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Report from the fourth international consensus meeting to harmonize core outcome measures for atopic eczema/dermatitis clinical trials (HOME initiative)

  • J. R. Chalmers
  • , E. Simpson
  • , C. J. Apfelbacher
  • , K. S. Thomas
  • , L. von Kobyletzki
  • , J. Schmitt
  • , J. A. Singh
  • , Svensson
  • , H. C. Williams
  • , K. Abuabara
  • , V. Aoki
  • , M. Ardeleanu
  • , M. Awici-Rasmussen
  • , S. Barbarot
  • , T. L. Berents
  • , J. Block
  • , A. Bragg
  • , T. Burton
  • , K. K. Bjerring Clemmensen
  • , A. Creswell-Melville
  • M. Dinesen, A. Drucker, L. Eckert, C. Flohr, M. Garg, L. A.A. Gerbens, A. L.B. Graff, J. Hanifin, D. Heinl, R. Humphreys, H. A. Ishii, Y. Kataoka, Y. A. Leshem, B. Marquort, M. A. Massuel, S. Merhand, H. Mizutani, H. Murota, D. F. Murrell, T. Nakahara, I. Nasr, K. Nograles, Y. Ohya, I. Osterloh, J. Pander, C. Prinsen, L. Purkins, M. Ridd, T. Sach, M. L.A. Schuttelaar
  • University of Nottingham
  • Oregon Health & Science University
  • University Regensburg
  • Department of Clinical Sciences
  • Karlstad University
  • TU Dresden
  • Birmingham VA Medical Center
  • University of Alabama
  • Skånes universitetssjukhus
  • University of California, San Francisco
  • Universidade de Sao Paulo - USP
  • Regeneron Pharmaceuticals, Inc.
  • The Psoriasis and Eczema Association of Norway
  • Institut National de la Santé et de la Recherche Médicale, U1064, Institut de Transplantation Urologie Néphrologie , Nantes , France ; Faculté de Médecine, Université de Nantes , Nantes , France ; Centre Hospitalier Universitaire, Hôtel Dieu , Nantes , France.
  • University of Oslo
  • National Eczema Association
  • Chugai Pharma Europe Ltd
  • University of Copenhagen
  • Société Canadienne de l'Eczéma
  • LEO Pharma AS
  • University of Toronto
  • Sanofi S.A.
  • GSTT Guy's and St Thomas' NHS Foundation Trust
  • LEO Pharma
  • University of Amsterdam
  • National Eczema Society
  • Brazilian Atopic Dermatitis Association (AADA)
  • Osaka Prefectural Medical Center for Respiratory and Allergic Disease
  • Association Française de l'Eczéma
  • Mie University
  • Osaka University
  • St George Hospital
  • Kensington
  • Graduate School of Medical Sciences
  • Celgene Corporation
  • National Center for Child Health and Development
  • OsterMed Ltd.
  • Celgene BV
  • VU University Hospital
  • Ziarco Pharma Ltd
  • University of Bristol
  • University of East Anglia
  • University Medical Center Groningen

Research output: Contribution to journalArticlepeer-review

120 Citations (Scopus)

Abstract

This article is a report of the fourth meeting of the Harmonising Outcome Measures for Eczema (HOME) initiative held in Malmö, Sweden on 23–24 April 2015 (HOME IV). The aim of the meeting was to achieve consensus over the preferred outcome instruments for measuring patient-reported symptoms and quality of life for the HOME core outcome set for atopic eczema (AE). Following presentations, which included data from systematic reviews, consensus discussions were held in a mixture of whole group and small group discussions. Small groups were allocated a priori to ensure representation of different stakeholders and countries. Decisions were voted on using electronic keypads. For the patient-reported symptoms, the group agreed by vote that itch, sleep loss, dryness, redness/inflamed skin and irritated skin were all considered essential aspects of AE symptoms. Many instruments for capturing patient-reported symptoms were discussed [including the Patient-Oriented SCOring Atopic Dermatitis index, Patient-Oriented Eczema Measure (POEM), Self-Administered Eczema Area and Severity Index, Itch Severity Scale, Atopic Dermatitis Quickscore and the Nottingham Eczema Severity Score] and, by consensus, POEM was selected as the preferred instrument to measure patient-reported symptoms. Further work is needed to determine the reliability and measurement error of POEM. Further work is also required to establish the importance of pain/soreness and the importance of collecting information regarding the intensity of symptoms in addition to their frequency. Much of the discussion on quality of life concerned the Dermatology Life Quality Index and Quality of Life Index for Atopic Dermatitis; however, consensus on a preferred instrument for measuring this domain could not be reached. In summary, POEM is recommended as the HOME core outcome instrument for measuring AE symptoms.

Original languageEnglish
Pages (from-to)69-79
Number of pages11
JournalBritish Journal of Dermatology
Volume175
Issue number1
DOIs
Publication statusPublished - 1 Jul 2016

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