Nast Alexander, Kopp Ina B, Augustin Matthias, Banditt Kirstin-Benita, Boehncke Wolf-Henning, Follmann Markus, Friedrich Markus, Huber Matthias, Kahl Christina, Klaus Joachim, Koza Joachim, Kreiselmaier Inga, Mohr Johannes, Mrowietz Ulrich, Ockenfels Hans-Michael, Orzechowski Hans-Dieter, Prinz Jörg, Reich Kristian, Rosenbach Thomas, Rosumeck Stefanie, Schlaeger Martin, Schmid-Ott Gerhard, Sebastian Michael, Streit Volker, Weberschock Tobias, Rzany Berthold
Division of Evidence Based Medicine (dEBM), Klinik für Dermatologie, Venerologie und Allergologie, Charité-Universitätsmedizin Berlin, Germany.
J Dtsch Dermatol Ges. 2007 Jul;5 Suppl 3:1-119. doi: 10.1111/j.1610-0387.2007.06172.x.
Psoriasis vulgaris is a common and often chronic inflammatory skin disease. The incidence of psoriasis in Western industrialized countries ranges from 1 to 2%. Patients afflicted with severe psoriasis vulgaris may experience a significant reduction in quality of life. Despite the large variety of treatment options available, patient surveys have revealed lack of satisfaction with the efficacy of available treatments and a high rate of non-compliance. To optimize the treatment of psoriasis in Germany, the Deutsche Dermatologische Gesellschaft (DDG) and the Berufsverband Deutscher Dermatologen (BVDD) initiated a project to develop evidence-based guidelines for the management of psoriasis. These resulting Guidelines focus on induction therapy in cases of mild, moderate, and severe plaquetype psoriasis in adults. The Guidelines include evidence-based evaluation of the efficacy of all currently available therapeutic options in Germany. In addition, they offer detailed information on how best to administer the various treatments and give information on contraindications, adverse drug reactions, and drug interactions as well as estimates of practicability and cost. The Guidelines were developed following the recommendations of the Arbeitsgemeinschaft wissenschaftlicher medizinischer Fachgesellschaften (AWMF). The therapeutic recommendations were developed by an expert group and finalized during interdisciplinary consensus conferences.
寻常型银屑病是一种常见且通常为慢性的炎症性皮肤病。在西方工业化国家,银屑病的发病率为1%至2%。患有重度寻常型银屑病的患者生活质量可能会显著下降。尽管有多种治疗选择,但患者调查显示,患者对现有治疗方法的疗效不满意,且不依从率很高。为了优化德国的银屑病治疗,德国皮肤病学会(DDG)和德国皮肤科医生职业协会(BVDD)发起了一个项目,以制定基于证据的银屑病管理指南。这些最终形成的指南聚焦于成人轻度、中度和重度斑块状银屑病的诱导治疗。指南包括对德国目前所有可用治疗方案疗效的循证评估。此外,它们还提供了关于如何最佳实施各种治疗的详细信息,并给出了关于禁忌症、药物不良反应、药物相互作用以及实用性和成本估算的信息。这些指南是根据德国医学专业协会工作小组(AWMF)的建议制定的。治疗建议由一个专家小组制定,并在跨学科共识会议上最终确定。