The Affected person Oriented Eczema Measure (POEM) is a instrument used for monitoring atopic eczema severity. It focuses on the sickness as skilled by the affected person. 

Appropriate to be used within the outpatient clinic, audit, epidemiological research and medical trials, POEM has been really helpful to be used by medical pointers together with these issued by the Nationwide Institute for Well being and Care Excellence (NICE). 

POEM is recommended by the  HOME (Harmonising Consequence Measures for Eczema) initiative because the core end result instrument for measuring patient-reported signs in eczema trials.


About utilizing POEM

  • POEM is free to make use of
  • You do not want a license to make use of POEM or to create a translation.
  • When you’re planning on utilizing POEM in a analysis trial/research or in your clinic, we request that you just  send us an email with particulars of how you intend to make use of the dimensions. This helps us monitor affect.
  • POEM is copyright of the College of Nottingham.
  • Additional details about scoring POEM is on the market under.



Particulars of the unique publication and research regarding the validation of the dimensions and the Minimal Clinically Vital Distinction (MCID) are listed within the reference section.


POEM Obtain – Paper Format (PDF)

For self-completion: This model is appropriate for sufferers who’re in a position to learn and perceive the questions. This may embody each adults and older youngsters. 

POEM for adults
(additionally out there as a Word file)

For proxy-completion: This model is for folks/guardians to fill out on their kid’s behalf. There aren’t any particular age cut-offs for utilizing this model.

POEM for children
(additionally out there as a Word file)

For self/proxy-completion: This model is appropriate for each completion by sufferers and for completion by dad and mom/guardians on their kid’s behalf.

POEM for all ages
(additionally out there as a Word file)


POEM Obtain – Digital Format (Android/IOS)

POEM is now out there to obtain on cellular gadgets. Utilizing the app, My Eczema Tracker,  POEM will be accomplished electronically and the rating routinely calculated. Moreover, POEM scores are saved, so  eczema severity will be tracked over weeks and months.

Click on on the hyperlinks above to obtain the app, or search My Eczema Tracker in your app retailer. 

Must report a difficulty? When you’ve encounted a bug or error with the app, please get in touch.


POEM Obtain – Translations

We’ve got a choice of free translations out there in PDF format, that are listed under. Please see the FAQ part for additional details about translations.

When you’re pondering of making a translation of POEM, please see our guidance document. If you would like us to sign-off your translation, please send us a accomplished copy of our checklist document.




Chinese language (Simplified)

¶ – See be aware under

Courtesy of Guangdong Provincial Hospital of Chinese language Medication 



Chinese language (Conventional)

Courtesy of Arjil Prescribed drugs




Courtesy of Dr Uffe Nygaard


¶ – See be aware under

Courtesy of Dr Uffe Nygaard




For adults

Courtesy of AbbVie Inc.


For adults

Courtesy of AbbVie Inc.




Courtesy of ICON/MAPI and Pfizer


Courtesy of ICON/MAPI and Pfizer











Translation courtesy of Pfizer and Company Translations, Inc






 ¶ – See be aware under

Courtesy of Dr. Yael Leshem, Dr. Efrat Solomon-Cohen and Dr. Adam Dalal








Courtesy of Adelphi Actual World.


 ¶ – See be aware under

Courtesy of Dr Yukihiro Ohya, Dr. Shoji Mihara and Dr. Afsane Riazi and Dr Jonathan Batchelor




¶ – See be aware under

Courtesy of Dr How Kang Nien, 
Nor Ameliaa Binti Azlan Tan, Nur Farhana Fazureen Binti Zulkefli,   Megalashini A/P Okay. Selvanathan, Puteri Nur Dayana Binti, Universiti Putra Malaysia




¶ – See be aware under

Courtesy of Eva Maria Rehbinder (MD), Usha Hartgill (MD), Karianne Wiger Gammelsrud (MD PhD)  and Teresa Løvold Berents (MD PhD), Oslo College Hospital








¶ – See be aware under

Courtesy of

Dr. Daniel Munblit, Dr. Anastasia Kolotilina, Ms. Daria Koroleva and Emporium Linguae


¶ – See be aware under

Courtesy of

Dr. Daniel Munblit, Dr. Anastasia Kolotilina, Ms. Daria Koroleva and Emporium Linguae


¶ – See be aware under

Courtesy of

Dr. Daniel Munblit, Dr. Anastasia Kolotilina, Ms. Daria Koroleva and Emporium Linguae




 * – See be aware under

Courtesy of Dr Ignacio Garcia Doval and Professor Marcos Serrano-Dueñas.



Courtesy of Company Translations, Inc


Translation courtesy of Pfizer and Company Translations, Inc





* signifies the interpretation has been created by a analysis group. We’ve got had these translations checked for accuracy by a dermatologist fluent in English and the language of the interpretation, nevertheless, we can not vouch for the methodology authentic used to create these translations (nor present any certification).

¶ indicate that the interpretation group has adopted our really helpful steps for translating POEM absolutely. The again translations have been checked for accuracy by the CEBD group and signed off as accomplished.

Incessantly Requested Questions (click on on query to disclose reply)

Who owns the copyright of POEM?

POEM is copyright of the College of Nottingham.


What permissions do I would like to make use of POEM in my clinic/observational research/medical trial?

We’re delighted that you just wish to use the POEM scale.  

You do not want a license to make use of the dimensions as it’s free to make use of and brazenly out there. We might nevertheless ask that you just  send us an email to tell us how you intend to make use of it.


How is scoring finished?

