在住院治疗的Hidradenitis Suppurativa: 一个德尔菲共识研究研究
McKenzie Needham1, Rita Pichardo1, Afsaneh Alavi1
1McKenzie Needham and Drs. Pichardo and Strowd are from the Wake Forest University School of Medicine, Winston-Salem, North Carolina. Drs. Pichardo and Strowd also are from the Department of Dermatology, Atrium Health Wake Forest Baptist, Winston-Salem. Dr. Alavi is from the Department of Dermatology, Mayo Clinic, Rochester, Minnesota. Drs. Chang and Fox are from the Department of Dermatology, School of Medicine, University of California San Francisco. Dr. Daveluy is from the School of Medicine, Wayne State University, Detroit, Michigan. Dr. DeNiro is from the Division of Dermatology, Department of Medicine, University of Washington, Seattle. Dr. Dewan is from Vanderbilt University Medical Center, Nashville, Tennessee. Drs. Eshaq and Manusco are from the Department of Dermatology, University of Michigan Medical School, Ann Arbor. Dr. Hsiao is from the Department of Dermatology, University of Southern California, Los Angeles. Dr. Kaffenberger is from the Department of Dermatology, Ohio State University, Columbus. Dr. Kirby is from the Department of Dermatology, Penn State Milton S. Hershey Medical Center, Pennsylvania, and Incyte Corporation, Wilmington, Delaware. Drs. Kroshinsky, Mostaghimi, and Porter are from the Department of Dermatology, Harvard Medical School, Boston, Massachusetts. Drs. Kroshinsky and Mostaghimi also are from the Department of Dermatology, Brigham & Women's Hospital, Boston. Dr. Porter also is from the Department of Dermatology, Beth Israel Deaconess Medical Center, Boston. Dr. Ortega-Loayza is from the Department of Dermatology, Oregon Health & Science University, Portland. Dr. Micheletti is from the Departments of Dermatology and Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia. Dr. Nelson is from the Department of Dermatology, Yale School of Medicine, New Haven, Connecticut. Dr. Pasieka is from the Department of Dermatology and Medicine, Uniformed Services University, Bethesda, Maryland. Dr. Resnik is from the Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Florida. Dr. Sayed is from the Department of Dermatology, University of North Carolina at Chapel Hill. Dr. Shi is from the Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock. Dr. Shields is from the Department of Dermatology, University of Wisconsin, Madison.
住院住院患者因腹炎 (HS) 的病例正在上升. 这项研究制定了40个共识建议,以指导医疗保健提供者在住院护理期间管理严重的HS爆发.
科学领域:
- 皮肤病学 皮肤病学
- 住院护理管理 住院护理管理
- 临床实践指南 临床实践指南
背景情况:
- 随着腹炎 (HS) 住院病例的增加,需要改进住院治疗策略.
- 住院医疗保健提供者可能缺乏针对严重的HS及其爆发的专业知识.
- 建立共识建议对于优化HS患者整体住院护理至关重要.
研究的目的:
- 制定基于共识的建议,以全面的住院护理的患者与 hidradenitis suppurativa (HS).
- 为医疗专业人员管理HS住院患者提供一个有价值的资源.
主要方法:
- 一个德尔菲的共识过程涉及26名皮肤科医生进行了两轮.
- 参与者使用9分级来根据当前的HS和严重皮肤病指南对50个提案陈述进行评分.
- 使用RAND/UCLA适当性方法来确定共识.
主要成果:
- 为住院患者的HS护理产生了40个共识建议.
- 26名皮肤科医生参加了第一轮,24名完成了第二轮.
结论:
- 这40个共识性建议为基于证据的住院治疗supurativa hidradenitis提供了一个框架.
- 这些指导方针旨在提高住院的HS患者的护理质量.
- 这些建议对那些不熟悉在住院环境中管理严重的HS的临床医生来说是一个重要的资源.
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