Trajectory and determinants of agreement between parental and physicians' reports of childhood atopic dermatitis

Abstract

Atopic dermatitis (AD) is a common inflammatory skin disease, which often develops in early life. 1 AD incidence peaks in childhood and then declines with age. 2 Observational studies on childhood AD epidemiology brought about varying results. 3 The reported 1year AD prevalence of children aged ≤5 years ranged from 8.7% to 19.8% in high-income countries. [4][5][6] Besides differences in ethnicity, environmental factors and methodology in study design, there are multiple information sources on AD in these studies, including

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“…AD was assessed yearly and was based on separate parent or doctor reports of doctor‐diagnosed AD. In the parent questionnaire, they were asked: “Has a doctor diagnosed your child with one of the following diseases: neurodermatitis, endogenous eczema, atopic dermatitis, in the past 12 months?” The caring physician was asked in a separate self‐administered questionnaire: “Has one of the following diseases: neurodermatitis, endogenous eczema, atopic dermatitis, been found/diagnosed by a physician until now?” Although the AD diagnosis was not entirely made by the caring physician themselves, both reports were based on a previous doctor's diagnosis 21 . The outcome AD at 2 years was then based on a positive report of either parent's or doctor's (i.e., caring physician) questionnaire at 1 year or 2 years.…”

“…Although the AD diagnosis was not entirely made by the caring physician themselves, both reports were based on a previous doctor's diagnosis. 21 The outcome AD at 2 years was then based on a positive report of either parent's or doctor's (i.e., caring physician) questionnaire at 1 year or 2 years.…”