Clinical management of atopic dermatitis in adults : Mapping of expert opinion in 4 nordic countries using a modified delphi process
(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.
(Less)
- author
- organization
- publishing date
- 2020
- 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
-
- pmid:31709450
- scopus:85077904938
- 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
- 2024-09-04 22:49:11
@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}}, }