Guideline-based medicine grading on the basis of the guidelines of care for ambulatory atopic dermatitis treatment in the United States

摘要: Purpose This study was designed to assess the adherence evidence-based guidelines of care for atopic dermatitis (AD). Methods To characterize AD treatment in United States, ambulatory visits from 2006-2015 National Ambulatory Medical Care Survey were analyzed. For each medication prescribed, a grade assigned on basis American Academy Dermatology topical and systemic medications. Considering all visit prescriptions, I calculated composite grade, analogous US academic grading system (scores A-F). Results noted prescribing differences across specialty groups. Systemic corticosteroids more likely be prescribed by family general physicians less pediatricians. Dermatologists than other specialties prescribe nonsedating antihistamines, which lack guideline base supporting their use. Depending upon modeling assumptions, physician earned mean guideline-based grades B or C patients. Limitations The clinical, social, demographic factors influencing behavior cannot completely assessed using extant data. Conclusions preliminary demonstrates that might benefit reviewing care; there an educational gap implementation these guidelines.