临床方法对中度至严重的无皮炎患者:西班牙德尔菲共识
Jose J Pereyra-Rodriguez1, Esther S Baldrich2, Ricardo Ruiz-Villaverde3
1Department of Dermatology, School of Medicine, University of Seville, Sevilla, Spain.
专家共识为管理中度至重度亚托皮性皮炎提供了指导,强调长期治疗目标和患者满意度. 建议涵盖随访和并发症,尽管诊断和治疗的开始仍然是需要进一步研究的领域.
科学领域:
- 皮肤病学 皮肤病学
- 临床免疫学临床免疫学
- 基于证据的医学基于证据的医学.
背景情况:
- 亚托皮炎 (湿疹) 管理缺乏标准化的诊断和治疗共识.
- 专家意见对于在中度至重度病例中指导临床实践至关重要.
研究的目的:
- 建立专家共识,对中度至重度的亚托皮性皮肤炎的诊断和管理.
- 为患者的随访,治疗目标和治疗方法提供建议.
主要方法:
- 类似Delphi的方法包括文献综述和两轮专家调查.
- 60名小组成员评估了21个关于亚托皮性皮肤炎管理的陈述.
- 共识定义为受访者之间≥80%的共识.
主要成果:
- 在长期治疗目标和患者满意度方面达成共识,建议每3-6个月重新评估一次.
- 在患者随访策略和管理亚托皮伴随性疾病方面达成了协议.
- 在诊断标准 (生物标志物,过敏/食物测试) 和启动常规与先进的全身治疗方面仍然存在分歧.
结论:
- 专家的共识为阿托皮性皮炎的管理提供了宝贵的指导,特别是治疗目标和随访.
- 需要进一步研究和达成共识的领域包括诊断生物标志物和全身疗法的最佳测序.
- 需要标准化的方法来改善中度至重度亚托皮性皮肤炎患者的临床护理.
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