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Author Spotlight: Unlocking the Mysteries of Oral Potential Malignancies
Published on: August 11, 2023
Statement from the frontal fibrosing alopecia international expert alliance: SOFFIA 2024
Nekma Meah1,2, Jane Li3,4,5, Dmitri Wall6,7,8
1Mersey and West Lancashire Teaching Hospitals NHS Trust, St Helens, UK.
Background:
As the incidence of frontal fibrosing alopecia (FFA) continues to rise, there is a need for an optimal treatment algorithm for FFA.
Objectives:
To produce an international consensus statement on the treatment modalities and prognostic indicators of FFA.
Methods:
Sixty-nine hair experts from six continents were invited to participate in a three-round Delphi process. The final stage was held as a virtual meeting facilitated via Zoom. The consensus threshold was set at ≥66%.
Results:
Of 365 questions, expert consensus was achieved in 204 (56%) questions following completion of the three rounds. Three additional questions were included at the final meeting. The category with the strongest consensus agreement was disease monitoring (9; 100%). Questions pertaining to physical therapies achieved the least category consensus (15; 40%), followed by systemic therapy (45; 43%).
Limitations:
The study lacked sufficient representation from Africa and South America.
Conclusions:
SOFFIA highlights areas of agreement and disagreement among experts. Robust research is warranted to provide evidence-based treatment recommendations.
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