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Clinical management of atopic dermatitis in adults : Mapping of expert opinion in 4 nordic countries using a modified delphi process

Thyssen, Jacob P. ; Berents, Teresa ; Bradley, Maria ; Deleuran, Mette ; Grimstad, Øystein ; Korhonen, Laura ; Langeland, Tor ; Särnhult, Tore ; Thomsen, Simon Francis and Thune, Turid , et al. (2020) In Acta Dermato-Venereologica 100(1).
Abstract

Similarities and differences in the everyday clinical management of moderate-to-severe atopic dermatitis in Nordic countries are unknown. Using a modified Delphi approach, 15 dermatologists from Denmark, Finland, Norway and Sweden completed face-to-face and online questionnaires and participated in summary discussions to map expert opinion on the clinical management of moderate-to-severe atopic dermatitis in these Nordic countries. Through discussions, 6 adult patient profiles, reflecting common disease presentations of atopic dermatitis, were identified. Using these case profiles, diagnostic work-up, treatment goals, patient education and treatment approaches were discussed. Patient education was identified as essential for effective... (More)

Similarities and differences in the everyday clinical management of moderate-to-severe atopic dermatitis in Nordic countries are unknown. Using a modified Delphi approach, 15 dermatologists from Denmark, Finland, Norway and Sweden completed face-to-face and online questionnaires and participated in summary discussions to map expert opinion on the clinical management of moderate-to-severe atopic dermatitis in these Nordic countries. Through discussions, 6 adult patient profiles, reflecting common disease presentations of atopic dermatitis, were identified. Using these case profiles, diagnostic work-up, treatment goals, patient education and treatment approaches were discussed. Patient education was identified as essential for effective management. A treatment sequence of moderate-to-potent topical glucocorticosteroids and emollients, followed by systemic treatment, was recommended, allowing 3 months to ascertain systemic treatment response before switching, if necessary. Consensus was not reached on systemic treatment choice, reflecting differences in clinical practice and reimbursement between countries. Practical, case-based clinical recommendations were developed for optimal patient care.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Atopic dermatitis, Guidelines, Management, Nordic, Treatment, Work-up
in
Acta Dermato-Venereologica
volume
100
issue
1
article number
adv00015
publisher
Medical Journals Limited
external identifiers
  • scopus:85077904938
  • pmid:31709450
ISSN
0001-5555
DOI
10.2340/00015555-3369
language
English
LU publication?
yes
id
f0e232e9-f46e-4734-ab73-8620cffa781f
date added to LUP
2020-06-08 16:35:04
date last changed
2024-06-13 17:27:55
@article{f0e232e9-f46e-4734-ab73-8620cffa781f,
  abstract     = {{<p>Similarities and differences in the everyday clinical management of moderate-to-severe atopic dermatitis in Nordic countries are unknown. Using a modified Delphi approach, 15 dermatologists from Denmark, Finland, Norway and Sweden completed face-to-face and online questionnaires and participated in summary discussions to map expert opinion on the clinical management of moderate-to-severe atopic dermatitis in these Nordic countries. Through discussions, 6 adult patient profiles, reflecting common disease presentations of atopic dermatitis, were identified. Using these case profiles, diagnostic work-up, treatment goals, patient education and treatment approaches were discussed. Patient education was identified as essential for effective management. A treatment sequence of moderate-to-potent topical glucocorticosteroids and emollients, followed by systemic treatment, was recommended, allowing 3 months to ascertain systemic treatment response before switching, if necessary. Consensus was not reached on systemic treatment choice, reflecting differences in clinical practice and reimbursement between countries. Practical, case-based clinical recommendations were developed for optimal patient care.</p>}},
  author       = {{Thyssen, Jacob P. and Berents, Teresa and Bradley, Maria and Deleuran, Mette and Grimstad, Øystein and Korhonen, Laura and Langeland, Tor and Särnhult, Tore and Thomsen, Simon Francis and Thune, Turid and Wahlgren, Carl Fredrik and Vestergaard, Christian and von Kobyletzki, Laura B. and Remitz, Anita}},
  issn         = {{0001-5555}},
  keywords     = {{Atopic dermatitis; Guidelines; Management; Nordic; Treatment; Work-up}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Medical Journals Limited}},
  series       = {{Acta Dermato-Venereologica}},
  title        = {{Clinical management of atopic dermatitis in adults : Mapping of expert opinion in 4 nordic countries using a modified delphi process}},
  url          = {{http://dx.doi.org/10.2340/00015555-3369}},
  doi          = {{10.2340/00015555-3369}},
  volume       = {{100}},
  year         = {{2020}},
}