Atopic dermatitis (AD) is associated with considerable financial cost. However, the full burden of out-of-pocket (OOP) expenses is not well understood.
We sought to characterize the OOP health care expenses associated with AD management.
A 25-question voluntary online survey was administered to National Eczema Association members worldwide (n = 113,502). Inclusion criteria (US residents age ≥18 years who either self-reported had AD or were primary caregivers of individuals with AD) were met by 77.3% (1118/1447) of respondents.
Respondents reported OOP expenses in 3 categories: (1) health care providers and prescriptions, including health care provider visit deductibles (68.7% ), prescription co-pays (64.3% ), and prescriptions not covered by insurance (48.6% ); (2) nonprescription health care products, including moisturizers (94.3% ), hygiene products (85.0% , allergy medications (75.1% ), itch relievers (68.25% ), dietary supplements (52.2% ), and sleep aids (37.0% ); and (3) complementary approaches, including cleaning products (74.7% ), clothing/bedding (44.8% ), alternative medications (19.0% ), and adjunctive therapies (15.9% ). The median annual AD OOP expense was US $600 (range, US $0–$200,000), with 41.9% (364) reporting expenditures US $1000 or greater.
Out-of-pocket expenses place a significant financial burden on individuals with AD. Additional studies are needed to better understand associations and impact of OOP costs.