AI Article Synopsis
- The study highlights the complexity of diagnosing and managing atopic dermatitis (AD) due to diverse patient presentations and treatment options.
- A Delphi method was used to gauge the opinions of dermatologists on AD management, resulting in a questionnaire with 58 items, where consensus was achieved on only 22 items (37.9%).
- The findings indicate a significant lack of agreement among dermatologists in the management of AD, suggesting a need for better guideline implementation and further research in real-world contexts.
Article Abstract
Introduction: The diagnosis and management of atopic dermatitis (AD) is extensively addressed in detailed clinical guidelines. However, the high heterogeneity regarding presentation and progression and the increasingly broad therapeutic landscape suggest a complex real-world scenario, leading to multiple trajectories of AD patients.
Methods: Using a Delphi methodology for assessing the degree of consensus, we explored the views of a panel of dermatologists regarding the patients' trajectory through the diagnosis (block 1), treatment (block 2), and long-term management (block 3) of AD. Based on a systematic search of the literature, a scientific committee prepared a questionnaire of relevant items that were rated on a 10-point scale (from "totally agree" to "totally disagree") by a panel of dermatologists attending patients with AD in the hospital setting. Consensus was established based on predefined rules.
Results: The final questionnaire included 58 items and was answered by 17 dermatologists. Overall, consensus was reached on 22 items (37.9%), each of which was a consensus for agreement. The consensus rates in blocks 1, 2, and 3 were 22.7%, 19.0%, and 86%, respectively.
Conclusions: Our analysis revealed a remarkable lack of consensus on various aspects of the routine diagnosis and treatment of AD. These findings suggest the presence of unmet needs or limited implementation of guidelines for the management of AD and encourage further research to explore the causes of this low consensus on the management of AD in the real-world setting.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8484426 | PMC |
| http://dx.doi.org/10.1007/s13555-021-00592-y | DOI Listing |
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