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Structured Expert Consensus on Actinic Keratosis: Treatment Algorithm Focusing on Daylight PDT.

Identifieur interne : 000D58 ( PubMed/Curation ); précédent : 000D57; suivant : 000D59

Structured Expert Consensus on Actinic Keratosis: Treatment Algorithm Focusing on Daylight PDT.

Auteurs : Piergiacomo Calzavara-Pinton [Italie] ; Merete H Dersdal [Danemark] ; Kirk Barber [Danemark] ; Nicole Basset-Seguin [France] ; María Emilia Del Pino Flores [Mexique] ; Peter Foley [Australie] ; Gaston Galimberti [Argentine] ; Rianne Gerritsen [Pays-Bas] ; Yolanda Gilarbete [Espagne] ; Sally Ibbotson [Royaume-Uni] ; Ketty Peris [Italie] ; Sheetal Sapra [Canada] ; Eleni Sotiriou [Grèce] ; Luis Torezan [Brésil] ; Claas Ulrich [Allemagne] ; Jonathan Guillemot [Royaume-Uni] ; Janek Hendrich [Royaume-Uni] ; Rolf-Markus Szeimies [Allemagne]

Source :

RBID : pubmed:28406719

Abstract

A practical and up-to-date consensus among experts is paramount to further improve patient care in actinic keratosis (AK).

