{"id":"https://openalex.org/W7225735003","doi":"https://doi.org/10.25251/q8k1rb74","title":"High topical corticosteroid utilization among employed patients with Chronic Hand Eczema: A survey of patients in a large integrated healthcare system in the United States","display_name":"High topical corticosteroid utilization among employed patients with Chronic Hand Eczema: A survey of patients in a large integrated healthcare system in the United States","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225735003","doi":"https://doi.org/10.25251/q8k1rb74"},"language":"en","primary_location":{"id":"doi:10.25251/q8k1rb74","doi":"https://doi.org/10.25251/q8k1rb74","is_oa":true,"landing_page_url":"https://doi.org/10.25251/q8k1rb74","pdf_url":null,"source":{"id":"https://openalex.org/S4210210594","display_name":"SKIN The Journal of Cutaneous Medicine","issn_l":"2574-1624","issn":["2574-1624"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"SKIN The Journal of Cutaneous Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.25251/q8k1rb74","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112966604","display_name":"Stefan C Weiss","orcid":"https://orcid.org/0009-0001-3077-0386","observed_orcids":["https://orcid.org/0009-0001-3077-0386"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Stefan C. Weiss","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161366043","display_name":"Semra Ozdemir","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Semra Ozdemir","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091054057","display_name":"Shelby D. Reed","orcid":"https://orcid.org/0000-0002-7654-4464","observed_orcids":["https://orcid.org/0000-0002-7654-4464"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shelby D. Reed","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073756849","display_name":"Jessie Sutphin","orcid":"https://orcid.org/0000-0002-2000-3677","observed_orcids":["https://orcid.org/0000-0002-2000-3677"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jessie Sutphin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017359233","display_name":"Pravin Kamble","orcid":"https://orcid.org/0000-0003-0395-4494","observed_orcids":["https://orcid.org/0000-0003-0395-4494"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pravin Kamble","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017303084","display_name":"Aseel Bin Sawad","orcid":"https://orcid.org/0000-0001-6620-0716","observed_orcids":["https://orcid.org/0000-0001-6620-0716"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aseel Bin Sawad","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109425197","display_name":"Sanjeev Balu","orcid":"https://orcid.org/0009-0007-1957-3692","observed_orcids":["https://orcid.org/0009-0007-1957-3692"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sanjeev Balu","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083571858","display_name":"Dharm S. Patel","orcid":"https://orcid.org/0000-0003-1804-838X","observed_orcids":["https://orcid.org/0000-0003-1804-838X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Dharm Patel","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5110797641","display_name":"David G. Cotter","orcid":"https://orcid.org/0000-0002-6046-8452","observed_orcids":["https://orcid.org/0000-0002-6046-8452"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"David Cotter","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"10","issue":"6","first_page":"s857","last_page":"s857"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11033","display_name":"Contact Dermatitis and Allergies","score":0.5317000150680542,"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"}},"topics":[{"id":"https://openalex.org/T11033","display_name":"Contact Dermatitis and Allergies","score":0.5317000150680542,"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"}},{"id":"https://openalex.org/T10837","display_name":"Dermatology and Skin Diseases","score":0.45969998836517334,"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"}},{"id":"https://openalex.org/T10704","display_name":"Advancements in Transdermal Drug Delivery","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/3003","display_name":"Pharmaceutical Science"},"field":{"id":"https://openalex.org/fields/30","display_name":"Pharmacology, Toxicology and Pharmaceutics"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9072999954223633},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5250999927520752},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4675999879837036},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.46380001306533813},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4544000029563904},{"id":"https://openalex.org/C2987552334","wikidata":"https://www.wikidata.org/wiki/Q383126","display_name":"Chronic