Basic Therapeutic Approach for Patients with Plaque Psoriasis: Korean Expert Consensus Using the Modified Delphi Methodopen access
- Authors
- Jo, Seong Jin; Baek, Yoo Sang; Kim, Tae-Gyun; Jeong, Ki-Heon; Kim, Jeong Eun; Choi, Yu Sung; Kim, Byungsoo; Lee, Eun-So; Choe, Yong Beom
- Issue Date
- Jun-2023
- Publisher
- KOREAN DERMATOLOGICAL ASSOC
- Keywords
- Consensus; Korea; Psoriasis; Therapeutics; Treatment
- Citation
- ANNALS OF DERMATOLOGY, v.35, no.3, pp 173 - 182
- Pages
- 10
- Journal Title
- ANNALS OF DERMATOLOGY
- Volume
- 35
- Number
- 3
- Start Page
- 173
- End Page
- 182
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/26472
- DOI
- 10.5021/ad.22.216
- ISSN
- 1013-9087
2005-3894
- Abstract
- Background: Currently, there is no consensus on the treatment of psoriasis in Korean pa-tients. Objective: This study aimed to establish a consensus on the basic therapeutic principles for Korean patients with plaque psoriasis. Methods: Using the modified Delphi method, a steering committee proposed 53 statements for the first Delphi round, which covered five subjects: (1) the goal of treatment and evalu-ation of disease severity, (2) topical therapy, (3) phototherapy, (4) conventional systemic therapy, and (5) biologic therapy. The panel of dermatologists scored the level of agreement for each statement on a ten-point scale with scores ranging from 1 (strongly disagree) to 10 (strongly agree). After discussing the results of the first round, the committee reformulated 41 statements. Finally, consensus was defined as more than 70% of the second round scores being & GE;7. Results: The panel participants strongly agreed that the ideal treatment goals for Korean pa-tients with plaque psoriasis should include complete skin clearance and high dermatological quality of life. A strong consensus was also reached on the use of topical agents for psoriasis of any severity, the consideration of phototherapy before biologics therapy, the conventional systemic agents for moderate-to-severe psoriasis, and the recommendation of biologic for retractable psoriasis to conventional systemic therapy and phototherapy. Conclusion: This modified Delphi panel established an expert consensus on the therapeutic approach for Korean patients with plaque psoriasis. This consensus may improve the treat-ment outcomes for psoriasis in Korea.
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