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Atopic dermatitis in adults: An Australian management consensus

Citation

Smith, S and Baker, C and Gebauer, K and Rubel, D and Frankum, B and Soyer, HP and Weightman, W and Sladden, M and Rawlin, M and Headley, AP and Somerville, C and Beuth, J and Logan, N and Mewton, E and Foley, P, Atopic dermatitis in adults: An Australian management consensus, Australasian Journal of Dermatology, 61, (1) pp. 23-32. ISSN 0004-8380 (2020) [Refereed Article]

Copyright Statement

2019 The Australasian College of Dermatologists

DOI: doi:10.1111/ajd.13124

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 79.

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.

Item Details

Item Type:Refereed Article
Keywords:algorithm, atopic dermatitis, recommendations, severity, treatment
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Dermatology
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Sladden, M (Dr Michael Sladden)
ID Code:137292
Year Published:2020
Web of Science® Times Cited:5
Deposited By:Medicine
Deposited On:2020-02-21
Last Modified:2020-04-30
Downloads:0

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