Skip to main content
SpringerLink
Log in

Patient Needs and Treatment Goals in Clinical Care of Chronic Pruritus

  • Chapter
  • First Online:
Pruritus

Abstract

Chronic pruritus (CP) is a challenging, multifactorial disease requiring the knowledge of patient needs and treatment goals as promoted by Patient Reported Outcomes (PRO) Research to choose the appropriate therapeutic pathway and to lead to a high therapeutic benefit. The Patient Needs Questionnaire (PNQ) of the validated Patient Benefit Index (PBI-P) is validated for CP patients and enables to capture 27 therapeutic needs in form of treatment goals. First results suggest that CP patients could have even higher need levels than dermatological patients in general. The use of the PBI-P has to be promoted in clinical routine as well as in research to get more profound data on the therapeutic needs of CP patients. Besides, PRO research has to be further advanced with an establishment of a variety of instruments to measure therapeutic goals or patient preferences besides patient needs.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Ständer S, Pogatzki-Zahn E, Stumpf A, Fritz F, Pfleiderer B, Ritzkat A, Bruland P, Lotts T, Müller-Tidow C, Heuft G, Pavenstädt HJ, Schneider G, Van Aken H, Heindel W, Wiendl H, Dugas M, Luger TA. Facing the challenges of chronic pruritus: a report from a multi-disciplinary medical itch centre in Germany. Acta Derm Venereol. 2015;95(3):266–71.

    Article  PubMed  Google Scholar 

  2. Ständer S, Zeidler C, Magnolo N, Raap U, Mettang T, Kremer AE, Weisshaar E, Augustin M. Clinical management of pruritus. J Dtsch Dermatol Ges. 2015;13(2):101–15.

    PubMed  Google Scholar 

  3. Schneider G, Driesch G, Heuft G, Evers S, Luger TA, Ständer S. Psychosomatic cofactors and psychiatric comorbidity in patients with chronic itch. Clin Exp Dermatol. 2006;31(6):762–7.

    Article  CAS  PubMed  Google Scholar 

  4. Ständer S, Augustin M, Reich A, Blome C, Ebata T, Phan NQ, Szepietowski JC. Pruritus assessment in clinical trials: consensus recommendations from the International Forum for the Study of Itch (IFSI) Special Interest Group Scoring Itch in Clinical Trials. Acta Derm Venereol. 2013;93(5):509–14.

    Article  PubMed  Google Scholar 

  5. Shive M, Linos E, Berger T, Wehner M, Chren MM. Itch as a patient-reported symptom in ambulatory care visits in the United States. J Am Acad Dermatol. 2013;69(4):550–6.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Matterne U, Apfelbacher CJ, Loerbroks A, Schwarzer T, Büttner M, Ofenloch R, Diepgen TL, Weisshaar E. Prevalence, correlates and characteristics of chronic pruritus: a population-based cross-sectional study. Acta Derm Venereol. 2011;91(6):674–9.

    Article  PubMed  Google Scholar 

  7. Ständer S, Schäfer I, Phan NQ, Blome C, Herberger K, Heigel H, Augustin M. Prevalence of chronic pruritus in Germany: results of a cross-sectional study in a sample working population of 11,730. Dermatology. 2010;221(3):229–35.

    Article  PubMed  Google Scholar 

  8. Hay RJ, Johns NE, Williams HC, Bolliger IW, Dellavalle RP, Margolis DJ, Marks R, Naldi L, Weinstock MA, Wulf SK, Michaud C, Murray JLC, Naghavi M. The global burden of skin disease in 2010: an analysis of the prevalence and impact of skin conditions. J Invest Dermatol. 2014;134(6):1527–34.

    Article  CAS  PubMed  Google Scholar 

  9. Fung CH, Hays RD. Prospects and challenges in using patient-reported outcomes in clinical practice. Qual Life Res. 2008;17(10):1297–302.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Koller M, Neugebauer EAM, Augustin M, Büssing A, Farin E, Klinkhammer-Schalke M, Lorenz W, Münch K, Petersen-Ewert C, von Steinbüchel N, Wieseler B. Die Erfassung von Lebensqualität in der Versorgungsforschung – konzeptuelle, methodische und strukturelle Voraussetzungen. Gesundheitssystem. 2009;71:864–72.

    Article  CAS  Google Scholar 

  11. Radtke MA, Reich K, Spehr C, Augustin M. Treatment goals in psoriasis routine care. Arch Dermatol Res. 2015;307(5):445–9.

    Article  CAS  PubMed  Google Scholar 

  12. Schaarschmidt ML, Umar N, Schmieder A, Terris DD, Goebeler M, Goerdt S, Peitsch WK. Patient preferences for psoriasis treatments: impact of treatment experience. J Eur Acad Dermatol Venereol. 2013;27(2):187–98.

    Article  PubMed  Google Scholar 

  13. Schaarschmidt ML, Schmieder A, Umar N, Terris D, Goebeler M, Goerdt S, Peitsch WK. Patient preferences for psoriasis treatments: process characteristics can outweigh outcome attributes. Arch Dermatol. 2011;147(11):1285–94.

