Consensus Document on the Evaluation and Treatment of Moderate to Severe Psoriasis. Spanish Psoriasis Group of the Spanish Academy of Dermatology and Venereology

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The role of systemic treatment in the management of psoriasis is being reviewed on the basis of a large volume of scientific evidence on the efficacy and safety of biologic agents, and new therapeutic goals and strategies are being devised for patients with moderate to severe psoriasis. This has led to the need to establish severity criteria that will provide the rationale for the indication of the different systemic agents currently available for the treatment of moderate to severe psoriasis, as well as therapeutic goals, efficacy measures, therapeutic strategies, screening protocols, and choice of treatment based on the risk-benefit ratio of the different agents. These criteria must be established through consensus by experienced dermatologists and based on available scientific evidence. The present document reflects the consensus of the Spanish Psoriasis Group on these different issues in the management of moderate to severe psoriasis." ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "El tratamiento de la psoriasis se ha visto revolucionado por la introducción de los agentes biológicos, que permiten obtener blanqueamientos y mejorías a largo plazo sin el riesgo de toxicidad que ha venido limitando el tratamiento de estos pacientes con agentes sistémicos clásicos. Se ha acumulado abundante evidencia científica con respecto a la eficacia y seguridad de los agentes biológicos, que ha llevado a revisar el papel del tratamiento sistémico en general y ha permitido establecer nuevos objetivos y estrategias terapéuticas en los pacientes con psoriasis moderada a grave. En este contexto nuevo se hace necesario establecer, de forma consensuada por especialistas expertos y basada en la evidencia científica disponible, criterios de gravedad que justifiquen la indicación de los diferentes tratamientos sistémicos actualmente disponibles para la psoriasis, así como objetivos terapéuticos y parámetros de eficacia, estrategias de tratamiento, cribaje de los pacientes y selección del tratamiento basada en criterios de beneficio/riesgo. El presente documento recoge el consenso del Grupo Español de Psoriasis en estos diferentes aspectos del manejo de la psoriasis moderada a grave." ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "The Spanish Psoriasis Group is a working group of the Spanish Academy of Dermatology and Venereology. The 50 members of the group are dermatologists working in hospital settings who have special expertise in the treatment of patients with psoriasis and are involved in clinical and therapeutic research in this specialized area." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:34 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence of psoriasis in Spain (Epiderma Project: phase I)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C. Ferrándiz" 1 => "X. Bordas" 2 => "V. García-Patos" 3 => "S. Puig" 4 => "R. Pujol" 5 => "A. 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Consensus statement

Consensus Document on the Evaluation and Treatment of Moderate to Severe Psoriasis. Spanish Psoriasis Group of the Spanish Academy of Dermatology and Venereology

Documento de Consenso Sobre la Evaluación y el Tratamiento de la Psoriasis Moderada/Grave del Grupo Español de Psoriasis de la Academia Española de Dermatología y Venereología

L. Puiga,

Corresponding author

lpuig@santpau.cat

Correspondence: Servicio de Dermatología Hospital de la Santa Creu i de Sant Pau, Sant Antoni Maria Claret, 167, 08025 Barcelona, Spain.

, X. Bordasb, J.M. Carrascosac, E. Daudénd, C. Ferrándizc, J.M. Hernanze, J.L. López-Estebaranzf, J.C. Morenog, J.L. Sánchez-Carazoh, F. Vanaclochai, H. Vázquez-Veigaj, for the Spanish Psoriasis Group of the Spanish Academy of Dermatology and Venereology

a Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona

b Servicio de Dermatología, Hospital Universitari de Bellvitge, Badalona, Barcelona

c Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona

d Servicio de Dermatología, Hospital de La Princesa, Madrid

e Servicio de Dermatología, Hospital Infanta Leonor, Madrid

f Servicio de Dermatología, Hospital Fundación de Alcorcón, Alcorcón, Madrid

g Servicio de Dermatología, Hospital Universitario Reina Sofía, Córdoba

h Servicio de Dermatología, Hospital General Universitario de Valencia, Valencia

i Servicio de Dermatología, Hospital 12 de Octubre, Madrid

j Servicio de Dermatología, Hospital de Conxo del Complejo Hospitalario Universitario de Santiago, Santiago de Compostela, A Coruña Spain

