No registrations found.
ID
Source
Brief title
Health condition
Hand eczema
Sponsors and support
Intervention
Outcome measures
Primary outcome
Cumulative difference in reduction of clinical severity scores
Direct and indirect costs
Secondary outcome
Specific Quality of Life,
Clinical score of severity of hand eczema,
Overall Quality of Life
Patient satisfactory with the program
Background summary
Hand eczema is a common disease with an unfavourable prognosis. It accounts for 90% of all occupational skin diseases and is in the top three of work-related disorders.
Medical consumption, as well as costs related to productivity loss and sick leave, are high. Target of this study is to evaluate the (cost)effectiveness of a multidisciplinary approach coordinated by a care manager, compared to usual care. Patients will be randomly assigned to either the intervention group or the control group. Primary outcome measures are difference in reduction of clinical severity scores and direct and indirect costs. Measurements will take place at baseline and after 4, 12, 26 and 52 weeks. Main research question is: Is transmural care for hand eczema by a specialized multidisciplinary centre aiming at coordination, optimal instruction and treatment (cost)effective as compared to regular dermatologist-led care?
Study objective
Is transmural care for hand eczema by a specialized multidisciplinary centre (cost)effective as compared to usual care?
Study design
At baseline and after 4, 12, 26 and 52 weeks
Intervention
Multidisciplinary treatment coordinated by a care manager consists of consults with a dermatologist, a specialized nurse (after 1,2, 4 and 12 weeks) and an occupational physician (if there is a relation with work).
The intervention takes up till 12 weeks. The control group receives standard care provided by a dermatologist. After testing, results will be evaluated and patients will be informed by the dermatologist.
Inclusion criteria
1. Diagnosis is mild to moderate chronic (>3 months) hand eczema
2. Participants are >16 years
3. Participants are able to complete a Dutch questionnaire
4. Never visited the centre before for hand eczema, or last visit was at least one year ago.
Exclusion criteria
1. Systemic treatment of eczema
2. Generalized eczema, whereas hand eczema is not the main problem
3. Use of medication or phototherapy or than used in this study.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL1194 |
| NTR-old | NTR1239 |
| Other | MEC VUMC : 2008/012 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd |