RT Journal Article
T1 Management of Psoriasis During Preconception, Pregnancy, Postpartum, and Breastfeeding: A Consensus Statement.
T2 Consenso sobre las actuaciones a seguir durante la edad fértil, el embarazo, el posparto y la lactancia en pacientes con psoriasis.
A1 Belinchón, I
A1 Velasco, M
A1 Ara-Martín, M
A1 Armesto Alonso, S
A1 Baniandrés Rodríguez, O
A1 Ferrándiz Pulido, L
A1 García-Bustinduy, M
A1 Martínez-López, J A
A1 Martínez Sánchez, N
A1 Pérez Ferriols, A
A1 Pérez Pascual, E
A1 Rivera Díaz, R
A1 Ruiz-Villaverde, R
A1 Taberner Ferrer, R
A1 Vicente Villa, A
A1 Carrascosa, J M
K1 Breastfeeding
K1 Delphi process
K1 Embarazo
K1 Fertilidad
K1 Fertility
K1 Lactancia
K1 Método Delphi
K1 Posparto
K1 Postpartum
K1 Pregnancy
K1 Psoriasis
K1 Recomendaciones
K1 Recommendations
AB 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.
YR 2020
FD 2020-10-13
LK http://hdl.handle.net/10668/16432
UL http://hdl.handle.net/10668/16432
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RD Apr 11, 2025