Management of Psoriasis During Preconception, Pregnancy, Postpartum, and Breastfeeding: A Consensus Statement.

OBJECTIVE: To develop evidence- and experience-based recommendations for the management of psoriasis during preconception, pregnancy, postpartum, and breastfeeding. METHODS: The nominal group technique and the Delphi method were used. Fifteen experts (12 dermatologists, 2 of whom were appointed coor...

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Autores: Belinchón I, Velasco M, Ara-Martín M, Armesto Alonso S, Baniandrés Rodríguez O, Ferrándiz Pulido L, García-Bustinduy M, Martínez-López JA, Martínez Sánchez N, Pérez Ferriols A, Pérez Pascual E, Rivera Díaz R, Ruiz-Villaverde R, Taberner Ferrer R, Vicente Villa A, Carrascosa JM
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Recursos:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p6840
Acesso em linha:https://isabial.portalinvestigacion.com/publicaciones6840
Access Level:acceso abierto
Palavra-chave:Breastfeeding
Delphi process
Embarazo
Fertilidad
Fertility
Lactancia
Método Delphi
Posparto
Postpartum
Pregnancy
Psoriasis
Recomendaciones
Recommendations
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spelling Management of Psoriasis During Preconception, Pregnancy, Postpartum, and Breastfeeding: A Consensus Statement.Belinchón IVelasco MAra-Martín MArmesto Alonso SBaniandrés Rodríguez OFerrándiz Pulido LGarcía-Bustinduy MMartínez-López JAMartínez Sánchez NPérez Ferriols APérez Pascual ERivera Díaz RRuiz-Villaverde RTaberner Ferrer RVicente Villa ACarrascosa JMBreastfeedingDelphi processEmbarazoFertilidadFertilityLactanciaMétodo DelphiPospartoPostpartumPregnancyPsoriasisRecomendacionesRecommendationsOBJECTIVE: To develop evidence- and experience-based recommendations for the management of psoriasis during preconception, pregnancy, postpartum, and breastfeeding. METHODS: The nominal group technique and the Delphi method were used. Fifteen experts (12 dermatologists, 2 of whom were appointed coordinators; 1 rheumatologist; and 2 gynecologists) were selected to form an expert panel. Following a systematic review of the literature on fertility, pregnancy, postpartum, and breastfeeding in women with psoriasis, the coordinators drew up a series of preliminary recommendations for discussion by the panel at a nominal group meeting. The experts defined the scope, sections, and intended users of the statement and prepared a final list of recommendations. Consensus was obtained using a Delphi process in which an additional 51 dermatologists rated their level of agreement with each recommendation on a scale of 1 (total disagreement) to 10 (total agreement). Consensus was defined by a score of 7 or higher assigned by at least 70% of participants. Level of evidence and strength of recommendation were reported using the Oxford Center for Evidence-Based Medicine categories. The final statement was approved by the expert panel. RESULTS: The resulting consensus statement includes 23 recommendations on preconception (fertility and contraception), pregnancy (planning, pharmacological management, and follow-up), and breastfeeding (management and follow-up). Consensus was achieved for all recommendations generated except one. CONCLUSIONS: These recommendations for the better management of psoriasis in women of childbearing age could improve outcomes and prognosis.ELSEVIER ESPANA2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones6840Actas Dermo-SifiliograficasISSN: 00017310ISSNe: 15782190reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Españolinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p68402026-06-12T10:20:37Z
dc.title.none.fl_str_mv Management of Psoriasis During Preconception, Pregnancy, Postpartum, and Breastfeeding: A Consensus Statement.
title Management of Psoriasis During Preconception, Pregnancy, Postpartum, and Breastfeeding: A Consensus Statement.
spellingShingle Management of Psoriasis During Preconception, Pregnancy, Postpartum, and Breastfeeding: A Consensus Statement.
