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首页> 外文期刊>The Australasian journal of dermatology >Atopic dermatitis in adults: An Australian management consensus
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Atopic dermatitis in adults: An Australian management consensus

机译：成人的特应性皮炎：澳大利亚管理共识

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Abstract Background/Objectives Atopic dermatitis ( AD ) has significant negative impact on health‐related quality of life, mood, sleep, work productivity and everyday activities. Research into the use of new drugs in the management of AD continues to develop, and international updates and recommendations have been published. However, questions remain in the Australian setting. This consensus aims to provide evidence‐based insights and practical advice on the management of adult AD in Australia. Methods A panel (five dermatologists and one clinical immunologist) met to review the literature, critically examine clinical questions of relevance to Australian healthcare practitioners and develop a series of recommendation statements. A consensus panel, comprising the initial panel plus nine additional members, used a 2‐round Delphi voting process to determine a set of final guidance statements. Consensus: ≥75% agreement in the range 7–9. Results Round 1 voting comprised 66 guidance statements. Of these, consensus was reached on 26, which were retained, and five were removed. The remainder (35) were modified and one new guidance statement was added for inclusion in round 2 voting. After round 2, consensus was reached on 35, which were retained, and one was removed (considered redundant). The 61 guidance statements upon which consensus was reached were then used to support a series of core consensus recommendations and a management flow chart. Conclusions Expert consensus recommendations providing practical guidance of clinical relevance to specialists and primary care physicians in Australia have been developed. Dissemination of this guidance and evaluation of its impact on patient outcomes remain to be undertaken.
机译：抽象背景/目标特应性皮炎（广告）对健康相关的生活质量，情绪，睡眠，工作效率和日常活动具有显着的负面影响。在广告管理中使用新药的研究继续发展，并发布了国际更新和建议。但是，澳大利亚的问题仍然存在。这一共识旨在为澳大利亚的成人广告管理提供基于证据的见解和实践建议。方法采用小组（五位皮肤科医生和一名临床免疫医生）审查文献，批判性地审查与澳大利亚医疗保健从业者相关的临床问题，并制定一系列推荐陈述。一个共识小组，包括初始面板加九个附加成员，使用了一个2轮德尔福投票过程来确定一套最终指导陈述。共识：7-9范围内的协议≥75％。结果第1轮投票包括66项指导陈述。其中，达到了26份达成的共识，其中保留，五个被移除。剩余的（35）被修改，并在第2轮投票中添加了一个新的指导陈述。在第2轮之后，达到35次保留的共识，并将其除去（被认为是多余的）。达成共识的61项指导陈述，以支持一系列核心共识建议和管理流程图。结论，已经制定了专家共识建议，提供了与澳大利亚专家和初级保健医生的临床相关性的实际指导。传播这一指导和对其对患者结果的影响仍有待进行。

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