abstract and full-text review, and data extraction. Overall, 3,009 non-duplicate articles were screened; 145 full-text articles were assessed. Thirteen studies met inclusion criteria, including 8 randomized controlled trials, 2 cohorts, 2 qualitative studies, and 1 unspecified design. Seven interventions (53.8%) significantly improved PCP knowledge/ability and/or a patient outcome, including patients consulting with a dermatology-trained nurse, pairing clinical education with expert consultation, pairing trainees with clinical mentors, giving clinicians a treatment guide, pairing clinical education with a treatment guide, and providing an eczema action plan. Studies had moderate-high risk-of-bias, moderate quality, and heterogeneous designs. There are few studies published and little evidence supporting the efficacy of interventions aimed at improving primary care management of AD. Further research is required to develop and implement effective interventions to improve primary care management of AD.
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DOI：
10.1089/ped.2016.0634
发表时间：
2016-03-01
期刊：
Pediatric allergy, immunology, and pulmonology
影响因子：
--
作者：
Kelso JM
通讯作者：
Kelso JM
DOI：
10.29262/ram.v64i3.244
发表时间：
2017-09-01
期刊：
Revista alergia México
影响因子：
--
作者：
Sánchez, Jorge;Toro, Yuliana;Cardona, Ricardo
通讯作者：
Cardona, Ricardo
影响因子：
12.4
作者：
Schram, M. E.;Spuls, Ph. I.;Schmitt, J.
通讯作者：
Schmitt, J.
影响因子：
81.5
作者：
Weidinger, Stephan;Beck, Lisa A.;Irvine, Alan D.
通讯作者：
Irvine, Alan D.
影响因子：
5.1
作者：
Filanovsky, Michelle G.;Pootongkam, Suwimon;Nedorost, Susan T.
通讯作者：
Nedorost, Susan T.