Significant treatment variation exists among specialists managing atopic dermatitis (AD) with increasing polypharmacy over time, a new study found. Data from the 1993-2015 National Ambulatory Medical Care Survey were analyzed, including 128,300 pediatric and 623,935 adult outpatient visits. Researchers found:
- Among AD visits, dermatologists prescribed more topical corticosteroids (TCSs) than any other clinicians.
- Prescriptions for multiple TCSs increased from ages 0-19 years, 20-39 years, and peaked at 40-59 years.
- Prescriptions for prednisone peaked at ages 40-59 years.
- The proportion of patients receiving multiple prescriptions was higher in visits to primary care practitioners vs dermatologists.
Singh P, et al. Real-world outpatient prescription patterns for atopic dermatitis in the United States. Dermatitis. 2019;30(5):294-299. doi: 10.1097/DER.0000000000000520.