disease","level":2,"score":0.42419999837875366},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.384799987077713},{"id":"https://openalex.org/C2777929519","wikidata":"https://www.wikidata.org/wiki/Q7144988","display_name":"Patient education","level":2,"score":0.3824000060558319},{"id":"https://openalex.org/C68122502","wikidata":"https://www.wikidata.org/wiki/Q764527","display_name":"Informed consent","level":3,"score":0.36550000309944153},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3555999994277954},{"id":"https://openalex.org/C45827449","wikidata":"https://www.wikidata.org/wiki/Q5270338","display_name":"Diagnosis code","level":3,"score":0.34459999203681946},{"id":"https://openalex.org/C2987315675","wikidata":"https://www.wikidata.org/wiki/Q1773974","display_name":"Disease control","level":2,"score":0.34459999203681946},{"id":"https://openalex.org/C2781418243","wikidata":"https://www.wikidata.org/wiki/Q1574795","display_name":"Hand eczema","level":4,"score":0.34209999442100525},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.34060001373291016},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.3328999876976013},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.32589998841285706},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.32519999146461487},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.32350000739097595},{"id":"https://openalex.org/C2982889124","wikidata":"https://www.wikidata.org/wiki/Q107439039","display_name":"Disease management","level":4,"score":0.3012999892234802},{"id":"https://openalex.org/C3019952477","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Health records","level":3,"score":0.29580000042915344},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.2935999929904938},{"id":"https://openalex.org/C3018060332","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic medical record","level":2,"score":0.28700000047683716},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2818000018596649},{"id":"https://openalex.org/C206179267","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Medical history","level":2,"score":0.27649998664855957},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.2621000111103058},{"id":"https://openalex.org/C65067816","wikidata":"https://www.wikidata.org/wiki/Q2295139","display_name":"Computer-assisted web interviewing","level":2,"score":0.2538999915122986},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.25380000472068787},{"id":"https://openalex.org/C2780892066","wikidata":"https://www.wikidata.org/wiki/Q1591167","display_name":"Household income","level":2,"score":0.2535000145435333}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.25251/q8k1rb74","doi":"https://doi.org/10.25251/q8k1rb74","is_oa":true,"landing_page_url":"https://doi.org/10.25251/q8k1rb74","pdf_url":null,"source":{"id":"https://openalex.org/S4210210594","display_name":"SKIN The Journal of Cutaneous Medicine","issn_l":"2574-1624","issn":["2574-1624"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"SKIN The Journal of Cutaneous Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.25251/q8k1rb74","doi":"https://doi.org/10.25251/q8k1rb74","is_oa":true,"landing_page_url":"https://doi.org/10.25251/q8k1rb74","pdf_url":null,"source":{"id":"https://openalex.org/S4210210594","display_name":"SKIN The Journal of Cutaneous Medicine","issn_l":"2574-1624","issn":["2574-1624"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"SKIN The Journal of Cutaneous Medicine","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":4,"referenced_works":["https://openalex.org/W2175727742","https://openalex.org/W4402624806","https://openalex.org/W4404799291","https://openalex.org/W7128395133"],"related_works":[],"abstract_inverted_index":{"Introduction":[0],"Chronic":[1],"Hand":[2],"Eczema":[3],"(CHE)":[4],"is":[5,20],"an":[6,76,165,485],"inflammatory":[7],"skin":[8],"disease":[9,18,254],"of":[10,235,247,315,447,471,476,493],"the":[11,88,141,151,248,445,491],"hands":[12],"associated":[13],"with":[14,61,95,125,182,426,432,462],"recurring":[15],"flares.":[16],"Sustained":[17],"control":[19],"difficult":[21],"due":[22,456],"to":[23,52,82,115,457,465],"ongoing":[24],"environmental":[25],"exposure":[26],"and":[27,44,55,73,110,149,154,173,208,218,229,256,269,294,326,341,347,361,402,453,489],"friction.":[28],"Topical":[29],"corticosteroids":[30,337],"(TCS)":[31],"are":[32],"a":[33,64,214,232,473],"mainstay":[34],"first-line":[35],"treatment;":[36],"however,":[37],"safety":[38],"concerns":[39,405],"limit":[40],"long-term":[41],"continuous":[42],"use":[43,324,446,470],"may":[45],"influence":[46],"patient":[47,54],"adherence.":[48],"This":[49],"survey":[50,79,121],"aimed":[51],"describe":[53],"treatment-related":[56],"characteristics":[57,156],"among":[58],"employed":[59