{"id":"https://openalex.org/W7204493748","doi":"https://doi.org/10.1016/j.abd.2026.501448","title":"Regarding the inference of causality in observational non-controlled studies. Comment on \u201cAssessment of sexual function and its association with quality of life and disease severity in patients with atopic dermatitis\u201d","display_name":"Regarding the inference of causality in observational non-controlled studies. Comment on \u201cAssessment of sexual function and its association with quality of life and disease severity in patients with atopic dermatitis\u201d","publication_year":2026,"publication_date":"2026-08-27","ids":{"openalex":"https://openalex.org/W7204493748","doi":"https://doi.org/10.1016/j.abd.2026.501448","pmid":"https://pubmed.ncbi.nlm.nih.gov/42659981","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13545299"},"language":"en","primary_location":{"id":"doi:10.1016/j.abd.2026.501448","doi":"https://doi.org/10.1016/j.abd.2026.501448","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.abd.2026.501448","pdf_url":null,"source":{"id":"https://openalex.org/S21531352","display_name":"Anais Brasileiros de Dermatologia","issn_l":"0365-0596","issn":["0365-0596","1806-4841"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","medline","norway-1","oarl","poland-70","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anais Brasileiros de Dermatologia","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.abd.2026.501448","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5038261445","display_name":"Vanessa Rigoni Marcato","orcid":"https://orcid.org/0009-0006-2464-8321","observed_orcids":["https://orcid.org/0009-0006-2464-8321"]},"institutions":[{"id":"https://openalex.org/I879563668","display_name":"Universidade Estadual Paulista (Unesp)","ror":"https://ror.org/00987cb86","country_code":"BR","type":"education","lineage":["https://openalex.org/I879563668"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Vanessa Rigoni Marcato","raw_affiliation_strings":["Department of Infectology, Dermatology, Imaging Diagnosis and Radiotherapy, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil"],"raw_orcid":"https://orcid.org/0009-0006-2464-8321","affiliations":[{"raw_affiliation_string":"Department of Infectology, Dermatology, Imaging Diagnosis and Radiotherapy, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil","institution_ids":["https://openalex.org/I879563668"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017613876","display_name":"Anna Carolina Miola","orcid":"https://orcid.org/0000-0001-8926-734X","observed_orcids":["https://orcid.org/0000-0001-8926-734X"]},"institutions":[{"id":"https://openalex.org/I879563668","display_name":"Universidade Estadual Paulista (Unesp)","ror":"https://ror.org/00987cb86","country_code":"BR","type":"education","lineage":["https://openalex.org/I879563668"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Anna Carolina Miola","raw_affiliation_strings":["Department of Infectology, Dermatology, Imaging Diagnosis and Radiotherapy, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil"],"raw_orcid":"https://orcid.org/0000-0001-8926-734X","affiliations":[{"raw_affiliation_string":"Department of Infectology, Dermatology, Imaging Diagnosis and Radiotherapy, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil","institution_ids":["https://openalex.org/I879563668"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015071737","display_name":"Paula Rosa Coutinho Goulart Borges Mariottoni","orcid":"https://orcid.org/0000-0002-1561-3489","observed_orcids":["https://orcid.org/0000-0002-1561-3489"]},"institutions":[{"id":"https://openalex.org/I879563668","display_name":"Universidade Estadual Paulista (Unesp)","ror":"https://ror.org/00987cb86","country_code":"BR","type":"education","lineage":["https://openalex.org/I879563668"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Paula Rosa Coutinho Goulart Borges Mariottoni","raw_affiliation_strings":["Trichosis Outpatient Clinic, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil"],"raw_orcid":"https://orcid.org/0000-0002-1561-3489","affiliations":[{"raw_affiliation_string":"Trichosis Outpatient Clinic, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil","institution_ids":["https://openalex.org/I879563668"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5014590960","display_name":"H\u00e9lio Amante Miot","orcid":"https://orcid.org/0000-0002-2596-9294","observed_orcids":["https://orcid.org/0000-0002-2596-9294"]},"institutions":[{"id":"https://openalex.org/I879563668","display_name":"Universidade Estadual Paulista (Unesp)","ror":"https://ror.org/00987cb86","country_code":"BR","type":"education","lineage":["https://openalex.org/I879563668"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"H\u00e9lio Amante Miot","raw_affiliation_strings":["Department of Infectology, Dermatology, Imaging Diagnosis and Radiotherapy, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil. Electronic address: heliomiot@gmail.com"],"raw_orcid":"https://orcid.org/0000-0002-2596-9294","affiliations":[{"raw_affiliation_string":"Department of Infectology, Dermatology, Imaging Diagnosis and Radiotherapy, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil. Electronic address: