Clinical Management of Atopic Dermatitis in Adults: Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process
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...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2020-01-01
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| Series: | Acta Dermato-Venereologica |
| Subjects: | |
| Online Access: |
https://www.medicaljournals.se/jadv/content/html/10.2340/00015555-3369
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| _version_ | 1798019031174742016 |
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| author | Jacob P. Thyssen Teresa Berents Maria Bradley Mette Deleuran Øystein Grimstad Laura Korhonen Tor Langeland Tore Särnhult Simon Francis Thomsen Turid Thune Carl-Fredrik Wahlgren Christian Vestergaard Laura B. Kobyletzki Anita Remitz |
| author_facet | Jacob P. Thyssen Teresa Berents Maria Bradley Mette Deleuran Øystein Grimstad Laura Korhonen Tor Langeland Tore Särnhult Simon Francis Thomsen Turid Thune Carl-Fredrik Wahlgren Christian Vestergaard Laura B. Kobyletzki Anita Remitz |
| author_sort | Jacob P. Thyssen |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T16:34:06Z |
| format | Article |
| id | doaj.art-b031fb3b484f4cb7955f851ac60e2e79 |
| institution | Directory Open Access Journal |
| issn | 0001-5555 1651-2057 |
| language | English |
| last_indexed | 2024-04-11T16:34:06Z |
| publishDate | 2020-01-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Dermato-Venereologica |
| spelling | doaj.art-b031fb3b484f4cb7955f851ac60e2e792022-12-22T04:13:54ZengMedical Journals SwedenActa Dermato-Venereologica0001-55551651-20572020-01-011001adv0001510.2340/00015555-33695633Clinical Management of Atopic Dermatitis in Adults: Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi ProcessJacob P. Thyssen0Teresa BerentsMaria BradleyMette DeleuranØystein GrimstadLaura KorhonenTor LangelandTore SärnhultSimon Francis ThomsenTurid ThuneCarl-Fredrik WahlgrenChristian VestergaardLaura B. KobyletzkiAnita Remitz Department of Dermatology and Allergy, Herlev and Gentofte Hospital, University of Copenhagen, DK-2900 Hellerup, Denmark. jacob.pontoppidan.thyssen@regionh.dk. 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. https://www.medicaljournals.se/jadv/content/html/10.2340/00015555-3369 atopic dermatitis guidelines management nordic treatment work-up |
| spellingShingle | Jacob P. Thyssen Teresa Berents Maria Bradley Mette Deleuran Øystein Grimstad Laura Korhonen Tor Langeland Tore Särnhult Simon Francis Thomsen Turid Thune Carl-Fredrik Wahlgren Christian Vestergaard Laura B. Kobyletzki Anita Remitz Clinical Management of Atopic Dermatitis in Adults: Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process Acta Dermato-Venereologica atopic dermatitis guidelines management nordic treatment work-up |
| title | Clinical Management of Atopic Dermatitis in Adults: Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process |
| title_full | Clinical Management of Atopic Dermatitis in Adults: Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process |
| title_fullStr | Clinical Management of Atopic Dermatitis in Adults: Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process |
| title_full_unstemmed | Clinical Management of Atopic Dermatitis in Adults: Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process |
| title_short | Clinical Management of Atopic Dermatitis in Adults: Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process |
| title_sort | clinical management of atopic dermatitis in adults mapping of expert opinion in 4 nordic countries using a modified delphi process |
| topic | atopic dermatitis guidelines management nordic treatment work-up |
| url |
https://www.medicaljournals.se/jadv/content/html/10.2340/00015555-3369
|
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