Consensus statements on pediatric atopic dermatitis from dermatology and pediatrics practitioners in Japan: Goals of treatment and topical therapy
Consensus statements on pediatric atopic dermatitis from dermatology and pediatrics practitioners in Japan: Goals of treatment and topical therapy
复制标题
日本皮肤科和儿科医生关于小儿特应性皮炎的共识声明：治疗和局部治疗的目标
DOI：
10.1016/j.alit.2019.08.006
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发表时间：
2020
影响因子：
6.8
通讯作者：
Katayama Ichiro
中科院分区：
文献类型：
--
作者：
Arakawa Hirokazu;Shimojo Naoki;Katoh Norito;Hiraba Kazumi;Kawada Yasusuke;Yamanaka Keiichi;Igawa Ken;Murota Hiroyuki;Okafuji Ikuo;Fukuie Tatsuki;Nakahara Takeshi;Noguchi Taro;Kanakubo Akira;Katayama Ichiro
背景：儿童特应性皮炎(PAD)是一种多病因疾病，常见于皮肤科和儿科。因此，重要的是在临床实践中找到共同的观点，并促进从业者之间的共识。为了获得皮肤科医生和儿科医生的共同意见，并将其广泛传播到临床实践中，我们举办了PAD共识论坛。方法：通过对治疗目标和药物治疗的问卷调查，为PAD共识论坛的讨论做准备。结果：24名皮肤科医生和25名儿科医生的讨论结果，在7个主题上达成了共识。这些主题构成了治疗目标的3个共识(达到目标被分为短期/中期和长期。实现目标与湿疹(家庭)路线图等协调结果措施的主要评估域相关。)4药物治疗共识(急性期外用抗炎药物的次数、积极治疗中外用抗炎药物的选择和理想间隔等)。结论：该共识有望帮助临床医生在临床实践中制定合适的治疗目标，促进治疗药物的选择。
Background: Pediatric atopic dermatitis (PAD) is a pluricausal disease and is frequently seen in dermatological and pediatric practice. Therefore, it is important to find common views in clinical practice and to promote consensus among practitioners. Aiming to obtain common views among dermatologists and pediatricians and to disseminate them widely in clinical practice, we held the PAD Consensus Forums described herein.Methods: Questionnaire surveys of treatment goals and drug therapy were conducted to prepare topics for discussion at the PAD Consensus Forums. Reaching consensus was defined as agreement among at least 70% of the participants.Results: As a result of discussion among 24 dermatologists and 25 pediatricians, consensus was obtained on 7 topics. These topics configure 3 consensus of treatment goals (Attainment targets were divided into the short/medium term and the long term. Attainment targets were associated with the primary evaluation domains of the Harmonising Outcome Measures for Eczema (HOME) roadmap, etc.) and 4 consensus of drug therapy (The number of applications of topical anti-inflammatory drugs in the acute phase and selection and ideal intervals between applications of topical anti-inflammatory drugs in proactive therapy, etc.).Conclusions: The consensus is expected to help practitioners set appropriate treatment goals in clinical practice and facilitate the choice of drugs for treatment.