Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi Consensus

Despite emerging evidence and advances in the management of atopic dermatitis there a lack of consensus regarding the diagnostic criteria, therapeutic approach, method to assess severity, and patient follow-up for this condition. An expert consensus study was conducted to provide recommendations on...

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Autores: Pereyra Rodriguez, Jose J., Serra Baldrich, Esther, Ruiz Villaverde, Ricardo, Baselga Torres, Eulalia, Cueva Dobao, Pablo de la, Figueras Nart, Ignasi, Flórez, Ángeles, Martín Santiago, Ana, Miquel Miquel, Javier, Silvestre, Juan Francisco, Armario Hita, José C.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/206247
Acceso en línea:https://hdl.handle.net/2445/206247
Access Level:acceso abierto
Palabra clave:Dermatitis atòpica
Espanya
Atopic dermatitis
Spain
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spelling Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi ConsensusPereyra Rodriguez, Jose J.Serra Baldrich, EstherRuiz Villaverde, RicardoBaselga Torres, EulaliaCueva Dobao, Pablo de laFigueras Nart, IgnasiFlórez, ÁngelesMartín Santiago, AnaMiquel Miquel, JavierSilvestre, Juan FranciscoArmario Hita, José C.Dermatitis atòpicaEspanyaAtopic dermatitisSpainDespite emerging evidence and advances in the management of atopic dermatitis there a lack of consensus regarding the diagnostic criteria, therapeutic approach, method to assess severity, and patient follow-up for this condition. An expert consensus study was conducted to provide recommendations on the management of patients with moderate-to-severe atopic dermatitis. The study used Delphi-like methodology based on a literature review, a summary of the scientific evidence, and a 2-round survey. The agreement of 60 panellists on 21 statements was evaluated. Consensus was predefined as >= 80% agreement of all respondents. In the first round 6 statements reached consensus. Unanimous consensus was achieved regarding therapeutic goals and patient satisfaction (maintained in the long term and periodic goals reassessment recommended every 3-6 months). In the second round, half of the statements reached consensus, all related to patient follow-up, treatment goals, and atopic comorbidities. The statements that did not reach consensus were related to diagnosis (biomarkers, allergy, and food testing) and starting patients on conventional systemic treatment rather than advanced treatment. The study assessed expert opinion regarding a variety of topics related to the clinical approach to patients with moderate-to-severe atopic dermatitis, in order to provide guidance on the diagnosis and management of patients with atopic dermatitis.Medical Journals Sweden AB2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/206247Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.2340/actadv.v103.12314Acta Dermato-Venereologica, 2023, vol. 103https://doi.org/10.2340/actadv.v103.12314cc by-nc (c) Pereyra Rodriguez, Jose J. et al., 2023http://creativecommons.org/licenses/by-nc/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2062472026-05-27T06:46:51Z
dc.title.none.fl_str_mv Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi Consensus
title Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi Consensus
spellingShingle Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi Consensus
Pereyra Rodriguez, Jose J.
Dermatitis atòpica
Espanya
Atopic dermatitis
Spain
title_short Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi Consensus
title_full Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi Consensus
title_fullStr Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi Consensus
title_full_unstemmed Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi Consensus
title_sort Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi Consensus
dc.creator.none.fl_str_mv Pereyra Rodriguez, Jose J.
Serra Baldrich, Esther
Ruiz Villaverde, Ricardo
Baselga Torres, Eulalia
Cueva Dobao, Pablo de la
Figueras Nart, Ignasi
Flórez, Ángeles
Martín Santiago, Ana
Miquel Miquel, Javier
Silvestre, Juan Francisco
Armario Hita, José C.
author Pereyra Rodriguez, Jose J.
author_facet Pereyra Rodriguez, Jose J.
Serra Baldrich, Esther
Ruiz Villaverde, Ricardo
Baselga Torres, Eulalia
Cueva Dobao, Pablo de la
Figueras Nart, Ignasi
Flórez, Ángeles
Martín Santiago, Ana
Miquel Miquel, Javier
Silvestre, Juan Francisco
Armario Hita, José C.
author_role author
author2 Serra Baldrich, Esther
Ruiz Villaverde, Ricardo
Baselga Torres, Eulalia
Cueva Dobao, Pablo de la
Figueras Nart, Ignasi
Flórez, Ángeles
Martín Santiago, Ana
Miquel Miquel, Javier
Silvestre, Juan Francisco
Armario Hita, José C.
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Dermatitis atòpica
Espanya
Atopic dermatitis
Spain
topic Dermatitis atòpica
Espanya
Atopic dermatitis
Spain
description Despite emerging evidence and advances in the management of atopic dermatitis there a lack of consensus regarding the diagnostic criteria, therapeutic approach, method to assess severity, and patient follow-up for this condition. An expert consensus study was conducted to provide recommendations on the management of patients with moderate-to-severe atopic dermatitis. The study used Delphi-like methodology based on a literature review, a summary of the scientific evidence, and a 2-round survey. The agreement of 60 panellists on 21 statements was evaluated. Consensus was predefined as >= 80% agreement of all respondents. In the first round 6 statements reached consensus. Unanimous consensus was achieved regarding therapeutic goals and patient satisfaction (maintained in the long term and periodic goals reassessment recommended every 3-6 months). In the second round, half of the statements reached consensus, all related to patient follow-up, treatment goals, and atopic comorbidities. The statements that did not reach consensus were related to diagnosis (biomarkers, allergy, and food testing) and starting patients on conventional systemic treatment rather than advanced treatment. The study assessed expert opinion regarding a variety of topics related to the clinical approach to patients with moderate-to-severe atopic dermatitis, in order to provide guidance on the diagnosis and management of patients with atopic dermatitis.
publishDate 2023
dc.date.none.fl_str_mv 2023
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://hdl.handle.net/2445/206247
url https://hdl.handle.net/2445/206247
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.2340/actadv.v103.12314
Acta Dermato-Venereologica, 2023, vol. 103
https://doi.org/10.2340/actadv.v103.12314
dc.rights.none.fl_str_mv cc by-nc (c) Pereyra Rodriguez, Jose J. et al., 2023
http://creativecommons.org/licenses/by-nc/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc (c) Pereyra Rodriguez, Jose J. et al., 2023
http://creativecommons.org/licenses/by-nc/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Medical Journals Sweden AB
publisher.none.fl_str_mv Medical Journals Sweden AB
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300719

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