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

doi:10.1111/cod.14457

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

Department of Dermatology, Environmental Health and Health Theory, University of Osnabrück and Institute of Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at the University of Osnabrück, Osnabrück, Germany.
Copenhagen University Hospital Gentofte, Copenhagen, Denmark.
University of Copenhagen, Copenhagen, Denmark.
Unit of Social Medicine, Frederiksberg University Hospital, Copenhagen, Denmark.
Department of Occupational and Environmental Medicine, Frederiksberg and Bispebjerg Hospital, Copenhagen, Denmark.

Research output: Contribution to journal › Journal article › Research › peer-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.

Original language	English
Journal	Contact Dermatitis
Volume	90
Issue number	3
Pages (from-to)	280-290
Number of pages	11
ISSN	0105-1873
DOIs	https://doi.org/10.1111/cod.14457
Publication status	Published - Mar 2024

Keywords

Denmark/epidemiology
Dermatitis, Allergic Contact/diagnosis
Dermatitis, Occupational/prevention & control
Follow-Up Studies
Humans
Quality of Life

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10.1111/cod.14457

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Dietz, J. B.-N., Simonsen, A. B. N., Menné, T., Ahlstrøm, M. G., Flyvholm, M.-A., Blomberg, M. H., Erichsen, C. Y., Meyer, H. W., Viskum, S., Ahrensbøll-Friis, U., John, S. M., & Johansen, J. D. (2024). Assessing the efficacy of a German-inspired intervention on occupational contact dermatitis in Denmark: A randomised controlled trial with 3-month follow-up . Contact Dermatitis, 90(3), 280-290. https://doi.org/10.1111/cod.14457

@article{fb149a22b3224dc1ad531ae45bfd1c03,

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

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.",

keywords = "Kontaktallergi, Denmark/epidemiology, Dermatitis, Allergic Contact/diagnosis, Dermatitis, Occupational/prevention & control, Follow-Up Studies, Humans, Quality of Life",

author = "Dietz, {Jojo Biel-Nielsen} and Simonsen, {Anne Birgitte N} and Torkil Menn{\'e} and Ahlstr{\o}m, {Malin G} and Mari-Ann Flyvholm and Blomberg, {Maria H} and Erichsen, {Christina Y} and Meyer, {Harald W} and Sven Viskum and Ulrik Ahrensb{\o}ll-Friis and John, {Swen M} and Johansen, {Jeanne D}",

note = "{\textcopyright} 2023 The Authors. Contact Dermatitis published by John Wiley & Sons Ltd.",

year = "2024",

month = mar,

doi = "10.1111/cod.14457",

language = "English",

volume = "90",

pages = "280--290",

journal = "Contact Dermatitis",

issn = "0105-1873",

publisher = "Wiley-Blackwell",

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Dietz, JB-N, Simonsen, ABN, Menné, T, Ahlstrøm, MG, Flyvholm, M-A, Blomberg, MH, Erichsen, CY, Meyer, HW, Viskum, S, Ahrensbøll-Friis, U, John, SM & Johansen, JD 2024, 'Assessing the efficacy of a German-inspired intervention on occupational contact dermatitis in Denmark: A randomised controlled trial with 3-month follow-up ', Contact Dermatitis, vol. 90, no. 3, pp. 280-290. https://doi.org/10.1111/cod.14457

Assessing the efficacy of a German-inspired intervention on occupational contact dermatitis in Denmark: A randomised controlled trial with 3-month follow-up . / Dietz, Jojo Biel-Nielsen; Simonsen, Anne Birgitte N; Menné, Torkil et al.
In: Contact Dermatitis, Vol. 90, No. 3, 03.2024, p. 280-290.

Research output: Contribution to journal › Journal article › Research › peer-review

TY - JOUR

T1 - Assessing the efficacy of a German-inspired intervention on occupational contact dermatitis in Denmark

T2 - A randomised controlled trial with 3-month follow-up

AU - Dietz, Jojo Biel-Nielsen

AU - Simonsen, Anne Birgitte N

AU - Menné, Torkil

AU - Ahlstrøm, Malin G

AU - Flyvholm, Mari-Ann

AU - Blomberg, Maria H

AU - Erichsen, Christina Y

AU - Meyer, Harald W

AU - Viskum, Sven

AU - Ahrensbøll-Friis, Ulrik

AU - John, Swen M

AU - Johansen, Jeanne D

PY - 2024/3

Y1 - 2024/3

N2 - 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.

AB - 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.

KW - Kontaktallergi

KW - Denmark/epidemiology

KW - Dermatitis, Allergic Contact/diagnosis

KW - Dermatitis, Occupational/prevention & control

KW - Follow-Up Studies

KW - Humans

KW - Quality of Life

U2 - 10.1111/cod.14457

DO - 10.1111/cod.14457

M3 - Journal article

C2 - 38052587

SN - 0105-1873

VL - 90

SP - 280

EP - 290

JO - Contact Dermatitis

JF - Contact Dermatitis

IS - 3

ER -

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

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Keywords

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