人类表皮生长因子受体抑制剂相关的型皮疹的管理:基于第一个欧洲/美国德尔菲共识进程的立场论文
Z Apalla1, A Freites-Martinez2, K Grafanaki3
1Second Dermatology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.
概括
制定了统一的指导方针,用于管理由表皮生长因子受体抑制剂 (EGFRi) 引起的状皮疹. 专家建议在严重的皮疹中使用异丁氨酸,预防使用多西环素,同时建议不要使用局部抗生素.
科学领域:
- 皮肤瘤学 皮肤瘤学
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
背景情况:
- 形皮疹是表皮生长因子受体抑制剂 (EGFRi) 的常见副作用.
- 缺乏统一的国际指导使EGFRi诱导的形皮疹的管理变得复杂.
- 皮肤科医生需要对这种不良事件进行标准化的协议.
研究的目的:
- 制定国际共识的指导方针,用于管理EGFR抑制剂诱导的形皮疹.
- 建立关于诊断和治疗策略的专家协议.
- 为瘤科医生和皮肤科医生提供统一的指导.
主要方法:
- 德尔菲共识方法涉及全球32名皮肤瘤学专家.
- 匿名调查 84 个关于诊断和治疗的陈述.
- 两轮调查的共识定义为≥75%的同意.
主要成果:
- 在75/84声明中达成强大的共识 (89.3%).
- 关键建议包括低剂量异丁氨酸用于耐火性皮疹和多西环林预防.
- 局部抗生素不建议用于预防或治疗.
结论:
- 这一共识为管理EGFRi诱导的形皮疹提供了必要的见解.
- 在接受EGFRi治疗的瘤患者中,预计患者护理将得到改善.
- 这些指导方针适用于不同临床环境和不同大陆.
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