1. 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, Øystein, KORHONEN, Laura, LANGELAND, Tor, SÄRNHULT, Tore, THOMSEN, Simon Francis, THUNE, Turid, WAHLGREN, Carl-Fredrik, VESTERGAARD, Christian, VON KOBYLETZKI, Laura B., and REMITZ, Anita
- Subjects
- *
ATOPIC dermatitis , *ADULTS , *PATIENT education , *COUNTRIES - 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 moderateto- 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. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF