Optimizing the management of psoriasis in patients with skin of color: A Canadian Delphi consensus

JAAD International Pub Date : 2024-11-14 DOI:10.1016/j.jdin.2024.09.015

Geeta Yadav MD , Yvette Miller-Monthrope MD , Jaggi Rao MD , David N. Adam MD , Rachel N. Asiniwasis MD , Parbeer Grewal MD , Christina Han MD , Marissa Joseph MD , Richard G. Langley MD , Charles W. Lynde MD , Andrei Metelitsa MD , Loukia Mitsos MD, PhD , Boluwaji Ogunyemi MD , Kerri S. Purdy MD , Maxwell Sauder MD , Jensen Yeung MD

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Abstract

Background

There is limited evidence on treating psoriasis patients with skin of color (SOC), contributing to disparities in accessing appropriate care for these patients.

Objectives

This study aimed to develop consensus statements defining SOC terminology and addressing needs to optimize the clinical management of psoriasis in patients with SOC.

Methods

Using the modified Delphi methodology 16 Canadian dermatologists with expertise in psoriasis developed consensus statements. Four core faculty members drove the content of the study, and 12 additional panel members were consulted to vote and provide consensus on the content produced by the core faculty. At a final meeting, the full panel revised and voted on the final consensus statements.

Results

The exercise resulted in 11 consensus statements on SOC terminology, as well as 5 primary and 4 secondary statements on clinical presentation and differential diagnosis, and treatment guidelines based on evidence and expert opinion. Four additional consensus statements on current assessment tools and access to care were developed based solely on expert opinion.

Limitations

The available evidence was limited, low quality, and inappropriate for formal quality assessment.

Conclusions

The consensus statements developed in this study may provide valuable guidance to the dermatology community treating psoriasis patients with SOC.

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优化管理银屑病患者的肤色：加拿大德尔菲共识。

背景：治疗有色皮肤牛皮癣患者的证据有限，导致这些患者在获得适当护理方面存在差异。目的：本研究旨在制定共识声明，定义SOC术语和解决需求，以优化SOC患者的牛皮癣临床管理。方法：采用改进的德尔菲法，16名加拿大皮肤科医生在牛皮癣的专业知识制定共识声明。研究的内容由四名核心教员决定，另外还有12名小组成员参与投票，并就核心教员制作的内容达成共识。在最后一次会议上，整个小组对最终的共识声明进行了修订和投票。结果：基于证据和专家意见，得出了关于SOC术语的11个共识陈述，以及关于临床表现和鉴别诊断的5个主要陈述和4个次要陈述，以及基于证据和专家意见的治疗指南。另外四项关于当前评估工具和获得护理的共识声明是完全根据专家意见制定的。局限性：现有证据有限，质量低，不适合进行正式的质量评估。结论：本研究形成的共识声明可为皮肤科治疗伴有SOC的银屑病患者提供有价值的指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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