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. 2024 Nov 4;241(2):101–112. doi: 10.1159/000542421

Table 4.

Patient education in AD across HCPs

Item GPs (n = 111) YHPs (n = 25) Pediatricians (n = 46) Dermatologists (n = 53) Pharmacists (n = 42) Pharmacy assistants (n = 70)
Emollients, n (%)
 No instructions 0 (0) 0 (0) 0 (0) 1 (2) 0 (0) 2 (3)
 Apply if necessary 2 (2) 1 (4) 5 (11) 1 (2) 15 (36) 22 (31)
 Once or twice dailya 109 (98) 18 (72) 41 (89) 51 (96) 26 (62) 42 (60)
 Check with prescriberb 6 (24) 1 (2) 2 (3)
TCS start instructions, n (%)
 No instructions 0 (0) 0 (0) 0 (0) 1 (2) 0 (0) 2 (3)
 Every other day 0 (0) 0 (0) 0 (0) 1 (2) 0 (0) 0 (0)
 Maximum of 5 days 5 (5) 2 (8) 0 (0) 3 (6) 0 (0) 0 (0)
 Once a daya 32 (29) 3 (12) 11 (24) 30 (57) 9 (21) 7 (10)
 Twice a daya 74 (67) 4 (16) 35 (76) 18 (34) 8 (19) 22 (31)
 Check with patient 0 (0) 18 (43) 29 (41)
 Check with prescriberb 16 (64) 7 (17) 8 (11)
TCS continuation instructions, n (%)
 No instructions 0 (0) 1 (4) 0 (0) 1 (2) 0 (0) 3 (4)
 1 week 18 (16) 2 (8) 1 (2) 2 (4) 2 (5) 5 (7)
 Up to 4 weeks 70 (63) 4 (16) 6 (13) 19 (36) 9 (21) 27 (39)
 Until eczema is gonea 23 (21) 5 (20) 39 (85) 31 (59) 8 (19) 5 (7)
 Check with patient 0 (0) 20 (48) 27 (39)
 Check with prescriberb 13 (52) 3 (7) 1 (1)
TCS stop instructions, n (%)
 No instructions 2 (2) 1 (4) 0 (0) 1 (2) 0 (0) 2 (3)
 Stop directly 27 (24) 1 (4) 3 (7) 1 (2) 2 (5) 2 (3)
 Tapering schemea 52 (47) 15 (60) 43 (94) 51 (96) 27 (64) 53 (76)
 Check with patient 0 (0) 11 (26) 8 (11)
 Check with prescriberb 8 (32) 2 (5) 3 (4)
TCS application instructions, n (%)
 No instructions 6 (5) 4 (16) 1 (2) 1 (2) 0 (0) 2 (3)
 Thin 43 (39) 6 (24) 4 (9) 3 (6) 6 (14) 11 (16)
 FTUa 61 (55) 9 (36) 40 (87) 47 (89) 36 (86) 55 (79)
 Thick 0 (0) 0 (0) 1 (2) 2 (4) 0 (0) 0 (0)
 Check with prescriberb 6 (24) 0 (0) 0 (0)
Estimated duration of applying one tube of 30 grams for a 1-year-old infant with severe AD (BSA 50%), n (%)
 1–2 days 0 (0) 0 (0) 0 (0) 1 (2) 0 (0) 2 (3)
 3–5 days 8 (7) 0 (0) 2 (4) 7 (13) 2 (5) 11 (16)
 4 weeksa 44 (40) 7 (28) 20 (44) 27 (51) 19 (45) 22 (31)
 2 weeks 42 (38) 9 (36) 20 (44) 15 (28) 16 (38) 23 (33)
 1 month 15 (14) 8 (32) 3 (7) 3 (6) 5 (12) 5 (7)
 >2 months 1 (1) 1 (4) 0 (0) 0 (0) 0 (0) 4 (6)
Estimated duration of applying one tube of 30 grams for a 14-year-old adolescent with severe AD (BSA 50%), n (%)
 1–2 days 15 (14) 4 (16) 7 (15) 14 (26) 8 (19) 21 (30)
 3–5 daysa 28 (25) 7 (28) 20 (44) 26 (49) 22 (52) 16 (23)
 1 week 44 (40) 2 (8) 14 (30) 8 (16) 5 (12) 9 (13)
 2 weeks 16 (14) 10 (40) 3 (7) 3 (6) 5 (12) 13 (19)
 1 month 5 (5) 2 (8) 1 (2) 1 (2) 2 (5) 6 (9)
 >2 months 2 (2) 0 (0) 0 (0) 0 (0) 0 (0) 2 (3)

TCS, topical corticosteroids; TCI, topical calcineurine inhibitor; FTU, fingertip unit.

aRecommended by relevant clinical guideline [22, 26, 27].

bCheck with prescriber implies that a YHP, pharmacist, or pharmacy assistant would consult the prescriber before providing any recommendations. In the case of YHPs, treatment may have been prescribed by another physician.