Health services research: The example of hand eczema

Apfelbacher, C. J. and Diepgen, T. L. (2011) Health services research: The example of hand eczema. HAUTARZT, 62 (3). pp. 196-200. ISSN 0017-8470,

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Abstract

Hand eczema is one of the most frequent skin diseases with a lifetime prevalence of up to 15% and a median incidence rate of 6 cases per 1000 person-years. Female gender, contact allergy, atopic eczema and wet work have been identified as the most important associated risk factors. Hand eczema has a high public health and socio-economic significance, since the vast majority of occupational skin disease is hand eczema. Hand eczema is often chronic, chronically relapsing or persisting. It entails substantial impairment of health-related quality of life for the affected individual. The cost-of-illness of hand eczema is estimated to be in the range of moderate to severe psoriasis and even higher than that of atopic eczema. Although various therapeutic options to treat hand eczema exist, an assessment of these options in randomized, controlled clinical trials to build up an evidence base is mostly lacking. The investigation of the treatment of chronic hand eczema under everyday conditions in dermatological clinics and private practices has only just begun. The first register of patients with chronic hand eczema (acronym: carpe) is expected to yield substantial insights in the effectiveness and safety of different therapeutic measures. A related task is the assessment of the quality of care in the light of the guidelines for the management of chronic hand eczema.

Item Type: Article
Uncontrolled Keywords: OCCUPATIONAL SKIN-DISEASE; STUDY PACO-II; FOLLOW-UP; ATOPIC-DERMATITIS; FILAGGRIN MUTATIONS; CONTACT-DERMATITIS; TOBACCO SMOKING; CAR INDUSTRY; POPULATION; PREVALENCE; Prevalence; Incidence; Health-related quality of life; Register; Hand eczema
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Institut für Epidemiologie und Präventivmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 24 Jun 2020 09:25
Last Modified: 24 Jun 2020 09:25
URI: https://pred.uni-regensburg.de/id/eprint/21178

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