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韩国皮肤科医生与欧洲共识报告中中重度银屑病治疗目标的比较。

Comparison of Treatment Goals for Moderate-to-Severe Psoriasis between Korean Dermatologists and the European Consensus Report.

作者信息

Youn Sang Woong, Kim Bo Ri, Lee Joo Heung, Song Hae Jun, Choe Yong Beom, Choi Ji Ho, Kim Nack In, Kim Kwang Joong, Youn Jai Il

机构信息

Department of Dermatology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Department of Dermatology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Ann Dermatol. 2015 Apr;27(2):184-9. doi: 10.5021/ad.2015.27.2.184. Epub 2015 Mar 24.

Abstract

BACKGROUND

The development of therapies for psoriasis has led to the need for a new strategy to the treatment of patients with moderate-to-severe psoriasis. New consensus guidelines for psoriasis treatment have been developed in some countries, some of which have introduced treatment goals to determine the timing of therapeutic regimens for psoriasis.

OBJECTIVE

To investigate the opinions held by Korean dermatologists who specialize in psoriasis about treatment goals, and to compare these with the European consensus.

METHODS

Korean dermatologists who specialize in psoriasis were asked 11 questions about defining the treatment goals for psoriasis. The questionnaire included questions about the factors used to classify the severity of psoriasis, defining the induction and maintenance phases of psoriasis treatment, defining treatment responses during the induction phase, and defining treatment responses during the maintenance phase.

RESULTS

The Korean consensus showed responses that were almost similar to the European consensus, even without using the Delphi technique, which uses repeated rounds of questions to reach a consensus. Only one response that related to psoriasis severity in the context of the quality of patients' lives differed from the European consensus.

CONCLUSION

The concept of using treatment goals in the treatment of moderate-to-severe psoriasis can be applied to Korean psoriasis patients. Since a tool for assessing the quality of patients' lives is not commonly used in Korea, the development of a simple, rapidly completed, and region-specific health-related quality of life assessment tool would enable treatment goals to be used in routine clinical practice.

摘要

背景

银屑病治疗方法的发展使得需要一种新的策略来治疗中度至重度银屑病患者。一些国家已经制定了新的银屑病治疗共识指南,其中一些指南引入了治疗目标以确定银屑病治疗方案的时机。

目的

调查韩国银屑病专科皮肤科医生对治疗目标的看法,并将其与欧洲共识进行比较。

方法

向韩国银屑病专科皮肤科医生询问了11个关于确定银屑病治疗目标的问题。问卷包括关于用于分类银屑病严重程度的因素、定义银屑病治疗的诱导期和维持期、定义诱导期治疗反应以及定义维持期治疗反应的问题。

结果

即使没有使用通过反复提问以达成共识的德尔菲技术,韩国的共识结果也与欧洲共识几乎相似。只有一个与患者生活质量背景下的银屑病严重程度相关的回答与欧洲共识不同。

结论

在中度至重度银屑病治疗中使用治疗目标的概念可以应用于韩国银屑病患者。由于韩国不常用评估患者生活质量的工具,开发一种简单、快速完成且针对特定地区的健康相关生活质量评估工具将使治疗目标能够在常规临床实践中得到应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/886a/4377408/5a70f2b196c3/ad-27-184-g001.jpg

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