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Article information

ISSN: 15782190
Original language: English

DOI:10.1016/S1578-2190(09)70064-2

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Year/Month	Html	Pdf	Total

2024 November	1	5	6
2024 October	75	61	136
2024 September	54	32	86
2024 August	84	62	146
2024 July	51	40	91
2024 June	55	40	95
2024 May	47	38	85
2024 April	41	42	83
2024 March	42	45	87
2024 February	42	44	86
2024 January	45	47	92
2023 December	37	41	78
2023 November	43	38	81
2023 October	31	27	58
2023 September	28	26	54
2023 August	22	19	41
2023 July	36	34	70
2023 June	35	39	74
2023 May	57	42	99
2023 April	27	31	58
2023 March	65	41	106
2023 February	19	23	42
2023 January	35	27	62
2022 December	31	53	84
2022 November	14	41	55
2022 October	11	18	29
2022 September	13	41	54
2022 August	13	40	53
2022 July	19	30	49
2022 June	15	39	54
2022 May	25	48	73
2022 April	33	45	78
2022 March	37	51	88
2022 February	27	33	60
2022 January	24	45	69
2021 December	27	58	85
2021 November	27	62	89
2021 October	21	54	75
2021 September	31	50	81
2021 August	17	28	45
2021 July	20	42	62
2021 June	18	35	53
2021 May	19	44	63
2021 April	74	56	130
2021 March	70	45	115
2021 February	37	25	62
2021 January	29	20	49
2020 December	27	20	47
2020 November	18	22	40
2020 October	19	23	42
2020 September	11	19	30
2020 August	31	30	61
2020 July	26	20	46
2020 June	22	26	48
2020 May	26	25	51
2020 April	19	22	41
2020 March	24	20	44
2020 February	0	6	6
2020 January	0	3	3
2019 December	0	7	7
2019 November	0	7	7
2019 September	0	1	1
2019 August	0	3	3
2019 July	0	1	1
2019 June	0	12	12
2019 May	0	58	58
2019 April	0	8	8
2019 March	0	16	16
2019 February	0	8	8
2018 November	0	5	5
2018 September	0	3	3
2018 August	0	5	5
2018 July	0	4	4
2018 June	0	7	7
2018 May	0	7	7
2018 April	0	4	4
2018 March	0	6	6
2018 February	9	10	19
2018 January	17	12	29
2017 December	20	22	42
2017 November	10	18	28
2017 October	12	30	42
2017 September	13	24	37
2017 August	14	25	39
2017 July	13	19	32
2017 June	25	20	45
2017 May	28	37	65
2017 April	22	17	39
2017 March	24	46	70
2017 February	18	21	39
2017 January	8	19	27
2016 December	28	18	46
2016 November	26	33	59
2016 October	24	35	59
2016 September	33	28	61
2016 August	33	18	51
2016 July	30	12	42
2016 June	7	15	22
2016 May	6	17	23
2016 April	6	1	7
2016 March	4	5	9
2016 February	6	2	8
2016 January	12	4	16
2015 December	6	2	8
2015 November	11	6	17
2015 October	4	8	12
2015 September	6	8	14
2015 August	12	2	14
2015 July	27	1	28
2015 June	36	16	52
2015 May	73	25	98
2015 April	30	41	71
2015 March	33	29	62
2015 February	22	24	46
2015 January	25	23	48
2014 December	29	30	59
2014 November	17	16	33
2014 October	38	22	60
2014 September	29	15	44
2014 August	34	17	51
2014 July	37	23	60
2014 June	45	15	60
2014 May	44	16	60
2014 April	47	12	59
2014 March	60	21	81
2014 February	42	23	65
2014 January	42	24	66
2013 December	45	30	75
2013 November	31	36	67
2013 October	26	47	73
2013 September	32	34	66
2013 August	23	44	67
2013 July	39	33	72
2013 June	30	38	68
2013 May	19	33	52
2013 April	22	46	68
2013 March	37	28	65
2013 February	36	8	44
2013 January	10	5	15

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