Virtual Clinician-Patient Summit: Improving Shared-Decision Making and Addressing Health Disparities in the Management of Atopic Dermatitis
Atopic dermatitis (AD) is a chronic inflammatory and relapsing cutaneous disease characterized by pruritus, cutaneous inflammation, and transepidermal water loss (Krakowski 2008). The incidence of AD in industrialized nations has increased by three-fold over a 30-year span, and it is estimated to affect between 15% and 30% of children in industrialized nations (Bieber 2010). Although most children with AD will “outgrow” the disease, AD has additionally been reported to affect up to 10% of adults, and recent research suggests that AD is under-recognized in this group (Bieber 2010; Silverberg 2013).
Furthermore, the increasing incidence of AD and poor recognition of the disease in some patient groups is a public health concern. AD symptoms and its daily management cause significant effects on quality of life for both patients and caregivers. AD is associated with an increase in other atopic manifestations as well as with serious comorbidities that can greatly affect overall patient health and wellbeing (Silverberg 2015; Simpson 2012; Yu 2016; Zheng 2011). As such, timely and adequate treatment of AD is essential for helping to promote better long-term outcomes and quality of life and may help prevent the development of other atopic conditions (Leung 2014). It is recommended that clinicians adequately communicate with their patients and caregivers to adequately manage AD, however, studies have shown that clinicians and patient views do not always align when it comes to treatment goals and course of therapy, thus perpetuating the suboptimal outcomes with AD (Gochnauer 2017; Wei 2017). These challenges are exacerbated by the current COVID-19 pandemic, which has significantly impacted the traditional delivery of care for several chronic diseases, including AD (Searing 2020). Clinicians and patients now have to increasingly communicate via telehealth services, which comes with its own sets of challenges (Searing 2020; Shaker 2020).
U.S. based patients with atopic dermatitis, as well as health care providers involved in the management of AD, including allergists (pediatric and adult), dermatologists (pediatric and adult), pediatricians, primary care physicians, nurse practitioners, physician assistants, nurses, and pharmacists who are involved in the care and treatment of patients with AD.
- Identify approaches for improving the prevention and assessment of AD, including performing a comprehensive assessment of AD impacts on patients’ quality of life
- Summarize and facilitate the distribution of resources and educational tools for patients with AD
- Develop strategies that will aid shared-decision making in the treatment of AD, including improved in-person and online communication to optimize AD care in the COVID-19 era
|I.||Welcome and Introductions|
|II.||AD and Me: Patient Panel|
|III.||Treating AD and Barriers to Care: Provider Panel|
|IV.||Provider Breakout Groups|
|V.||Key Takeaways and Next Steps|
Andrew F. Alexis, MD, MPH
New York, New York
Peter A. Lio, MD
Clinical Assistant Professor of Dermatology and Pediatrics
Amy Paller, MD
Walter J. Hamlin Professor and Chair
Department of Dermatology Professor of Pediatrics Director
Skin Disease Research Center Northwestern Univ. Med. School
Jonathan Silverberg, MD, PhD, MPH
Director, Clinical Research Director, Patch Testing Associate Professor
Department of Dermatology, The George Washington University School of Medicine and Health Sciences Washington, DC USA
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The Annenberg Center for Health Sciences at Eisenhower requires all individuals who are in a position to control the content of this activity to disclose all their financial relationships with ineligible companies. All identified COI are thoroughly mitigated according to the Annenberg Center for Health Sciences at Eisenhower’s policy. The existence or absence of COI for everyone in a position to control content will be disclosed to participants prior to the start of each activity.
The planners and others reported the following financial relationships or other relationships they have with ACCME-defined ineligible companies related to the content of this continuing education activity:
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The content manager, Amy Kousouros, from LivDerm, has nothing to disclose.
Jointly provided by the Annenberg Center for Health Sciences at Eisenhower and LivDerm in collaboration with Postgraduate Institute for Medicine.
Estimated time to complete activity: 2.5 hours
This activity is supported by an educational grant from Incyte.
Physician Continuing Medical Education
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Annenberg Center for Health Sciences at Eisenhower and LivDerm. The Annenberg Center for Health Sciences at Eisenhower is accredited by the ACCME to provide continuing medical education for physicians.
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- 2.50 AMA PRA Category 1 Credit™
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