Establishing the degree of control in patients with atopic dermatitis with the Atopic Dermatitis Control Tool (ADCT)

Background: Atopic dermatitis (AD) is a disease of multifactorial etiology that affects the quality of life of those afflicted. Objective: The degree of control of patients with AD over 12 years of age was determined with the Atopic Dermatitis Control Instrument (ADCT). Material and Methods: This observational, cross-sectional, descriptive study included patients with AD who were evaluated with a self-administered instrument, the ADCT. Pearson’s Chi square and Student’s t-tests were used for categorical variables. The association between continuous variables was analyzed with the Pearson and Spearman correlations. Results: A total of 55 patients with AD were included—42 women (76.4%) and 13 men (23.6%). The median age was 24 years (12–63). Regarding the degree of disease control, it was adequate in 23 (41.8%) patients and inadequate in 32 (58.2%). The patient’s sex, age, work activity, residence, and level of education were not statistically significant factors for the degree of control. The most prevalent comorbidity was allergic rhinitis with a higher percentage in those with adequate control (p = 0.049). Treatment with corticosteroids was associated with good disease control (p <0.001). A high positive correlation (r = 0.770, p < 0.001) was found between the SCORAD score and the ADCT score for symptom control. SCORAD and POEM scores showed a direct proportional relationship (r = 0.791; p < 0.001) Conclusions: The ADCT allowed us to determine the degree of control of atopic dermatitis and develop treatment strategies.