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Diagnosing atopic dermatitis in infancy: Questionnaire reports vs criteria-based assessment.
- Source :
-
Paediatric & Perinatal Epidemiology . Nov2018, Vol. 32 Issue 6, p556-567. 12p. - Publication Year :
- 2018
-
Abstract
- <bold>Background: </bold>Persisting atopic dermatitis (AD) is known to be associated with more serious allergic diseases at later ages; however, making an accurate diagnosis during infancy is challenging. We assessed the diagnostic performance of questionnaire-based AD measures with criteria-based in-person clinical assessments at age 1 year and evaluated the ability of these diagnostic methods to predict asthma, allergic rhinitis and food allergies at age 5 years.<bold>Methods: </bold>Data relate to 3014 children participating in the Canadian Healthy Infant Longitudinal Development (CHILD) Study who were directly observed in a clinical assessment by an experienced healthcare professional using the UK Working Party criteria. The majority (2221; 73.7%) of these children also provided multiple other methods of AD ascertainment: a parent reporting a characteristic rash on a questionnaire, a parent reporting the diagnosis provided by an external physician and a combination of these two reports.<bold>Results: </bold>Relative to the direct clinical assessment, the area under the Receiver Operating Characteristic curve for a parental report of a characteristic rash, reported physician diagnosis and a combination of both were, respectively, 0.60, 0.69 and 0.70. The strongest predictor of asthma at 5 years was AD determined by criteria-based in-person clinical assessment followed by the combination of parental and physician report.<bold>Conclusions: </bold>These findings suggest that questionnaire data cannot accurately substitute for assessment by experienced healthcare professionals using validated criteria for diagnosis of atopic dermatitis. Combining the parental report with diagnosis by a family physician might sometimes be appropriate (eg to avoid costs of a clinical assessment). [ABSTRACT FROM AUTHOR]
- Subjects :
- *ATOPIC dermatitis
*ALLERGIES
*ASTHMA
*CONTACT dermatitis
*FOOD allergy
*ATOPIC dermatitis treatment
*ALGORITHMS
*COMPARATIVE studies
*LONGITUDINAL method
*RESEARCH methodology
*MEDICAL cooperation
*QUESTIONNAIRES
*RESEARCH
*RESEARCH funding
*RISK assessment
*EVALUATION research
*DISEASE prevalence
*RECEIVER operating characteristic curves
*DIAGNOSIS
Subjects
Details
- Language :
- English
- ISSN :
- 02695022
- Volume :
- 32
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Paediatric & Perinatal Epidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 133260915
- Full Text :
- https://doi.org/10.1111/ppe.12525