Clinical Management of Atopic Dermatitis in Adults : Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process

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Thyssen , J P , Berents , T , Bradley , M , Deleuran , M , Grimstad , O , Korhonen , L , Langeland , T , Sarnhult , T , Thomsen , S F , Thune , T , Wahlgren , C-F , Vestergaard , C , Von Kobyletzki , L B & Remitz , A 2020 , ' Clinical Management of Atopic Dermatitis in Adults : Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process ' , Acta Dermato-Venereologica , vol. 100 , no. 1 , 00015 . https://doi.org/10.2340/00015555-3369

Title: Clinical Management of Atopic Dermatitis in Adults : Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process
Author: Thyssen, Jacob P.; Berents, Teresa; Bradley, Maria; Deleuran, Mette; Grimstad, Oystein; Korhonen, Laura; Langeland, Tor; Sarnhult, Tore; Thomsen, Simon Francis; Thune, Turid; Wahlgren, Carl-Fredrik; Vestergaard, Christian; Von Kobyletzki, Laura B.; Remitz, Anita
Other contributor: University of Helsinki, HUS Inflammation Center


Date: 2020-01
Language: eng
Number of pages: 11
Belongs to series: Acta Dermato-Venereologica
ISSN: 0001-5555
DOI: https://doi.org/10.2340/00015555-3369
URI: http://hdl.handle.net/10138/315733
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 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.
Subject: atopic dermatitis
guidelines
management
Nordic
treatment
work-up
EPIDEMIOLOGY
GUIDELINES
DIAGNOSIS
3121 Internal medicine
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