# Patients’ and Caregivers’ Experiences Navigating the Burden of Atopic Dermatitis in Argentina

## TL;DR

This study explores the challenges faced by atopic dermatitis patients and caregivers in Argentina, highlighting mental health, pain, and financial burdens.

## Contribution

The paper provides insights into the lived experiences of AD patients and caregivers in Argentina, emphasizing unmet needs in education and shared decision-making.

## Key findings

- Anxiety/depression and pain/discomfort significantly impact quality of life for AD patients and caregivers.
- Financial burdens are significant for those with moderate to severe AD, affecting basic needs like food.
- Disease-specific education and shared decision-making correlate with higher treatment satisfaction and disease control.

## Abstract

Background and Objectives: Little is known about patients’ and caregivers’ experiences with atopic dermatitis (AD) in Argentina, so a survey was administered to learn more. Materials and Methods: A 53-item anonymous survey was administered in Spanish to adult AD patients (n = 334) and caregivers (n = 339) of pediatric AD patients in Argentina (total n = 673). Demographics, healthcare provider information, financial burden, disease severity, disease burden, level of disease-specific education, and experience with shared physician/patient decision making were collected. Linear and logistic regression models were used for statistical comparisons. Results: Survey respondents were overwhelmingly female (90.8%), as was the overall patient population (72.8%). Patients were seen mostly by healthcare specialists (66.8% dermatologists, 13.5% pediatricians, 7.7% allergists, and 7.2% general practitioners). Only 2.8% of respondents reported no symptoms, while 33.3%, 52.4%, and 11.5% reported mild, moderate, and severe AD disease, respectively. Anxiety/depression and pain/discomfort were the most impactful on respondents’ quality of life. Caregivers of children with moderate to severe AD and adult patients with severe AD reported a significant financial burden, including using savings or not purchasing food or other essentials to afford medical care. Few people reported receiving disease-specific education or having their own treatment priorities taken into consideration. For adult patients, receiving disease education and being asked about treatment priorities were associated with higher treatment satisfaction and AD control. Discussion: Mental health, pain/discomfort, and financial worries are the most important burdens for adult AD patients and caregivers of children with AD in Argentina. We recommend prioritizing disease-specific education and shared decision making to improve AD care in Argentina.