JAAD international · 2025
Expert consensus-based recommendations on the use of photodynamic therapy in actinic keratosis patients.
СтатьяНазвание и аннотация: Перевод в очереди
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Patel Vishal A, Arron Sarah T, Berman Brian, Chapman M Shane, Jambusaria-Pahlajani Anokhi, Martin George, Rossi Anthony M, Schlesinger Todd, Zeitouni Nathalie C, Bhatia Neal
Аннотация
BACKGROUND: Current actinic keratosis (AK) treatment guidelines are controversial and incomplete, leaving an unmet need for clearer and more in-depth guidance on the usage of photodynamic therapy (PDT) in AKs.
OBJECTIVE: To gain consensus on the use of PDT for AKs using a modified Delphi method.
METHODS: Consensus statements were developed after a literature review of topics surrounding PDT and AKs. Ten panelists voted through electronic questionnaires rating each statement on a three-point Likert-type scale: strongly agree, agree, and disagree. Consensus was established when ≥70% of panelists strongly agreed on the statement. Statements that did not meet the threshold were revised after each round of voting and sent out for the next round of voting. A virtual meeting was held after 2 rounds of voting to discuss outstanding statements.
RESULTS: Three modified Delphi rounds were completed in total and 1 virtual meeting was held. All 10 experts responded to all rounds of voting. A total of 55 statements established consensus with the ≥70% majority requirement necessary.
LIMITATIONS: Recommendations are based on expert opinions.
CONCLUSION: The results from this consensus panel are intended to bridge gaps in the existing guidelines and will continue to evolve.
OBJECTIVE: To gain consensus on the use of PDT for AKs using a modified Delphi method.
METHODS: Consensus statements were developed after a literature review of topics surrounding PDT and AKs. Ten panelists voted through electronic questionnaires rating each statement on a three-point Likert-type scale: strongly agree, agree, and disagree. Consensus was established when ≥70% of panelists strongly agreed on the statement. Statements that did not meet the threshold were revised after each round of voting and sent out for the next round of voting. A virtual meeting was held after 2 rounds of voting to discuss outstanding statements.
RESULTS: Three modified Delphi rounds were completed in total and 1 virtual meeting was held. All 10 experts responded to all rounds of voting. A total of 55 statements established consensus with the ≥70% majority requirement necessary.
LIMITATIONS: Recommendations are based on expert opinions.
CONCLUSION: The results from this consensus panel are intended to bridge gaps in the existing guidelines and will continue to evolve.