,83,220],"patients":[60,124,174,319,391,431,477],"CHE":[62,162,266,278,299,433],"in":[63,227],"large":[65],"integrated":[66],"US":[67],"healthcare":[68],"system.":[69],"Methods":[70],"Between":[71],"March":[72],"May":[74],"2026,":[75],"online":[77],"cross-sectional":[78],"was":[80,171,201,261,301],"administered":[81],"adults":[84],"receiving":[85],"care":[86,436],"within":[87,140],"Duke":[89],"University":[90],"Health":[91],"System":[92],"(DUHS).":[93],"Patients":[94,112,159],"eczema/dermatitis":[96],"were":[97,113,157,175,185,195,206,210,219,241,280],"identified":[98],"from":[99],"electronic":[100,166],"medical":[101],"records":[102],"using":[103,164,187,374,383],"ICD-10-CM":[104],"codes":[105],"(L20,":[106],"L23,":[107],"L24,":[108],"L25,":[109],"L30).":[111],"invited":[114],"participate":[116],"through":[117],"Epic":[118],"MyChart.":[119],"The":[120,237,275],"sample":[122],"included":[123,332],"CHE,":[126],"defined":[127],"as":[128,303],"hand/wrist":[129],"eczema":[130,284,288,422],"that":[131,420],"persisted":[132],"for":[133,376,385,395],"\u22653":[134],"months":[135],"or":[136,310,460],"recurred":[137],"\u22652":[138],"times":[139],"past":[142],"12":[143],"months,":[144],"who":[145,381,392,412,434],"provided":[146],"informed":[147],"consent":[148],"completed":[150],"survey.":[152],"Sociodemographic":[153],"clinical":[155],"collected.":[158],"assessed":[160],"their":[161,180,421],"severity":[163,300],"photographic":[167],"guide.":[168],"Treatment":[169],"history":[170],"collected,":[172],"asked":[176],"multiple-choice":[177],"questions":[178],"concerning":[179],"experiences":[181],"TCS.":[183],"Data":[184],"summarized":[186],"descriptive":[188],"statistics.":[189],"Results":[190],"Among":[191,367,409],"301":[192],"patients,":[193],"78.4%":[194],"female,":[196],"mean":[197],"(standard":[198],"deviation)":[199],"age":[200,260],"38.5":[202],"(12.3)":[203],"years;":[204],"62.8%":[205],"White,":[207],"25.2%":[209],"Black.":[211],"Most":[212],"had":[213,356,363,372,413],"college":[215],"degree":[216],"(65.8%)":[217],"full-time":[221],"(77.1%).":[222],"In":[223],"addition,":[224],"41.5%":[225],"worked":[226],"healthcare,":[228],"50.5%":[230],"reported":[231,320,382,393,419,439,479],"household":[233],"income":[234],"\u2265$75,000/year.":[236],"most":[238,276],"common":[239,277],"comorbidities":[240],"obesity":[242],"(25.6%),":[243],"hypertension":[244],"(17.9%),":[245],"diseases":[246],"immune":[249],"system":[250],"(13.3%),":[251],"chronic":[252],"lung":[253],"(8.0%),":[255],"diabetes":[257],"(7.6%).":[258],"Mean":[259],"20.2":[262],"(14.0)":[263],"years":[264,272],"at":[265,273,437],"symptom":[267],"onset":[268],"22.3":[270],"(14.3)":[271],"diagnosis.":[274],"subtypes":[279],"irritant":[281],"contact":[282,291],"hand":[283,287],"(54.5%),":[285],"atopic":[286],"(51.5%),":[289],"allergic":[290],"dermatitis":[292,296],"(35.2%),":[293],"vesicular/dyshidrotic":[295],"(27.9%).":[297],"Current":[298],"rated":[302],"moderate":[304],"by":[305,308,313,444],"36.2%,":[306],"severe":[307,312],"8.7%,":[309],"very":[311],"2.0%":[314],"patients.":[316],"Nearly":[317],"all":[318],"prior/current":[321],"topical":[322,496],"treatment":[323,451,454,487],"(99.0%)":[325],"TCS":[327,353,359,375,384,416,427,441],"(95.7%).":[328],"Other":[329],"previous":[330],"therapies":[331],"systemics":[333],"(58.5%,":[334],"comprising":[335],"oral":[336,342],"[29.9%],":[338],"injectables":[339],"[18.3%],":[340],"non-steroid":[343],"advanced":[344,494],"treatments":[345],"[10.3%]),":[346],"phototherapy":[348],"(7.3%).":[349],"Of":[350,389],"288":[351],"current":[352,369],"users,":[354,370],"65.3%":[355],"used":[357,364,415],"2\u20115":[358],"types":[360],"8.3%":[362],"\u22656":[365],"types.":[366],"112":[368],"28.6%":[371],"been":[373],"6-10":[377],"weeks,":[378],"including":[379],"25.0%":[380],"approximately":[386],"10":[387],"weeks.":[388],"176":[390],"reasons":[394],"discontinuing":[396],"TCS,":[397,449,472],"7.4%":[398],"cited":[399,404],"side":[400,407,458],"effects":[401,459],"16.5%":[403],"about":[406],"effects.":[408],"216":[410],"participants":[411],"previously":[414],"alone,":[417],"15.3%":[418],"did":[423],"not":[424],"improve":[425],"only.":[428],"Conclusion":[429],"Employed":[430],"received":[435],"DUHS":[438],"high":[440,474],"utilization,":[442],"characterized":[443],"multiple":[448],"extended":[450],"durations,":[452],"discontinuation":[455],"ineffectiveness,":[461],"frequent":[463],"escalation":[464],"systemic":[466],"therapies.":[467],"Despite":[468],"near-universal":[469],"percentage":[475],"still":[478],"burdensome":[480],"symptoms.":[481],"These":[482],"findings":[483],"suggest":[484],"unmet":[486],"need":[488],"support":[490],"role":[492],"non-steroidal":[495],"options.":[497]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}
