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oai:repisalud.isciii.es:20.500.12105/236162024-10-09T06:33:45Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967

00925njm 22002777a 4500 dc Pereyra-Rodriguez, Jose J author Baldrich, Esther S author Ruiz-Villaverde, Ricardo author Torres, Eulalia B author De la C Dobao, Pablo author Nart, Ignasi F author Menéndez, Ángeles F author Martín-Santiago, Ana author Miquel, Javier M author Silvestre, Juan F author Armario-Hita, Jose C author 2023-11-20 Despite emerging evidence and advances in the management of atopic dermatitis there a lack of consensus regarding the diagnostic criteria, therapeutic approach, method to assess severity, and patient follow-up for this condition. An expert consensus study was conducted to provide recommendations on the management of patients with moderate-to-severe atopic dermatitis. The study used Delphi-like methodology based on a literature review, a summary of the scientific evidence, and a 2-round survey. The agreement of 60 panellists on 21 statements was evaluated. Consensus was pre-defined as ≥ 80% agreement of all respondents. In the first round 6 statements reached consensus. Unanimous consensus was achieved regarding therapeutic goals and patient satisfaction (maintained in the long term and periodic goals reassessment recommended every 3-6 months). In the second round, half of the statements reached consensus, all related to patient follow-up, treatment goals, and atopic comorbidities. The statements that did not reach consensus were related to diagnosis (biomarkers, allergy, and food testing) and starting patients on conventional systemic treatment rather than advanced treatment. The study assessed expert opinion regarding a variety of topics related to the clinical approach to patients with moderate-to-severe atopic dermatitis, in order to provide guidance on the diagnosis and management of patients with atopic dermatitis. Pereyra-Rodriguez JJ, Baldrich ES, Ruiz-Villaverde R, Torres EB, De la C. Dobao P, Nart IF, et al. Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi Consensus. Acta Derm Venereol. 2023 Nov 20;103:adv12314. 10.2340/actadv.v103.12314 1651-2057 Acta dermato-venereologica https://hdl.handle.net/20.500.13003/20009 37982727 2-s2.0-85177437687 https://hdl.handle.net/20.500.12105/23616 1089519900001 Clinical Approach to Patients with Moderate-to-Severe Atopic Dermatitis: A Spanish Delphi Consensus