Assessing the efficacy of a German-inspired intervention on occupational contact dermatitis in Denmark: A randomised controlled trial with 3-month follow-up

Jojo Biel-Nielsen Dietz, Anne Birgitte N Simonsen, Torkil Menné, Malin G Ahlstrøm, Mari-Ann Flyvholm, Maria H Blomberg, Christina Y Erichsen, Harald W Meyer, Sven Viskum, Ulrik Ahrensbøll-Friis, Swen M John, Jeanne D Johansen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Abstract

BACKGROUND: Occupational contact dermatitis (OCD) is a prevalent, often chronic disease that poses a risk for job loss and decreased quality of life. In Germany, a multi-step prevention programme emphasising early detection and highly specialised multidisciplinary treatment has been implemented with great success.

OBJECTIVES: To examine the effectiveness of a Danish-adapted version of the German prevention effort on OCD severity, quality of life and occupational consequences at 3-month follow-up.

METHODS: Randomised, controlled trial. Participants were recruited after the first referral from General Practitioner to Dermatologist with suspected OCD. The intervention group (IG) received a Danish-adapted, multidisciplinary intervention, while the control group (CG) navigated the Danish healthcare system without interference from the study. OCD severity, occupational consequences and quality of life were assessed at 3-month follow-up using self-reported questionnaires.

RESULTS: A statistically significant decrease in the severity of eczema was found at 3-month follow-up in the IG compared to the CG. The IG were statistically significantly more likely to have seen a dermatologist at 3-month follow-up. Higher treatment level in the IG was indicated by the results but was not statistically significant. No significant difference was found in quality of life or occupational consequences.

CONCLUSIONS: These initial findings suggest that early and specialised treatment of OCD improves OCD prognosis.

OriginalsprogEngelsk
TidsskriftContact Dermatitis
Vol/bind90
Udgave nummer3
Sider (fra-til)280-290
Antal sider11
ISSN0105-1873
DOI
StatusUdgivet - mar. 2024

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