DOI: 10.1177/1203475417702994
PubMed: 28406719

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pubmed:28406719

Le document en format XML

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<name sortKey="Calzavara Pinton, Piergiacomo" sort="Calzavara Pinton, Piergiacomo" uniqKey="Calzavara Pinton P" first="Piergiacomo" last="Calzavara-Pinton">Piergiacomo Calzavara-Pinton</name>
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<nlm:affiliation>1 Department of Dermatology, University of Brescia, Brescia, Italy.</nlm:affiliation>
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<name sortKey="H Dersdal, Merete" sort="H Dersdal, Merete" uniqKey="H Dersdal M" first="Merete" last="H Dersdal">Merete H Dersdal</name>
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<nlm:affiliation>2 Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.</nlm:affiliation>
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<name sortKey="Basset Seguin, Nicole" sort="Basset Seguin, Nicole" uniqKey="Basset Seguin N" first="Nicole" last="Basset-Seguin">Nicole Basset-Seguin</name>
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<nlm:affiliation>4 Department of Dermatology, Hospital Saint-Louis, Université Paris 7, Paris, France.</nlm:affiliation>
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<name sortKey="Galimberti, Gaston" sort="Galimberti, Gaston" uniqKey="Galimberti G" first="Gaston" last="Galimberti">Gaston Galimberti</name>
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<nlm:affiliation>7 Department of Dermatology, School of Medicine, Hospital Italiano, Buenos Aires, Argentina.</nlm:affiliation>
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<name sortKey="Gerritsen, Rianne" sort="Gerritsen, Rianne" uniqKey="Gerritsen R" first="Rianne" last="Gerritsen">Rianne Gerritsen</name>
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<nlm:affiliation>8 Department of Dermatology, Radboud University Medical Center, Nijmegen, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
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<name sortKey="Gilarbete, Yolanda" sort="Gilarbete, Yolanda" uniqKey="Gilarbete Y" first="Yolanda" last="Gilarbete">Yolanda Gilarbete</name>
<affiliation wicri:level="1">
<nlm:affiliation>9 Department of Dermatology, Hospital San Jorge, Huesca, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>9 Department of Dermatology, Hospital San Jorge, Huesca</wicri:regionArea>
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<name sortKey="Ibbotson, Sally" sort="Ibbotson, Sally" uniqKey="Ibbotson S" first="Sally" last="Ibbotson">Sally Ibbotson</name>
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<nlm:affiliation>10 Photobiology Unit, Dermatology Department, University of Dundee, Ninewells Hospital & Medical School, Dundee, UK.</nlm:affiliation>
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<name sortKey="Sapra, Sheetal" sort="Sapra, Sheetal" uniqKey="Sapra S" first="Sheetal" last="Sapra">Sheetal Sapra</name>
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<name sortKey="Sotiriou, Eleni" sort="Sotiriou, Eleni" uniqKey="Sotiriou E" first="Eleni" last="Sotiriou">Eleni Sotiriou</name>
<affiliation wicri:level="1">
<nlm:affiliation>13 First Dermatology Department, Aristotle University, Thessaloniki, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
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<name sortKey="Torezan, Luis" sort="Torezan, Luis" uniqKey="Torezan L" first="Luis" last="Torezan">Luis Torezan</name>
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<nlm:affiliation>14 Hospital das Clinicas Faculdade de Medicina Universidade de São Paulo, São Paulo, Brazil.</nlm:affiliation>
<country xml:lang="fr">Brésil</country>
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<name sortKey="Ulrich, Claas" sort="Ulrich, Claas" uniqKey="Ulrich C" first="Claas" last="Ulrich">Claas Ulrich</name>
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<name sortKey="Guillemot, Jonathan" sort="Guillemot, Jonathan" uniqKey="Guillemot J" first="Jonathan" last="Guillemot">Jonathan Guillemot</name>
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<name sortKey="Hendrich, Janek" sort="Hendrich, Janek" uniqKey="Hendrich J" first="Janek" last="Hendrich">Janek Hendrich</name>
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<name sortKey="Szeimies, Rolf Markus" sort="Szeimies, Rolf Markus" uniqKey="Szeimies R" first="Rolf-Markus" last="Szeimies">Rolf-Markus Szeimies</name>
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<nlm:affiliation>18 Department of Dermatology and Allergology, Vest Hospital, Academic Teaching Hospital University of Bochum, Recklinghausen, Germany.</nlm:affiliation>
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<title xml:lang="en">Structured Expert Consensus on Actinic Keratosis: Treatment Algorithm Focusing on Daylight PDT.</title>
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<name sortKey="Calzavara Pinton, Piergiacomo" sort="Calzavara Pinton, Piergiacomo" uniqKey="Calzavara Pinton P" first="Piergiacomo" last="Calzavara-Pinton">Piergiacomo Calzavara-Pinton</name>
<affiliation wicri:level="1">
<nlm:affiliation>1 Department of Dermatology, University of Brescia, Brescia, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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</affiliation>
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<name sortKey="H Dersdal, Merete" sort="H Dersdal, Merete" uniqKey="H Dersdal M" first="Merete" last="H Dersdal">Merete H Dersdal</name>
<affiliation wicri:level="1">
