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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
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Basic Therapeutic Approach for Patients with Plaque Psoriasis: Korean Expert Consensus Using the Modified Delphi
Seong Jin Jo1, Yoo Sang Baek2, Tae-Gyun Kim3
1Department of Dermatology, Seoul National University College of Medicine, Seoul, Korea.
Annals of Dermatology
|June 8, 2023
Summary
This study established expert consensus on treating plaque psoriasis in Korean patients. Key recommendations include prioritizing topical treatments and considering phototherapy before biologics for better outcomes.
Area of Science:
- Dermatology
- Clinical Consensus
- Psoriasis Treatment
Background:
- Lack of established treatment guidelines for psoriasis in Korean patients.
- Need for consensus on therapeutic principles for plaque psoriasis in this population.
Purpose of the Study:
- To establish a consensus on basic therapeutic principles for Korean patients with plaque psoriasis.
- To define treatment goals and strategies for psoriasis management in Korea.
Main Methods:
- Modified Delphi method involving a panel of dermatologists.
- Two rounds of scoring 53 and 41 statements on treatment approaches.
- Consensus defined as >70% agreement with scores ≥7.
Main Results:
- Strong agreement on complete skin clearance and improved quality of life as treatment goals.
- Consensus on using topical agents for all severities, phototherapy before biologics, conventional systemic agents for moderate-to-severe cases, and biologics for treatment-resistant psoriasis.
- Expert agreement on a structured therapeutic algorithm for Korean plaque psoriasis patients.
Conclusions:
- An expert consensus on the therapeutic approach for Korean plaque psoriasis patients was established.
- This consensus aims to enhance treatment outcomes for psoriasis in Korea.
- The findings provide a framework for managing plaque psoriasis in the Korean population.
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