Belinchón I
Breastfeeding
Delphi process
Embarazo
Fertilidad
Fertility
Lactancia
Método Delphi
Posparto
Postpartum
Pregnancy
Psoriasis
Recomendaciones
Recommendations
title_short Management of Psoriasis During Preconception, Pregnancy, Postpartum, and Breastfeeding: A Consensus Statement.
title_full Management of Psoriasis During Preconception, Pregnancy, Postpartum, and Breastfeeding: A Consensus Statement.
title_fullStr Management of Psoriasis During Preconception, Pregnancy, Postpartum, and Breastfeeding: A Consensus Statement.
title_full_unstemmed Management of Psoriasis During Preconception, Pregnancy, Postpartum, and Breastfeeding: A Consensus Statement.
title_sort Management of Psoriasis During Preconception, Pregnancy, Postpartum, and Breastfeeding: A Consensus Statement.
dc.creator.none.fl_str_mv Belinchón I
Velasco M
Ara-Martín M
Armesto Alonso S
Baniandrés Rodríguez O
Ferrándiz Pulido L
García-Bustinduy M
Martínez-López JA
Martínez Sánchez N
Pérez Ferriols A
Pérez Pascual E
Rivera Díaz R
Ruiz-Villaverde R
Taberner Ferrer R
Vicente Villa A
Carrascosa JM
author Belinchón I
author_facet Belinchón I
Velasco M
Ara-Martín M
Armesto Alonso S
Baniandrés Rodríguez O
Ferrándiz Pulido L
García-Bustinduy M
Martínez-López JA
Martínez Sánchez N
Pérez Ferriols A
Pérez Pascual E
Rivera Díaz R
Ruiz-Villaverde R
Taberner Ferrer R
Vicente Villa A
Carrascosa JM
author_role author
author2 Velasco M
Ara-Martín M
Armesto Alonso S
Baniandrés Rodríguez O
Ferrándiz Pulido L
García-Bustinduy M
Martínez-López JA
Martínez Sánchez N
Pérez Ferriols A
Pérez Pascual E
Rivera Díaz R
Ruiz-Villaverde R
Taberner Ferrer R
Vicente Villa A
Carrascosa JM
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Breastfeeding
Delphi process
Embarazo
Fertilidad
Fertility
Lactancia
Método Delphi
Posparto
Postpartum
Pregnancy
Psoriasis
Recomendaciones
Recommendations
topic Breastfeeding
Delphi process
Embarazo
Fertilidad
Fertility
Lactancia
Método Delphi
Posparto
Postpartum
Pregnancy
Psoriasis
Recomendaciones
Recommendations
description OBJECTIVE: To develop evidence- and experience-based recommendations for the management of psoriasis during preconception, pregnancy, postpartum, and breastfeeding. METHODS: The nominal group technique and the Delphi method were used. Fifteen experts (12 dermatologists, 2 of whom were appointed coordinators; 1 rheumatologist; and 2 gynecologists) were selected to form an expert panel. Following a systematic review of the literature on fertility, pregnancy, postpartum, and breastfeeding in women with psoriasis, the coordinators drew up a series of preliminary recommendations for discussion by the panel at a nominal group meeting. The experts defined the scope, sections, and intended users of the statement and prepared a final list of recommendations. Consensus was obtained using a Delphi process in which an additional 51 dermatologists rated their level of agreement with each recommendation on a scale of 1 (total disagreement) to 10 (total agreement). Consensus was defined by a score of 7 or higher assigned by at least 70% of participants. Level of evidence and strength of recommendation were reported using the Oxford Center for Evidence-Based Medicine categories. The final statement was approved by the expert panel. RESULTS: The resulting consensus statement includes 23 recommendations on preconception (fertility and contraception), pregnancy (planning, pharmacological management, and follow-up), and breastfeeding (management and follow-up). Consensus was achieved for all recommendations generated except one. CONCLUSIONS: These recommendations for the better management of psoriasis in women of childbearing age could improve outcomes and prognosis.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://isabial.portalinvestigacion.com/publicaciones6840
url https://isabial.portalinvestigacion.com/publicaciones6840
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER ESPANA
publisher.none.fl_str_mv ELSEVIER ESPANA
dc.source.none.fl_str_mv Actas Dermo-Sifiliograficas
ISSN: 00017310
ISSNe: 15782190
reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
instname_str Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
reponame_str r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
collection r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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