Redefining the therapeutic objective in psoriatic patients candidates for biological therapy
Por:
Carretero, G, Puig, L, Carrascosa, J, Ferrandiz, L, Ruiz-Villaverde, R, de la Cueva, P, Belinchon, I, Vilarrasa, E, del Rio, R, Sanchez-Carazo, J, Lopez-Ferrer, A, Peral, F, Armesto, S, Eiris, N, Mitxelena, J, Vilar-Alejo, J, Martin, M, Soria, C and Spanish Grp Psoriasis
Publicada:
1 ene 2018
Ahead of Print:
21 nov 2017
Categoría:
Dermatology
Resumen:
The advances in psoriasis management currently allow achieving a good control of the disease. In particular, with the latest developed molecules, available evidence suggests that it is possible to pose an ambitious therapeutic goal, such as a Dermatology Life Quality Index 0/1, a Physician Global Assessment 0/1, or a Psoriasis Area and Severity Index 90/100 response. However, patients often fail to achieve the complete clearance of their cutaneous lesions or the improvement of disease factors that impair their quality of life. To optimize the treatment of psoriasis, it is not enough to define precisely the therapeutic objective, but also to adapt the therapeutic strategy to make the necessary modifications in case of not achieving it at the time point (at the end of the induction phase, or every 3-6months) to be agreed with the patient (the so-called treat-to-target approach). In the present report, based on the Delphi methodology, 11 dermatologists from the Spanish Psoriasis Group addressed key issues that could be involved in the achievement and maintenance of the therapeutic goals of patients with moderate to severe psoriasis. The document provides 27 consensus statements intended to support clinical decision-making by healthcare professionals for patients who might be candidates to receive biologic therapy.
Filiaciones:
Carretero, G:
Hosp Univ Gran Canaria Doctor Negrin, Las Palmas Gran Canaria, Spain
Puig, L:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Barcelona, Spain
Carrascosa, J:
Univ Autonoma Barcelona, Hosp Univ Germans Trias & Pujol, Badalona, Spain
Ferrandiz, L:
Hosp Univ Virgen Macarena, Seville, Spain
Ruiz-Villaverde, R:
Complejo Hosp Granada, Granada, Spain
de la Cueva, P:
Hosp Univ Infanta Leonor, Madrid, Spain
:
Hosp Gen Univ Alicante ISABIAL, Alicante, Spain
Vilarrasa, E:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Barcelona, Spain
del Rio, R:
Fundacio Hosp Esperit St, Santa Coloma De Gramenet, Spain
Sanchez-Carazo, J:
Consorcio Hosp Gen Univ Valencia, Valencia, Spain
Lopez-Ferrer, A:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Barcelona, Spain
Peral, F:
Hosp Univ Infanta Cristina Badajoz, Badajoz, Spain
Armesto, S:
Hosp Univ Marques de Valdecilla, Santander, Spain
Eiris, N:
Complejo Asistencial Univ Leon, Leon, Spain
Mitxelena, J:
Complejo Hosp Navarra, Navarra, Spain
Vilar-Alejo, J:
Hosp Univ Gran Canaria Doctor Negrin, Las Palmas Gran Canaria, Spain
Martin, M:
Hosp Clin Univ Lozano Blesa, Zaragoza, Spain
Soria, C:
Hosp Gen Univ Reina Sofia, Murcia, Spain
|