Comparing high altitude treatment with current best care in Dutch children with moderate to severe atopic dermatitis (and asthma): Study protocol for a pragmatic randomized controlled trial (DAVOS trial)

Background: About 10 to 20% of children in West European countries have atopic dermatitis (AD), often as part of the atopic syndrome. The full atopic syndrome also consists of allergic asthma, allergic rhinitis and food allergy. Treatment approaches for atopic dermatitis and asthma include intermittent anti-inflammatory therapy with corticosteroids, health education and self-management training. However, symptoms persist in a subgroup of patients. Several observational studies have shown significant improvement in clinical symptoms in children and adults with atopic dermatitis or asthma after... Mehr ...

Verfasser: Fieten, K.B. (Karin)
Zijlstra, W.T. (Wieneke)
Os-Medendorp, H. (Harmieke) van
Meijer, Y. (Yolanda)
Venema, M.U. (Monica)
Rijssenbeek-Nouwens, L. (Lous)
Hoir, M.P. (Monique) l'
Bruijnzeel-Koomen, C.A.
Pasmans, S.G.M.A. (Suzanne)
Dokumenttyp: Artikel
Erscheinungsdatum: 2014
Schlagwörter: Asthma / Atopic dermatitis / Atopic eczema / Atopic syndrome / Children / Coping / High altitude treatment / Multidisciplinary treatment / Quality of life / RCT
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29451691
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://repub.eur.nl/pub/60579

Background: About 10 to 20% of children in West European countries have atopic dermatitis (AD), often as part of the atopic syndrome. The full atopic syndrome also consists of allergic asthma, allergic rhinitis and food allergy. Treatment approaches for atopic dermatitis and asthma include intermittent anti-inflammatory therapy with corticosteroids, health education and self-management training. However, symptoms persist in a subgroup of patients. Several observational studies have shown significant improvement in clinical symptoms in children and adults with atopic dermatitis or asthma after treatment at high altitude, but evidence on the efficacy when compared to treatment at sea level is still lacking.Methods/Design: This study is a pragmatic randomized controlled trial for children with moderate to severe AD within the atopic syndrome. Patients are eligible for enrolment in t