A randomized controlled trial in children with eczema: nurse practitioner vs. dermatologist.

摘要: Background We hypothesized that a nurse practitioner would improve the quality of life child with eczema more than dermatologist because structured intervention and consultation time. Objectives To compare level care by practitioners dermatologists in children eczema. Methods New referrals aged < or = 16 years diagnosis were recruited. In randomized, parallel-group study follow-up period 1 year, 160 participants randomized either to conventional from practitioner. The primary outcome measure was change at 12 months, as assessed Infants' Dermatitis Quality Life Index (IDQOL) for 4 years, illustrated version Children's Dermatology (CDLQI) 4-16 years. Secondary outcomes changes IDQOL CDLQI 8 family impact childhood atopic dermatitis (Dermatitis Family Impact Questionnaire, DFI), severity (objective SCORAD) patient satisfaction (Client Satisfaction Questionnaire-8, CSQ-8) 4, months. Results mean group improved significantly 11.6 [SD 8.1; 95% confidence interval (CI) 9.0-14.2] baseline 5.6 (SD 3.9; CI 4.3-7.0) months -6.5 6.6; -14.2 -8.9; P 0.001). 10.7 4.9; 9.1-12.3) 5.7 5.4; 4.0-7.5) -4.9 5.5; -6.8 -3.0; between-groups difference (-)1.7 (95% -4.6 1.2; 0.26). 12.1 6.3; 9.9-14.2) 4.2; 4.2-7.1) -5.9 6.0; -8.0 -3.9; 10.0 4.4; 8.5-11.4) 4.9 3.5; 3.7-6.1) -5.2 4.0; -6.6 -3.8; (-)0.7 -3.3 1.7; 0.55). comparison not significant Both treatment groups showed improvement DFI objective SCORAD Significantly higher levels observed group. Conclusions provided terms comparable dermatologist. addition, parents satisfied