A Real-World Data Study on the Healthcare Resource Use for Uncontrolled Moderate-to-Severe Atopic Dermatitis in Secondary Care in the United Kingdom Prior to the Introduction of Biologic Treatment

Richard D A Hudson, Mahreen Ameen, Susannah M C George, Catherine A Harwood, Richard B Weller, John T Lear, Rajesh Rout, Thishi Surendranathan, Milos Petrovic, Anthony P Bewley

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

BACKGROUND: Whilst there is international evidence around the high healthcare resource utilization (HRU) associated with atopic dermatitis (AD), there is a lack of published data from the United Kingdom (UK).

METHODS: A retrospective, descriptive, observational study was conducted to evaluate the burden of moderate-to-severe AD on the National Health Service (NHS) in an adult UK population treated with traditional standard of care prior to the introduction of biologics. Patients (n=59) were recruited from 6 UK NHS Hospital Trusts and observed over three years.

RESULTS: 707 dermatology clinic visits were recorded over the observation period, amounting to 6.6 visits per patient-year, most commonly for routine check-ups most of which involved dermatology consultants (n=469, 66%). Physicians were the most consulted healthcare professional (n=652, 92%); emollients were the most common treatment (n=80 courses). 174 flares requiring additional medical advice were recorded in total (1.6 per patient-year).

DISCUSSION/CONCLUSIONS: Complex treatment pathways for adult patients in the UK with moderate-to-severe AD incur considerable HRU, particularly for those patients non-responsive to systemic therapies with broad immunosuppressant action. Recent advances in biologics-based AD management could possibly have a significant positive impact on HRU through significant reduction in the number of NHS touch points identified in this study.

Original languageEnglish
Pages (from-to)167-177
Number of pages11
JournalClinicoEconomics and Outcomes Research
Volume14
DOIs
Publication statusPublished - 4 Apr 2022

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