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, Baldrich, Esther S, Ruiz-Villaverde, Ricardo, Torres, Eulalia B, De la C Dobao, Pablo, Nart, Ignasi F, Menéndez, Ángeles F, Martín-Santiago, Ana, Miquel, Javier M, Silvestre, Juan F, Armario-Hita, Jose C
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/23616
Acceso en línea:https://hdl.handle.net/20.500.12105/23616
Access Level:acceso abierto
Palabra clave:Consenso
Hipersensibilidad
Dermatitis Atópica
Humanos
Técnica Delfos
Administración Cutánea
Administration, Cutaneous
Dermatitis, Atopic
Hypersensitivity
Humans
Delphi Technique
Consensus
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spelling Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi ConsensusPereyra-Rodriguez, Jose JBaldrich, Esther SRuiz-Villaverde, RicardoTorres, Eulalia BDe la C Dobao, PabloNart, Ignasi FMenéndez, Ángeles FMartín-Santiago, AnaMiquel, Javier MSilvestre, Juan FArmario-Hita, Jose CConsensoHipersensibilidadDermatitis AtópicaHumanosTécnica DelfosAdministración CutáneaAdministration, CutaneousDermatitis, AtopicHypersensitivityHumansDelphi TechniqueConsensusDespite 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 pre-defined 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 AB20242024-10-0920232023-11-2020232023-11-20research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articlehttps://hdl.handle.net/20.500.12105/23616reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/236162026-06-12T12:43:37Z
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
Consenso
Hipersensibilidad
Dermatitis Atópica
Humanos
Técnica Delfos
Administración Cutánea
Administration, Cutaneous
Dermatitis, Atopic
Hypersensitivity
Humans
Delphi Technique
Consensus
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
Baldrich, Esther S
Ruiz-Villaverde, Ricardo
Torres, Eulalia B
De la C Dobao, Pablo
Nart, Ignasi F
Menéndez, Ángeles F
Martín-Santiago, Ana
Miquel, Javier M
Silvestre, Juan F
Armario-Hita, Jose C
author Pereyra-Rodriguez, Jose J
author_facet Pereyra-Rodriguez, Jose J
Baldrich, Esther S
Ruiz-Villaverde, Ricardo
Torres, Eulalia B
De la C Dobao, Pablo
Nart, Ignasi F
Menéndez, Ángeles F
Martín-Santiago, Ana
Miquel, Javier M
Silvestre, Juan F
Armario-Hita, Jose C
author_role author
author2 Baldrich, Esther S
Ruiz-Villaverde, Ricardo
Torres, Eulalia B
De la C Dobao, Pablo
Nart, Ignasi F
Menéndez, Ángeles F
Martín-Santiago, Ana
Miquel, Javier M
Silvestre, Juan F
Armario-Hita, Jose C
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Consenso
Hipersensibilidad
Dermatitis Atópica
Humanos
Técnica Delfos
Administración Cutánea
Administration, Cutaneous
Dermatitis, Atopic
Hypersensitivity
Humans
Delphi Technique
Consensus
topic Consenso
Hipersensibilidad
Dermatitis Atópica
Humanos
Técnica Delfos
Administración Cutánea
Administration, Cutaneous
Dermatitis, Atopic
Hypersensitivity
Humans
Delphi Technique
Consensus
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 pre-defined 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
2023-11-20
2023
2023-11-20
2024
2024-10-09
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.12105/23616
url https://hdl.handle.net/20.500.12105/23616
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
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 reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869409929619570688
score 15,81155

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