Skin health survey on atopic dermatitis among Japanese children: The Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study

被引：0

作者：

Kawaguchi, Chikana ^{[1
]}

Ozawa, Maki ^{[2
,3
]}

Hidaka, Takanori ^{[2
,4
]}

Murakami, Keiko ^{[4
]}

Ishikuro, Mami ^{[1
,4
]}

Ueno, Fumihiko ^{[4
]}

Noda, Aoi ^{[1
,4
,5
]}

Onuma, Tomomi ^{[4
]}

Shinoda, Genki ^{[1
,4
,21
]}

Orui, Masatsugu ^{[1
,4
,21
]}

Obara, Taku ^{[1
,4
,5
]}

Ito, Yumiko

Kakinuma, Takashi ^{[6
]}

Kudoh, Kazuhiro ^{[7
]}

Ozawa, Hiroaki

Nakagawa, Satoshi ^{[8
]}

Mizuashi, Masato ^{[9
]}

Omori, Ryoko

Deguchi, Masatoshi ^{[10
]}

Kanbayashi, Yumi ^{[2
]}

Asano, Masayuki ^{[2
,11
]}

Takahashi, Toshiya ^{[2
]}

Tanita, Muneo ^{[12
]}

Hara, Masahiro ^{[13
,14
]}

Yamasaki, Kenshi

Tadaki, Takayoshi ^{[18
]}

Suzuki, Hiromi ^{[2
,15
,19
]}

Kikuchi, Katsuko ^{[2
,16
]}

Tsuchiyama, Kenichiro ^{[2
,17
]}

Ohashi, Takenobu

Sasai, Shu ^{[24
]}

Honda, Motoko

Fujimura, Taku ^{[2
,26
]}

Furudate, Sadanori ^{[2
]}

Kagimoto, Yoshiko ^{[20
]}

Kawamura, Maki ^{[20
]}

Tabata, Nobuko ^{[27
]}

Chikama, Rika

Komatsu, Hiromi

Sato, Yota ^{[2
]}

Tanita, Kayo ^{[2
]}

Kimura, Yutaka ^{[2
,25
]}

Yusa, Shino ^{[29
]}

Terui, Hitoshi ^{[22
]}

Tono, Hisayuki ^{[22
]}

Muto, Yusuke ^{[2
,23
,28
,30
]}

Kuriyama, Shinichi ^{[1
,4
,31
]}

Yamamoto, Masayuki ^{[4
]}

Aiba, Setsuya ^{[2
,32
]}

机构：

[1] Tohoku Univ, Grad Sch Med, Dept Mol Epidemiol, Sendai, Miyagi, Japan

[2] Tohoku Univ, Grad Sch Med, Dept Dermatol, Sendai, Miyagi, Japan

[3] Toshoguekimae Dermatol Clin, Sendai, Miyagi, Japan

[4] Tohoku Univ, Tohoku Med Megabank Org, 2-1 Seiryo Machi,Aoba Ku, Sendai, Miyagi 9808573, Japan

[5] Tohoku Univ Hosp, Dept Pharmaceut Sci, Sendai, Miyagi, Japan

[6] Sendai Aoba Dermatol Clin, Sendai, Miyagi, Japan

[7] Katta Gen Hosp, Div Dermatol, Shiroishi, Miyagi, Japan

[8] Kitayobancho Nakagawa Dermatol Clin, Sendai, Miyagi, Japan

[9] Rifu Dermatol Allergy Clin, Sendai, Miyagi, Japan

[10] Shiogama City Hosp, Dept Dermatol, Shiogama, Miyagi, Japan

[11] Nanohana Dermatol Clinic, Ichinoseki, Iwate, Japan

[12] Tohoku Rosai Hosp, Dept Dermatol, Sendai, Miyagi, Japan

[13] Izumi Chuo Hifuka Clin, Sendai, Miyagi, Japan

[14] Minami Sendai Hifuka Clin, Sendai, Miyagi, Japan

[15] Arai Ekimae Suzuki Clin, Sendai, Miyagi, Japan

[16] Sendai Taihaku Dermatol Clin, Sendai, Miyagi, Japan

[17] Natori Tsuchiyama Dermatol Clin, Natori, Miyagi, Japan

[18] Familia Clin Oroshimachi, Sendai, Miyagi, Japan

[19] Asuto Nagamachi Dermatol Clin, Sendai, Miyagi, Japan

[20] Ichibancho Minami Shinryoujo Akane Clin, Sendai, Miyagi, Japan

[21] Osaki Citizen Hosp, Div Dermatol, Osaki, Miyagi, Japan

[22] Nami Dermatol Clin, Sendai, Miyagi, Japan

[23] Kawamura Dermatol Off, Sendai, Miyagi, Japan

[24] Japanese Red Cross Sendai Hosp, Div Dermatol, Sendai, Miyagi, Japan

[25] Chikama Rika Dermatol Clin, Sendai, Miyagi, Japan

[26] Ciel Dermatol Clin, Sendai, Miyagi, Japan

[27] Japanese Red Cross Ishinomaki Hosp, Div Dermatol, Ishinomaki, Miyagi, Japan

[28] Kimura Dermatol Clin, Sendai, Miyagi, Japan

[29] Tagajo Ekimae Hifuka, Tagajo, Miyagi, Japan

[30] South Miyagi Med Ctr, Dept Dermatol, Ogawara, Miyagi, Japan

[31] Tohoku Univ, Int Res Inst Disaster Sci, Dept Disaster Publ Hlth, Sendai, Miyagi, Japan

[32] Matsuda Hosp, Sendai, Miyagi, Japan

来源：

ALLERGOLOGY INTERNATIONAL | 2025年 / 74卷 / 02期

基金：

日本学术振兴会;

关键词：

Atopic dermatitis; Children; Dermatologists; Diagnosis; Japan; DIAGNOSTIC-CRITERIA; PREVALENCE; ECZEMA;

D O I：

10.1016/j.alit.2024.09.008

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

Background: Precise skin phenotypic data are indispensable in accurately diagnosing atopic dermatitis (AD). Therefore, this study examined the interobserver concordance for AD and non-AD diagnoses between two dermatologists. AD prevalence determined by the self-reported physician diagnoses and the diagnoses determined from the United Kingdom (UK) diagnostic criteria were compared with the diagnoses made by the two dermatologists, using data from a skin health survey. Methods: This study included 1,638 children that participated in the skin health survey, which was part of the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study. AD was assessed using dermatologist assessments, self-reported physician diagnoses, and the UK diagnostic criteria. The concordance for diagnoses was evaluated using kappa. The sensitivity and specificity of the self-reported physician diagnoses and the UK diagnostic criteria were calculated by comparing them with the two dermatologists' diagnoses. Results: Among the 1,638 children, 393 (24.0 %), 194 (11.9 %), and 597 (37.2 %) were diagnosed with AD by the two dermatologists, physicians, and the UK diagnostic criteria, respectively. The kappa (95 % CI) of the interobserver concordance for AD or non-AD diagnoses between the two dermatologists was 0.78 (0.75-0.81). The sensitivity and specificity of the self-reported physician diagnoses were 26.7 % and 94.1 %, respectively. The sensitivity and specificity of the UK diagnostic criteria were 85.0% and 82.4%, respectively. Conclusions: Interobserver concordance for AD or non-AD diagnoses between the two dermatologists was substantial. Self-reported physician diagnoses exhibited low sensitivity that potentially indicated underdiagnosis of AD, whereas the UK diagnostic criteria might overdiagnose AD. (c) 2024 Japanese Society of Allergology. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

引用

页码：246 / 253

页数：8

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