Ferrándiz C, Fonseca-Capdevila E, García-Diez A, Guillén-Barona C, Belinchón-Romero I, Redondo-Bellón P, Moreno-Giménez J C, Senán R
Servicio de Dermatología, Hospital Universitario Germans Trías i Pujol, Badalona, Universidad Autónoma de Barcelona, Barcelona, Spain.
Servicio de Dermatología, Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain.
Actas Dermosifiliogr. 2014 May;105(4):378-93. doi: 10.1016/j.adengl.2013.11.004. Epub 2014 Apr 13.
Current trends in our setting indicate that the prevalence of actinic keratosis and similar diseases will increase in coming years and impose a greater burden on health care resources. A long list of clinical features must be taken into account when approaching the treatment of actinic keratosis. Until recently, therapeutic approaches focused solely on ablative procedures and the treatment of individual lesions and did not take into account areas of field cancerization. Now that the therapeutic arsenal has grown, standardized criteria are needed to guide the optimal choice of treatment for each patient. The elaboration of evidence-based consensus recommendations for the diagnosis and treatment of actinic keratosis generates knowledge that will help clinicians to deliver the highest level of care possible, standardizing decision-making processes and enhancing awareness among all the health professionals involved in the care pathway.
在我们所处的环境中，当前的趋势表明，光化性角化病及类似疾病的患病率在未来几年将会上升，并给医疗保健资源带来更大负担。在处理光化性角化病的治疗时，必须考虑一长串临床特征。直到最近，治疗方法仅侧重于消融手术和单个病变的治疗，并未考虑场癌化区域。既然治疗手段已经增加，就需要标准化标准来指导为每位患者选择最佳治疗方法。制定基于证据的光化性角化病诊断和治疗共识建议，可产生有助于临床医生提供尽可能高水平护理的知识，规范决策过程，并提高参与护理路径的所有医疗专业人员的认识。