heliomiot@gmail.com","institution_ids":["https://openalex.org/I879563668"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5014590960"],"corresponding_institution_ids":["https://openalex.org/I879563668"],"apc_list":{"value":1700,"currency":"USD","value_usd":1700},"apc_paid":{"value":1700,"currency":"USD","value_usd":1700},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.63995603,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"101","issue":"5","first_page":"501448","last_page":"501448"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14374","display_name":"Statistical Methods in Epidemiology","score":0.6464999914169312,"subfield":{"id":"https://openalex.org/subfields/2613","display_name":"Statistics and Probability"},"field":{"id":"https://openalex.org/fields/26","display_name":"Mathematics"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T14374","display_name":"Statistical Methods in Epidemiology","score":0.6464999914169312,"subfield":{"id":"https://openalex.org/subfields/2613","display_name":"Statistics and Probability"},"field":{"id":"https://openalex.org/fields/26","display_name":"Mathematics"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10845","display_name":"Advanced Causal Inference Techniques","score":0.16030000150203705,"subfield":{"id":"https://openalex.org/subfields/2613","display_name":"Statistics and Probability"},"field":{"id":"https://openalex.org/fields/26","display_name":"Mathematics"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10837","display_name":"Dermatology and Skin Diseases","score":0.10459999740123749,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/atopic-dermatitis","display_name":"atopic dermatitis","score":0.968999981880188},{"id":"https://openalex.org/keywords/sexual-function","display_name":"sexual function","score":0.9829999804496765},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.8529999852180481},{"id":"https://openalex.org/keywords/disease-severity","display_name":"disease severity","score":0.6489999890327454},{"id":"https://openalex.org/keywords/causal-inference","display_name":"causal inference","score":0.6610000133514404},{"id":"https://openalex.org/keywords/observational-studies","display_name":"observational studies","score":0.7210000157356262},{"id":"https://openalex.org/keywords/measurement-reliability","display_name":"measurement reliability","score":0.7409999966621399},{"id":"https://openalex.org/keywords/internal-consistency","display_name":"internal consistency","score":0.8209999799728394},{"id":"https://openalex.org/keywords/statistical-power","display_name":"statistical power","score":0.7049999833106995},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.6140000224113464}],"concepts":[{"id":"https://openalex.org/C64357122","wikidata":"https://www.wikidata.org/wiki/Q1149766","display_name":"Causality (physics)","level":2,"score":0.8593999743461609},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.8485999703407288},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.8033000230789185},{"id":"https://openalex.org/C158600405","wikidata":"https://www.wikidata.org/wiki/Q5054566","display_name":"Causal inference","level":2,"score":0.7718999981880188},{"id":"https://openalex.org/C2776214188","wikidata":"https://www.wikidata.org/wiki/Q408386","display_name":"Inference","level":2,"score":0.646399974822998},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6162999868392944},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.5806999802589417},{"id":"https://openalex.org/C2775871022","wikidata":"https://www.wikidata.org/wiki/Q7458776","display_name":"Sexual function","level":2,"score":0.49380001425743103},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.42489999532699585},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3790999948978424},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3779999911785126},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.32249999046325684},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.3046000003814697},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.2937000095844269},{"id":"https://openalex.org/C2993290233","wikidata":"https://www.wikidata.org/wiki/Q608","display_name":"Sexual behavior","level":2,"score":0.2881999909877777},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.28209999203681946},{"id":"https://openalex.org/C2778093883","wikidata":"https://www.wikidata.org/wiki/Q1137463","display_name":"Sexual dysfunction","level":2,"score":0.2619999945163727}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1016/j.abd.2026.501448","doi":"https://doi.org/10.1016/j.abd.2026.501448","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.abd.2026.501448","pdf_url":null,"source":{"id":"https://openalex.org/S21531352","display_name":"Anais Brasileiros de Dermatologia","issn_l":"0365-0596","issn":["0365-0596","1806-4841"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","medline","norway-1","oarl","poland-70","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anais Brasileiros de Dermatologia","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13545299","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13545299/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13545299/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"An