    Article  PubMed  Google Scholar 

  14. Ständer S, Blome C, Breil B, Bruland P, Darsow U, Dugas M, Evers A, Fritz F, Metz M, Phan NQ, Raap U, Reich A, Schneider G, Steinke S, Szepietowski J, Weisshaar E, Augustin M. Assessment of pruritus – current standards and implications for clinical practice: consensus paper of the Action Group Pruritus Parameter of the International Working Group on Pruritus Research (AGP)]. Hautarzt. 2012;63(7):521–2. 524–31.

    Article  PubMed  Google Scholar 

  15. Phan NQ, Blome C, Fritz F, Gerss J, Reich A, Ebata T, Augustin M, Szepietowski JC, Ständer S. Assessment of pruritus intensity: prospective study on validity and reliability of the visual analogue scale (VAS), numerical rating scale (NRS) and verbal rating scale (VRS) in 471 chronic pruritus patients. Acta Derm Venereol. 2012;92(5):502–7.

    Article  PubMed  Google Scholar 

  16. Fritz F, Blome C, Augustin M, Koch R, Ständer S. Differences in patient and physician assessment of a dynamic patient reported outcome tool for chronic pruritus. J Eur Acad Dermatol Venereol. 2015. doi:10.1111/jdv.13214 [Epub ahead of print].

    Google Scholar 

  17. Reich A, Riepe C, Anastasiadou Z, Medrek K, Augustin M, Szepietowski J, Ständer S. Itch assessment with visual analogue scale (VAS) and numerical rating scale (NRS): determination of minimal clinically important difference (MCID) in chronic itch. Acta Derm Venereol. 2016. doi:10.2340/00015555-2433 [Epub ahead of print].

  18. Blome C, Augustin M, Siepmann D, Phan NQ, Rustenbach SJ, Ständer S. Measuring patient-relevant benefits in pruritus treatment: development and validation of a specific outcomes tool. Br J Dermatol. 2009;161(5):1143–8.

    Article  CAS  PubMed  Google Scholar 

  19. Augustin M, Radtke MA, Zschocke I, Blome C, Behechtnejad J, Schäfer I, Reusch M, Mielke V, Rustenbach SJ. The patient benefit index: a novel approach in patient-defined outcomes measurement for skin diseases. Arch Dermatol Res. 2009;301(8):561–71.

    Article  PubMed  Google Scholar 

  20. Blome C, Augustin M, Behechtnejad J, Rustenbach SJ. Dimensions of patient needs in dermatology: subscales of the patient benefit index. Arch Dermatol Res. 2011;303(1):11–7.

    Article  PubMed  Google Scholar 

  21. Steinke S, Blome C, Augustin M. Therapeutic needs and benefits of dermatological patients. Aktuelle Dermatol. 2015;41:340–5.

    Article  Google Scholar 

  22. Franzke N, Schäfer I, Jost K, Blome C, Rustenbach SJ, Reich K, Reusch M, Maurer M, Augustin M. A new instrument for the assessment of patient-defined benefit in the treatment of allergic rhinitis. Allergy. 2011;66(5):665–70.

    Article  CAS  PubMed  Google Scholar 

  23. Feuerhahn J, Blome C, Radtke M, Augustin M. Validation of the Patient Benefit Index for the assessment of patient-relevant benefit in the treatment of psoriasis. Arch Dermatol Res. 2012;304(6):433–41.

    Article  PubMed  Google Scholar 

  24. Augustin M, Blome C, Zschocke I, Schäfer I, Koenig S, Rustenbach SJ, Herberger K. Benefit evaluation in the therapy of chronic wounds from the patients’ perspective – development and validation of a new methods. Wound Repair Regen. 2012;20(1):8–14.

    Article  PubMed  Google Scholar 

  25. Steinke S, Bruland P, Osada N, Blome C, Augustin M, Ständer S. Chronic pruritus: evaluation of patient-relevant needs. In: 23rd World congress of dermatology abstracts and proceedings – Vancouver 2015 (ISBN: 978-0-9685848-3-5).

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Dermatology, University Hospital Münster, Von-Esmarch-Str. 58, Münster, 48149, Germany

    Dr. Sabine Steinke Med., Dipl-Kffr

  2. Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, 20249, Germany

    Christine Blome PhD & Dr. Matthias Augustin Med.

Authors
  1. Dr. Sabine Steinke Med., Dipl-Kffr
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Christine Blome PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Dr. Matthias Augustin Med.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sabine Steinke Med., Dipl-Kffr .

Editor information

Editors and Affiliations

  1. Department of Dermatology, University of Brest, Brest, France

    Laurent Misery

  2. Center of Chronic Pruritus, University Hospital Münster, Münster, Nordrhein-Westfalen, Germany

    Sonja Ständer

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag London

About this chapter

Cite this chapter

Steinke, S., Blome, C., Augustin, M. (2016). Patient Needs and Treatment Goals in Clinical Care of Chronic Pruritus. In: Misery, L., Ständer, S. (eds) Pruritus. Springer, Cham. https://doi.org/10.1007/978-3-319-33142-3_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-33142-3_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33140-9

  • Online ISBN: 978-3-319-33142-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation