{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:03:44Z","timestamp":1785416624162,"version":"3.56.0"},"reference-count":38,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Atopic dermatitis (AD) substantially affects quality of life, yet standardized severity measures may not capture patient\u2010centred priorities, making systematic needs assessment essential for personalized care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to systematically assess and rank treatment needs in adults with moderate to severe AD, identify patient subgroups with distinct need profiles and evaluate how well these needs were met after 2\u2009years of specialized dermatological care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective observational study from the TREATgermany registry, 697 adults with moderate to severe AD completed the validated Patient Benefit Index (PBI) at baseline (T1) and at 2\u2010year follow\u2010up (T2), capturing treatment goal importance and achievement. Subgroup analyses were performed based on age, sex, educational status and age at AD onset. Associations between clinical measures and perceived benefit were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The most frequently prioritized treatment goals were being free of itching (97.8% high agreement), regaining control of the disease (95.3%) and relief from skin burning (92.0%). The importance of itch reduction was not correlated with baseline pruritus intensity, and perceived benefit was more closely linked to relative clinical improvement than to absolute disease severity. Beyond these shared priorities, treatment needs varied across subgroups: older patients valued treatment safety and reduced dependence on medical care, women emphasized psychosocial and appearance\u2010related goals, individuals with lower educational status highlighted financial concerns and patients with adult\u2010onset AD prioritized diagnostic certainty and disease control. After 2\u2009years, 96.6% of patients reported meaningful treatment benefit. Patient\u2010reported outcomes (POEM) were more strongly associated with perceived benefit than physician\u2010assessed measures (oSCORAD, EASI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patient treatment needs in AD vary by demographic and clinical factors, with pruritus consistently rated as the highest priority. Patient\u2010reported outcomes align more closely with perceived benefit than physician assessments, underscoring the value of systematic needs assessments to guide individualized treatment decisions and shared decision\u2010making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jdv.70648","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:31:19Z","timestamp":1785414679000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient treatment needs in atopic dermatitis: A real\u2010world cohort study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7083-7650","authenticated-orcid":false,"given":"Kristina","family":"Ludemann","sequence":"first","affiliation":[{"name":"Department of Dermatology and Allergy Hannover Medical School  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4806-599X","authenticated-orcid":false,"given":"Stephan","family":"Traidl","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy Hannover Medical School  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Cornelius","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy Hannover Medical School  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00eblle","family":"Naim","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy Hannover Medical School  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9231-9865","authenticated-orcid":false,"given":"Annice","family":"Heratizadeh","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy Hannover Medical School  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2897-964X","authenticated-orcid":false,"given":"Tatjana","family":"Honstein","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy Hannover Medical School  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5254-6411","authenticated-orcid":false,"given":"Barbara","family":"Kind","sequence":"additional","affiliation":[{"name":"Center for Evidence\u2010Based Healthcare University Hospital Carl Gustav Carus and Carl Gustav Carus Faculty of Medicine, Technische Universitaet Dresden  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2878-2019","authenticated-orcid":false,"given":"Luise","family":"Heinrich","sequence":"additional","affiliation":[{"name":"Center for Evidence\u2010Based Healthcare University Hospital Carl Gustav Carus and Carl Gustav Carus Faculty of Medicine, Technische Universitaet Dresden  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3079-0440","authenticated-orcid":false,"given":"Inken","family":"Harder","sequence":"additional","affiliation":[{"name":"Center for Inflammatory Skin Diseases, Department of Dermatology and Allergy University Hospital Schleswig\u2010Holstein, Campus Kiel  Kiel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7321-7305","authenticated-orcid":false,"given":"Dora","family":"St\u00f6lzl","sequence":"additional","affiliation":[{"name":"Center for Inflammatory Skin Diseases, Department of Dermatology and Allergy University Hospital Schleswig\u2010Holstein, Campus Kiel  Kiel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4026-8728","authenticated-orcid":false,"given":"Matthias","family":"Augustin","sequence":"additional","affiliation":[{"name":"Institute for Health Services Research in Dermatology Hamburg, University Medical Center Hamburg Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Schaefer","sequence":"additional","affiliation":[{"name":"Practice Dr. Med. 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Anne Bong  Emmerich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7457-6481","authenticated-orcid":false,"given":"Susanne","family":"Abraham","sequence":"additional","affiliation":[{"name":"Center for Evidence\u2010Based Healthcare University Hospital Carl Gustav Carus and Carl Gustav Carus Faculty of Medicine, Technische Universitaet Dresden  Dresden Germany"},{"name":"Department of Dermatology University Allergy Center, Carl Gustav Carus Faculty of Medicine, Technische Universitaet Dresden  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1330-1502","authenticated-orcid":false,"given":"Andreas","family":"Pinter","sequence":"additional","affiliation":[{"name":"Department of Dermatology Venereology and Allergology, Clinical Research, University Hospital  Frankfurt am Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jutta","family":"Ramaker\u2010Brunke","sequence":"additional","affiliation":[{"name":"Practice \u2018Die Haut\u00e4rzte\u2019 Braunschweig  Braunschweig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Schulz\u2010Kiesow","sequence":"additional","affiliation":[{"name":"Practice Dr. Med. 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