Every of the seven questions carries equal weight and the responses are scored from 0 to 4 as detailed under: 

  • 0 = no days
  • 1 = 1-2 days
  • 2 = 3-4 days
  • 3 = 5-6 days
  • 4 = Every single day


What does a POEM rating imply?

To assist sufferers and clinicians to know their POEM scores, the next bandings have been established (see reference part under): 

  • Clear or nearly clear = 0 to 2;
  • Delicate eczema = 3 to 7;
  • Average eczema = 8 to 16;
  • Extreme eczema = 17 to 24;
  • Very extreme = 25 to twenty-eight


What occurs when there are lacking knowledge and unclear responses?

The POEM scale is often very effectively accomplished, nevertheless, often sufferers might fail to finish all seven questions. If lacking gadgets happen the next guidelines ought to be adopted:

  • If one query is left unanswered that is scored 0 and the scores are summed and expressed as traditional out of a most of 28
  • If multiple query is left unanswered the questionnaire shouldn’t be scored
  • If two or extra response choices are chosen for a single query, the response choice with the very best rating ought to be recorded


Can I alter the wording or presentation of POEM?

Alterations to the format/presentation (e.g. addition of trial logos) is permitted, nevertheless we don’t advise making any modifications to the wording of the POEM scale as that is prone to change its validity.


Do I would like a license to breed POEM inside one other publication, reminiscent of a textual content guide?

You’ll be able to produce media, reminiscent of textual content books, containing copies of POEM so long as the wording stays unchanged and the copyright discover is unbroken.


Can I create an digital / on-line model of POEM?

Digital variations of POEM are permitted, nevertheless, please be aware the next:

Our advice can be that you don’t use obligatory knowledge entry fields for the person questions on the POEM. That is to make sure the model you create stays as comparable as attainable to the paper model of POEM – thus permitting comparability of outcomes from totally different trials.

Moreover, all validation work has been performed utilizing paper or on-line variations of the POEM scale that embody the wording as specified* and which have allowed lacking values to entered.  Altering this to make all questions obligatory might change the psychometric properties of the dimensions.

*The one modifications which can have to be made in changing POEM into an digital format relate to the directions for completion. For instance, the enter technique on the paper type states “please circle one response” – it could be acceptable to alter this to “please faucet” or “choose.”


Do you’ve any (extra) translations?

We’ve got a restricted variety of translations, and those which we’ve got entry to can be found totally free on the obtain part of this webpage.

Sooner or later we hope to supply translations for languages not but listed. Different organisations (e.g. PROQOLID) might have further translations of POEM out there for buy.


I work for/on behalf of a organisation which requires POEM to be translated into one other language. What permissions are wanted?

You do not want a license to translate POEM into one other language.

We’re eager to make translated variations of the dimensions out there to others within the eczema analysis neighborhood, so we might recognize it if those that create translations would ship us a duplicate to us, and permit us to share it on this webpage (we’ll acknowledge your contribution). Please additionally ship the certificates of translation (as this incorporates particulars of how the interpretation was produced).


Is that this translation of POEM appropriate for a distinct inhabitants? / Is the English model appropriate for all English talking nations?

We can not touch upon the suitability of a translation for a specific inhabitants. Ultimately we hope to run some cross-cultural validation research as a part of the Harmonising Consequence Measures for Eczema ( HOME) initiative. 


Authentic publications

The Patient-Oriented Eczema Measure: development and initial validation of a new tool for measuring atopic eczema severity from the patients’ perspective. Charman C, Venn A, Williams HC. Arch Dermatol. 2004;140:1513-1519 

Translating Patient-Oriented Eczema Measure (POEM) scores into clinical practice by suggesting severity strata derived using anchor-based methods. Charman CR, Venn AJ, Ravenscroft JC, Williams HC. Br J Dermatol. 2013; 169(6): 1326–1332.

Standing as a Core Consequence instrument

POEM a core instrument to measure symptoms in clinical trials: a HOME statement.Spuls PI, Gerbens LA, Simpson E, Apfelbacher CJ, Chalmers JR, Thomas KS, Prinsen CA, von Kobyletzki LB, Singh JA, Williams HC, Schmitt J; HOME initiative collaborators .Br J Dermatol. 2016.

Standardized Reporting of the Eczema Area and Severity Index (EASI) and the Patient-Oriented Eczema Measure (POEM): A Recommendation by the Harmonising Outcome Measures for Eczema (HOME) Initiative.
E. Grinich, J. Schmitt, D. Küster, P.I. Spuls, H.C. Williams, J.R. Chalmers, Okay.S. Thomas, C. Apfelbacher, C.A.C. Prinsen, M. Furue, B. Stuart, B. Carter and E. Simpson. Br J Dermatol. 2018 Might 10. doi: 10.1111/bjd.16732.

Minimally vital change

The Patient-Oriented Eczema Measure in young children: responsiveness and minimal clinically important difference.  Gaunt DM, Metcalfe C, Ridd M. Allergy 2016

EASI, (objective) SCORAD and POEM for atopic eczema: responsiveness and minimal clinically important difference. Schram ME, Spuls PI, Leeflang MM, Lindeboom R, Bos JD, Schmitt J. Allergy 2012 Jan; 67(1):99-106.

How should minimally important change (MIC) scores for the Patient Oriented Eczema Measure (POEM) be interpreted? A validation utilizing various strategies.Howells L, Ratib S, Chalmers JR, Bradshaw L, Thomas KS; CLOTHES trial group. Br J Dermatol. 2018.


© The College of Nottingham. The Affected person Oriented Eczema Measure (POEM) scale is free to make use of. Permission is granted to breed and/or redistribute this materials in its entirety with out modification. Any use which falls exterior this remit requires the specific consent of the copyright proprietor.



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