Adv Ther:临床实践中的中度银屑病:使用改进的Delphi方法的法国专家共识

2022-09-22 医路坦克 MedSci原创

评估银屑病的严重程度是治疗决策的重要组成部分,本文的目标是确定临床标准,以更好地对中度银屑病进行分类,并帮助皮肤科医生调整他们对这一组患者的治疗选择。

评估银屑病的严重程度是治疗决策的重要组成部分。国际银屑病委员会(IPC)最近建议将患者分为两个级别,即适合进行局部治疗的患者和需要进行系统治疗以控制疾病的患者。然而,这种务实的方法尚未应用于临床试验,许多治疗建议仍然依赖于三种疾病严重程度:轻度、中度和重度。虽然医生和患者在定义轻度和重度时有很好的一致性,但对于中度疾病的标准缺乏一致。此外,中等阈值经常用于确定是否有资格接受系统治疗。

我们的目标是确定临床标准,以更好地对中度银屑病进行分类,并帮助皮肤科医生调整他们对这一组患者的治疗选择。在文献分析和法国皮肤科医生经验的基础上,我们使用了一种改进的Delphi共识方法来实现这一目标。

方法:一个指导委员会(SC)制定了一份包含22个项目的问卷来对中度银屑病进行分类。一个由法国皮肤科医生组成的独立小组使用9分的利克特量表(第1轮)显示了他们对每种项目的一致程度。没有强烈共识的条目被修改并纳入第二轮。对于每个条目,强烈共识被定义为至少75%的得分C7和中位数C8;良好的共识被定义为至少75%的得分C7或中位数C8。

图1 Delphi研究设计。表示应用的修改后的Delphi过程的图

图2  专家小组和答复率。图表显示了组成评级小组的程序和受访者对两轮投票的支持率。法国皮肤病和性病学继续教育和评估联合会

 

结果:在80名同意参与的皮肤科医生中,47名(59%)在第一轮得到回应,所有参与者在第二轮得到回应。15项(68%)达成强烈共识,4项(18%)达成良好共识。对于牛皮癣的严重程度,由医生和患者评估的几个临床维度(位置、症状、暂时性、以前的治疗)和患者(感知、身体和心理损害)都获得了共识。以下被认为足以证实银屑病至少处于中度阶段:受累范围有限,但会影响患者/家庭的生活质量;累及特定区域;出现失眠、出血、瘙痒、失眠等失控症状;轻度症状累积;存在繁重的甲营养不良;未能很好地应用局部治疗。有强烈的共识认为,对中度银屑病的认识应该导致重新评估局部治疗。

结论:我们的改良德尔福专家小组建议了详细的标准,以帮助医生对至少处于中度阶段的银屑病患者进行分类,这反过来可能会改善这些患者的治疗。

文献来源:Richard MA,  Aubin F,  Beneton N,Moderate Psoriasis in Clinical Practice: French Expert Consensus Using a Modified Delphi Method.Adv Ther 2022 Sep 16;

 

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    2022-09-22 ms9000000382086630

    学习

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    2022-09-22 ms9000000382086630

    学习

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