A Qualitative Tool to Guide in the Interpretation of the Numerical Rating Scale for Pruritus Intensity in Patients with Atopic Dermatitis
Figueras, Ignasi (Hospital Universitari de Bellvitge)
Feito, Marta (Hospital Universitario La Paz (Madrid))
García-Bustinduy, Marta C. (Hospital Universitario de Canarias (La Laguna))
Monte-Boquet, Emilio (Hospital Universitari i Politècnic La Fe (València))
Ros Abarca, Sandra (Institut de Recerca Sant Pau)
Zaragoza Ninet, Violeta (Hospital General Universitario de Valencia)
Luca de Tena, África (Association of People Affected by Atopic Dermatitis)
Ortiz-Frutos, FJ (Hospital Universitario 12 de Octubre (Madrid))
Universitat Autònoma de Barcelona

Date:	2024
Abstract:	Atopic dermatitis is a cutaneous inflammatory disease characterized by intense pruritus, which is often underestimated despite its direct impact on patients' health-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.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Atopic dermatitis ; Atopic eczema ; Pruritus ; Quality of life ; Rating scale
Published in:	Acta dermato-venereologica, Vol. 104 (2024) , p. adv18255, ISSN 1651-2057

DOI: 10.2340/actadv.v104.18255
PMID: 38566531

6 p, 1.7 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles