Duration-Dependent Adverse Events of Systemic Glucocorticosteroids in Atopic Dermatitis: A Nationwide Claims Cohort Study - Summary - MDSpire
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Time-Related Adverse Effects of Systemic Glucocorticosteroids in Patients with Atopic Dermatitis: A National Claims-Based Cohort Analysis

  • By

  • Theresa Klinger

  • Katharina Müller

  • Ricarda Graf

  • Matthias Augustin

  • Kristina Hagenström

  • June 22, 2026

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Objective:

To examine the time-dependent association of systemic glucocorticoid exposure duration and cumulative dose with the risk of adverse events in individuals with atopic dermatitis.

Approach:
    Key Findings:
    • Longer duration of systemic glucocorticoid use was associated with increased risks of adverse events.
    • Adverse events included mental disorders, gastrointestinal disorders, osteoporosis, hypertension, and diabetes mellitus.
    • Duration of use showed more robust associations with adverse events than cumulative dose.
    Interpretation:

    Limitations:
    • Potential inaccuracies in coding of diseases in SHI data may lead to overestimation or underestimation of disease frequencies.
    • The observational nature of the study limits causal inferences.
    Conclusion:

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