<nlm:affiliation>2 Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>2 Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, Copenhagen</wicri:regionArea>
</affiliation>
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<name sortKey="Barber, Kirk" sort="Barber, Kirk" uniqKey="Barber K" first="Kirk" last="Barber">Kirk Barber</name>
<affiliation wicri:level="1">
<nlm:affiliation>2 Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>2 Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, Copenhagen</wicri:regionArea>
</affiliation>
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<author>
<name sortKey="Basset Seguin, Nicole" sort="Basset Seguin, Nicole" uniqKey="Basset Seguin N" first="Nicole" last="Basset-Seguin">Nicole Basset-Seguin</name>
<affiliation wicri:level="1">
<nlm:affiliation>4 Department of Dermatology, Hospital Saint-Louis, Université Paris 7, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>4 Department of Dermatology, Hospital Saint-Louis, Université Paris 7, Paris</wicri:regionArea>
</affiliation>
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<author>
<name sortKey="Del Pino Flores, Maria Emilia" sort="Del Pino Flores, Maria Emilia" uniqKey="Del Pino Flores M" first="María Emilia" last="Del Pino Flores">María Emilia Del Pino Flores</name>
<affiliation wicri:level="1">
<nlm:affiliation>5 Hospital Ángeles del Pedregal, Mexico City, Mexico.</nlm:affiliation>
<country xml:lang="fr">Mexique</country>
<wicri:regionArea>5 Hospital Ángeles del Pedregal, Mexico City</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Foley, Peter" sort="Foley, Peter" uniqKey="Foley P" first="Peter" last="Foley">Peter Foley</name>
<affiliation wicri:level="1">
<nlm:affiliation>6 Department of Medicine (Dermatology), University of Melbourne; St Vincent's Hospital Melbourne, Fitzroy, and Skin & Cancer Foundation, Carlton, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>6 Department of Medicine (Dermatology), University of Melbourne; St Vincent's Hospital Melbourne, Fitzroy, and Skin & Cancer Foundation, Carlton</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Galimberti, Gaston" sort="Galimberti, Gaston" uniqKey="Galimberti G" first="Gaston" last="Galimberti">Gaston Galimberti</name>
<affiliation wicri:level="1">
<nlm:affiliation>7 Department of Dermatology, School of Medicine, Hospital Italiano, Buenos Aires, Argentina.</nlm:affiliation>
<country xml:lang="fr">Argentine</country>
<wicri:regionArea>7 Department of Dermatology, School of Medicine, Hospital Italiano, Buenos Aires</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Gerritsen, Rianne" sort="Gerritsen, Rianne" uniqKey="Gerritsen R" first="Rianne" last="Gerritsen">Rianne Gerritsen</name>
<affiliation wicri:level="1">
<nlm:affiliation>8 Department of Dermatology, Radboud University Medical Center, Nijmegen, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>8 Department of Dermatology, Radboud University Medical Center, Nijmegen</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Gilarbete, Yolanda" sort="Gilarbete, Yolanda" uniqKey="Gilarbete Y" first="Yolanda" last="Gilarbete">Yolanda Gilarbete</name>
<affiliation wicri:level="1">
<nlm:affiliation>9 Department of Dermatology, Hospital San Jorge, Huesca, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>9 Department of Dermatology, Hospital San Jorge, Huesca</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ibbotson, Sally" sort="Ibbotson, Sally" uniqKey="Ibbotson S" first="Sally" last="Ibbotson">Sally Ibbotson</name>
<affiliation wicri:level="1">
<nlm:affiliation>10 Photobiology Unit, Dermatology Department, University of Dundee, Ninewells Hospital & Medical School, Dundee, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>10 Photobiology Unit, Dermatology Department, University of Dundee, Ninewells Hospital & Medical School, Dundee</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Peris, Ketty" sort="Peris, Ketty" uniqKey="Peris K" first="Ketty" last="Peris">Ketty Peris</name>
<affiliation wicri:level="1">
<nlm:affiliation>11 Catholic University of Rome, Fondazione Policlinico Gemelli, Rome, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>11 Catholic University of Rome, Fondazione Policlinico Gemelli, Rome</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Sapra, Sheetal" sort="Sapra, Sheetal" uniqKey="Sapra S" first="Sheetal" last="Sapra">Sheetal Sapra</name>
<affiliation wicri:level="1">
<nlm:affiliation>12 Institute of Cosmetic and Laser Surgery, Oakville, Ontario, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>12 Institute of Cosmetic and Laser Surgery, Oakville, Ontario</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Sotiriou, Eleni" sort="Sotiriou, Eleni" uniqKey="Sotiriou E" first="Eleni" last="Sotiriou">Eleni Sotiriou</name>
<affiliation wicri:level="1">
<nlm:affiliation>13 First Dermatology Department, Aristotle University, Thessaloniki, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>13 First Dermatology Department, Aristotle University, Thessaloniki</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Torezan, Luis" sort="Torezan, Luis" uniqKey="Torezan L" first="Luis" last="Torezan">Luis Torezan</name>
<affiliation wicri:level="1">
<nlm:affiliation>14 Hospital das Clinicas Faculdade de Medicina Universidade de São Paulo, São Paulo, Brazil.</nlm:affiliation>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>14 Hospital das Clinicas Faculdade de Medicina Universidade de São Paulo, São Paulo</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ulrich, Claas" sort="Ulrich, Claas" uniqKey="Ulrich C" first="Claas" last="Ulrich">Claas Ulrich</name>
