%0 Journal Article
%A Belinchón, I
%A Velasco, M
%A Ara-Martín, M
%A Armesto Alonso, S
%A Baniandrés Rodríguez, O
%A Ferrándiz Pulido, L
%A García-Bustinduy, M
%A Martínez-López, J A
%A Martínez Sánchez, N
%A Pérez Ferriols, A
%A Pérez Pascual, E
%A Rivera Díaz, R
%A Ruiz-Villaverde, R
%A Taberner Ferrer, R
%A Vicente Villa, A
%A Carrascosa, J M
%T Management of Psoriasis During Preconception, Pregnancy, Postpartum, and Breastfeeding: A Consensus Statement.
%D 2020
%U http://hdl.handle.net/10668/16432
%X To develop evidence- and experience-based recommendations for the management of psoriasis during preconception, pregnancy, postpartum, and breastfeeding. The nominal group technique and the Delphi method were used. Fifteen experts (12 dermatologists, 2 of whom were appointed coordinators; 1 rheumatologist; and 2 gynecologists) were selected to form an expert panel. Following a systematic review of the literature on fertility, pregnancy, postpartum, and breastfeeding in women with psoriasis, the coordinators drew up a series of preliminary recommendations for discussion by the panel at a nominal group meeting. The experts defined the scope, sections, and intended users of the statement and prepared a final list of recommendations. Consensus was obtained using a Delphi process in which an additional 51 dermatologists rated their level of agreement with each recommendation on a scale of 1 (total disagreement) to 10 (total agreement). Consensus was defined by a score of 7 or higher assigned by at least 70% of participants. Level of evidence and strength of recommendation were reported using the Oxford Center for Evidence-Based Medicine categories. The final statement was approved by the expert panel. The resulting consensus statement includes 23 recommendations on preconception (fertility and contraception), pregnancy (planning, pharmacological management, and follow-up), and breastfeeding (management and follow-up). Consensus was achieved for all recommendations generated except one. These recommendations for the better management of psoriasis in women of childbearing age could improve outcomes and prognosis.
%K Breastfeeding
%K Delphi process
%K Embarazo
%K Fertilidad
%K Fertility
%K Lactancia
%K Método Delphi
%K Posparto
%K Postpartum
%K Pregnancy
%K Psoriasis
%K Recomendaciones
%K Recommendations
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