Consensus document on the evaluation and treatment of moderate-to-severe psoriasis: Psoriasis Group of the Spanish Academy of Dermatology and Venereology
Consensus document on the evaluation and treatment of moderate-to-severe psoriasis: Psoriasis Group of the Spanish Academy of Dermatology and Venereology
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DOI：
10.1111/jdv.13542
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发表时间：
2016-03-01
影响因子：
9.2
通讯作者：
Hernanz-Hermosa, J. M.
中科院分区：
文献类型：
--
作者：
Dauden, E.;Puig, L.;Hernanz-Hermosa, J. M.
牛皮癣是一种高度流行的疾病，对生活质量产生重大影响；因此，必须进行适当的患者管理。鉴于银屑病的许多问题都存在争议，并且循证医学没有明确定义，因此银屑病的治疗方法变化很大。专家共识可以产生优化患者护理的实用指南。自 2009 年西班牙皮肤病学和性病学会 (AEDV) 西班牙银屑病小组 (GEP) 发布中度至重度银屑病评估和治疗共识文件以来，情况发生了很大变化。本共识文件的目的是为皮肤科医生提供中度至重度斑块状银屑病患者评估和治疗的最新建议。 AEDV GEP 的所有活跃成员均受邀参加此次调查。最后一组由来自西班牙不同地区的 46 名成员组成，他们在治疗银屑病方面拥有丰富的经验。采用 3 轮德尔菲流程达成共识。一致同意和一致分歧（共识）需要实现以下三个标准中的至少两个： 标准 1，基于 1-9 范围内平均值和 SD 所占据的位置
Psoriasis is a highly prevalent disease with a major impact on quality of life; therefore, appropriate patient management is mandatory. Given that many issues in psoriasis are controversial and not clearly defined by evidence-based medicine, management of psoriasis is very variable. Expert consensus can generate practical guidelines for optimization of patient care. Much has changed since 2009, when the Consensus Document on the Evaluation and Treatment of Moderate to Severe Psoriasis was published by the Spanish Psoriasis Group (GEP) of the Spanish Academy of Dermatology and Venereology (AEDV). The objective of the present consensus document is to provide the dermatologist with updated recommendations for the evaluation and treatment of patients with moderate-to-severe plaque psoriasis. All active members of the GEP of the AEDV were invited to participate in the survey. The final group comprised 46 members from various areas of Spain and with substantial experience in managing psoriasis. A 3-round Delphi process was used to reach consensus. Consistent agreement and consistent disagreement (consensus) required the achievement of at least two of the following three criteria: Criterion 1, which was based on the position occupied by the mean on a scale of 1-9 and an SD