Unmet needs in atopic dermatitis management: an expert consensus

Introduction Atopic dermatitis (AD) has substantial negative impact on patients’ quality of life. Although considerable advances have been made in understanding the pathogenesis and its treatment, there is still limited transfer of this knowledge into daily management. Aiming to identify unmet needs...

Full description

Saved in:
Bibliographic Details
Main Authors: Annalisa Patrizi, Antonio Costanzo, Cataldo Patruno, Valentina Maria Busà, Andrea Chiricozzi, Giampiero Girolomoni
Format: Article
Language:English
Published: Taylor & Francis Group 2022-07-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/09546634.2021.1967267
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832088399605923840
author Annalisa Patrizi
Antonio Costanzo
Cataldo Patruno
Valentina Maria Busà
Andrea Chiricozzi
Giampiero Girolomoni
author_facet Annalisa Patrizi
Antonio Costanzo
Cataldo Patruno
Valentina Maria Busà
Andrea Chiricozzi
Giampiero Girolomoni
author_sort Annalisa Patrizi
collection DOAJ
description Introduction Atopic dermatitis (AD) has substantial negative impact on patients’ quality of life. Although considerable advances have been made in understanding the pathogenesis and its treatment, there is still limited transfer of this knowledge into daily management. Aiming to identify unmet needs in clinical management of patients with AD, we used a Delphi consensus process.Methods A set of statements regarding diagnosis, management, prognosis, and treatment was identified by five experts (Steering Committee). Then, the Steering Committee and a second group of four clinicians were involved in a Delphi process. Lastly, agreement was assessed in a larger panel of Italian clinicians.Results Overall, 37 clinicians participated to the process. 17 statements reached strong agreement and 2 reached weak agreement.Conclusions In general, the statements reflected the need for accurate and effective diagnostic criteria to support clinical experience, especially in the atypical forms of AD. Moreover, prognostic criteria are needed to predict the duration of adult-onset AD. The identification of biomarkers was considered to be useful for clinical management of AD at all stages of disease. Lastly, greater emphasis should be placed on patient education and development of effective tools that can aid informing patients about their disease and its treatment.
format Article
id doaj-art-432d686b2c0d469bb743c04ebe3ee0c8
institution Kabale University
issn 0954-6634
1471-1753
language English
publishDate 2022-07-01
publisher Taylor & Francis Group
record_format Article
series Journal of Dermatological Treatment
spelling doaj-art-432d686b2c0d469bb743c04ebe3ee0c82025-02-05T19:02:55ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532022-07-013352459246510.1080/09546634.2021.1967267Unmet needs in atopic dermatitis management: an expert consensusAnnalisa Patrizi0Antonio Costanzo1Cataldo Patruno2Valentina Maria Busà3Andrea Chiricozzi4Giampiero Girolomoni5Dermatology, IRCCS S. Orsola-Malpighi Polyclinic, Bologna, ItalyDermatology, Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, ItalyDermatology Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, ItalyMedical Department, Inflammation and Immunology, Pfizer, ItalyDermatology, Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyDepartment of Medicine, Section of Dermatology, University of Verona, Verona, ItalyIntroduction Atopic dermatitis (AD) has substantial negative impact on patients’ quality of life. Although considerable advances have been made in understanding the pathogenesis and its treatment, there is still limited transfer of this knowledge into daily management. Aiming to identify unmet needs in clinical management of patients with AD, we used a Delphi consensus process.Methods A set of statements regarding diagnosis, management, prognosis, and treatment was identified by five experts (Steering Committee). Then, the Steering Committee and a second group of four clinicians were involved in a Delphi process. Lastly, agreement was assessed in a larger panel of Italian clinicians.Results Overall, 37 clinicians participated to the process. 17 statements reached strong agreement and 2 reached weak agreement.Conclusions In general, the statements reflected the need for accurate and effective diagnostic criteria to support clinical experience, especially in the atypical forms of AD. Moreover, prognostic criteria are needed to predict the duration of adult-onset AD. The identification of biomarkers was considered to be useful for clinical management of AD at all stages of disease. Lastly, greater emphasis should be placed on patient education and development of effective tools that can aid informing patients about their disease and its treatment.https://www.tandfonline.com/doi/10.1080/09546634.2021.1967267Atopic dermatitismanagementconsensusDelphi method
spellingShingle Annalisa Patrizi
Antonio Costanzo
Cataldo Patruno
Valentina Maria Busà
Andrea Chiricozzi
Giampiero Girolomoni
Unmet needs in atopic dermatitis management: an expert consensus
Journal of Dermatological Treatment
Atopic dermatitis
management
consensus
Delphi method
title Unmet needs in atopic dermatitis management: an expert consensus
title_full Unmet needs in atopic dermatitis management: an expert consensus
title_fullStr Unmet needs in atopic dermatitis management: an expert consensus
title_full_unstemmed Unmet needs in atopic dermatitis management: an expert consensus
title_short Unmet needs in atopic dermatitis management: an expert consensus
title_sort unmet needs in atopic dermatitis management an expert consensus
topic Atopic dermatitis
management
consensus
Delphi method
url https://www.tandfonline.com/doi/10.1080/09546634.2021.1967267
work_keys_str_mv AT annalisapatrizi unmetneedsinatopicdermatitismanagementanexpertconsensus
AT antoniocostanzo unmetneedsinatopicdermatitismanagementanexpertconsensus
AT cataldopatruno unmetneedsinatopicdermatitismanagementanexpertconsensus
AT valentinamariabusa unmetneedsinatopicdermatitismanagementanexpertconsensus
AT andreachiricozzi unmetneedsinatopicdermatitismanagementanexpertconsensus
AT giampierogirolomoni unmetneedsinatopicdermatitismanagementanexpertconsensus