<affiliation wicri:level="1">
<nlm:affiliation>15 Skin Tumor Center of Charité, Berlin, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>15 Skin Tumor Center of Charité, Berlin</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Guillemot, Jonathan" sort="Guillemot, Jonathan" uniqKey="Guillemot J" first="Jonathan" last="Guillemot">Jonathan Guillemot</name>
<affiliation wicri:level="1">
<nlm:affiliation>16 Amaris, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>16 Amaris, London</wicri:regionArea>
</affiliation>
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<author>
<name sortKey="Hendrich, Janek" sort="Hendrich, Janek" uniqKey="Hendrich J" first="Janek" last="Hendrich">Janek Hendrich</name>
<affiliation wicri:level="1">
<nlm:affiliation>16 Amaris, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>16 Amaris, London</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Szeimies, Rolf Markus" sort="Szeimies, Rolf Markus" uniqKey="Szeimies R" first="Rolf-Markus" last="Szeimies">Rolf-Markus Szeimies</name>
<affiliation wicri:level="1">
<nlm:affiliation>18 Department of Dermatology and Allergology, Vest Hospital, Academic Teaching Hospital University of Bochum, Recklinghausen, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>18 Department of Dermatology and Allergology, Vest Hospital, Academic Teaching Hospital University of Bochum, Recklinghausen</wicri:regionArea>
</affiliation>
</author>
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<series>
<title level="j">Journal of cutaneous medicine and surgery</title>
<idno type="eISSN">1615-7109</idno>
<imprint>
<date when="2017" type="published">2017</date>
</imprint>
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<front>
<div type="abstract" xml:lang="en">A practical and up-to-date consensus among experts is paramount to further improve patient care in actinic keratosis (AK).</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="Publisher" Owner="NLM">
<PMID Version="1">28406719</PMID>
<DateCreated>
<Year>2017</Year>
<Month>04</Month>
<Day>13</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>04</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1615-7109</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2017</Year>
<Month>Apr</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>Journal of cutaneous medicine and surgery</Title>
<ISOAbbreviation>J Cutan Med Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Structured Expert Consensus on Actinic Keratosis: Treatment Algorithm Focusing on Daylight PDT.</ArticleTitle>
<Pagination>
<MedlinePgn>1203475417702994</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1177/1203475417702994</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">A practical and up-to-date consensus among experts is paramount to further improve patient care in actinic keratosis (AK).</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To develop a structured consensus statement on the diagnosis, classification, and practical management of AK based on up-to-date information.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A systematic review of AK clinical guidelines was conducted. This informed the preparation of a 3-round Delphi procedure followed by a consensus meeting, which combined the opinions of 16 clinical experts from 13 countries, to construct a structured consensus statement and a treatment algorithm positioning daylight photodynamic therapy (dl-PDT) among other AK treatment options.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The systematic review found deficiencies in current guidelines with respect to new AK treatments such as ingenol mebutate and dl-PDT. The Delphi panel established consensus statements across definition, diagnosis, classification, and management of AK. While the diagnosis of AK essentially rests on the nature of lesions, treatment decisions are based on several clinical and nonclinical patient factors and diverse environmental attributes. Participants agreed on ranked treatment preferences for the management of AK and on classifying AK in 3 clinical situations: isolated AK lesions requiring lesion-directed treatment, multiple lesions within a small field, and multiple lesions within a large field, both requiring specific treatment approaches. Different AK treatment options were discussed for each clinical situation.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The results provide practical recommendations for the treatment of AK, which are readily transferable to clinical practice, and incorporate the physician's clinical judgement. The structured consensus statement positioned dl-PDT as a valuable option for patients with multiple AKs in small or large fields.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Calzavara-Pinton</LastName>
<ForeName>Piergiacomo</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>1 Department of Dermatology, University of Brescia, Brescia, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hædersdal</LastName>
<ForeName>Merete</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>2 Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Barber</LastName>
<ForeName>Kirk</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>2 Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Basset-Seguin</LastName>
<ForeName>Nicole</ForeName>
<Initials>N</Initials>
<AffiliationInfo>
<Affiliation>4 Department of Dermatology, Hospital Saint-Louis, Université Paris 7, Paris, France.</Affiliation>
</AffiliationInfo>
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