Bras Dermatol","raw_type":"Text"},{"id":"pmid:42659981","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42659981","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anais brasileiros de dermatologia","raw_type":"Letter"}],"best_oa_location":{"id":"doi:10.1016/j.abd.2026.501448","doi":"https://doi.org/10.1016/j.abd.2026.501448","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.abd.2026.501448","pdf_url":null,"source":{"id":"https://openalex.org/S21531352","display_name":"Anais Brasileiros de Dermatologia","issn_l":"0365-0596","issn":["0365-0596","1806-4841"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","medline","norway-1","oarl","poland-70","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anais Brasileiros de Dermatologia","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G1017526348","display_name":null,"funder_award_id":"306358/2022-0","funder_id":"https://openalex.org/F4320322025","funder_display_name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico"},{"id":"https://openalex.org/G1384181827","display_name":null,"funder_award_id":"/2022-0","funder_id":"https://openalex.org/F4320322025","funder_display_name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico"},{"id":"https://openalex.org/G8951299572","display_name":null,"funder_award_id":"302789/2025-1","funder_id":"https://openalex.org/F4320322025","funder_display_name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico"}],"funders":[{"id":"https://openalex.org/F4320322025","display_name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","ror":"https://ror.org/03swz6y49"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":4,"referenced_works":["https://openalex.org/W2158263460","https://openalex.org/W3080181030","https://openalex.org/W4401476206","https://openalex.org/W7119106321"],"related_works":["https://openalex.org/W7119106321","https://openalex.org/W3216048228","https://openalex.org/W2889067908","https://openalex.org/W7036124094","https://openalex.org/W1715387462","https://openalex.org/W4317952802","https://openalex.org/W4306731919","https://openalex.org/W4414764953","https://openalex.org/W133654287","https://openalex.org/W6928869110"],"abstract_inverted_index":{"Regarding":[0],"the":[1,70,92,102,109,137,163,171,174,204],"inference":[2],"of":[3,11,19,44,72,94,139,145,173,218],"causality":[4],"in":[5,24,114,185,197],"observational":[6],"non-controlled":[7],"studies.Comment":[8],"on":[9,74,176],"''Assessment":[10],"sexual":[12,76,177],"function":[13,77],"and":[14,21,58,78,105,192],"its":[15],"association":[16],"with":[17,26],"quality":[18],"life":[20],"disease":[22],"severity":[23],"patients":[25],"atopic":[27],"dermatitis''":[28],"\u0b1d":[29],"Dear":[30],"Editor,Chronic":[31],"diseases":[32],"such":[33],"as":[34,157],"Atopic":[35],"Dermatitis":[36],"(AD),":[37],"beyond":[38],"physical":[39],"symptoms,":[40],"affect":[41,59],"multiple":[42],"dimensions":[43],"life,":[45],"which":[46,147],"include":[47],"relationships,":[48],"finances,":[49],"occupational":[50],"functioning,":[51],"psychological":[52],"well-being,":[53],"self-esteem,":[54],"body":[55],"image,":[56],"sleep,":[57],"household":[60],"dynamics.1":[61],"We":[62],"commend":[63],"Dr.":[64],"Bressan":[65],"et":[66],"al.":[67],"for":[68,124,189],"addressing":[69],"impact":[71],"AD":[73],"overall":[75],"satisfaction.2":[79],"Nevertheless,":[80],"we'd":[81],"like":[82],"to":[83,101,132],"highlight":[84],"some":[85],"methodological":[86],"considerations":[87],"that":[88,206],"warrant":[89],"caution":[90],"regarding":[91],"interpretation":[93],"these":[95,140],"findings.Overall":[96],"quality-of-life":[97],"measurements":[98],"vary":[99],"according":[100],"study":[103,126],"population":[104,127],"cultural":[106],"context.3":[107],"Although":[108],"QS-F/M":[110],"have":[111],"been":[112],"validated":[113],"Brazilian":[115],"samples,":[116],"their":[117],"internal":[118],"consistency":[119],"should":[120],"be":[121,149],"formally":[122],"assessed":[123],"each":[125],"(e.g.,":[128],"using":[129],"McDonald's":[130],")":[131],"ensure":[133],"measurement":[134,216],"reliability.4":[135],"Additionally,":[136],"10-items":[138],"instruments":[141],"capture":[142],"distinct":[143],"domains":[144],"sexuality,":[146],"may":[148,159,213],"differentially":[150],"affected.The":[151],"domain-specific":[152],"information":[153,175],"is":[154],"clinically":[155],"relevant":[156],"it":[158],"guide":[160],"targeted":[161],"interventions.As":[162],"authors":[164],"did":[165],"not":[166],"provide":[167],"an":[168],"item-level":[169],"interpretation,":[170],"precision":[172],"impairment":[178],"remains":[179],"unclear.The":[180],"modest":[181],"sample":[182],"size":[183],"results":[184],"low":[186],"statistical":[187],"power":[188],"most":[190],"comparisons":[191],"correlation":[193],"analyses.This":[194],"undermines":[195],"confidence":[196],"subgroup-specific":[198],"conclusions,":[199],"especially":[200],"when":[201],"comparing":[202],"them.Furthermore,":[203],"assertion":[205],"women":[207],"are":[208],"more":[209],"affected":[210],"than":[211],"men":[212],"reflect":[214],"differential":[215],"properties":[217],"QS-F/M,":[219],"sociocul-":[220]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-08-28T00:00:00"}
