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Current controversies in trichology: a European expert consensus statement
T Meyer-Gonzalez1, D Bacqueville2, R Grimalt3
1Trichology Unit, Dermatology Service Hospital Dr. Gálvez, Malaga, Spain.
Summary
Dermatologists reached consensus on new recommendations for managing hair loss and other hair disorders. These guidelines cover advances in alopecia, trichoscopy, and hair dermocosmetics, aiming to improve patient care.
Area of Science:
- Dermatology
- Trichology
Background:
- Hair disorders are common dermatological conditions presenting significant clinical challenges.
- Despite advancements in diagnostics and therapeutics, patient management remains complex.
Purpose of the Study:
- To gather expert consensus on recent advances in alopecia, trichoscopy, and hair dermocosmetics.
- To establish evidence-based recommendations for clinical practice.
Main Methods:
- A modified two-round Delphi procedure involving 45 European trichology experts.
- Evidence review of trichology literature from the past five years.
- Consensus defined as >80% agreement on a 4-point Likert scale.
Main Results:
- Initial consensus reached on 75% of recommendations in the first round.
- All twenty recommendations achieved consensus after reformulation and a second voting round.
- The Delphi procedure successfully unified expert opinion on emerging trichology topics.
Conclusions:
- Consensus was achieved on all recommendations, providing valuable guidance for dermatologists.
- Further clinical studies are necessary to validate emerging tools and treatments.
- The findings aim to enhance the quality of life for patients with hair disorders.
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