Evidence map›Paper›PMID 33426634›Full record

ArticleDermatology and therapy2021

Treat-to-Target Approach for the Management of Patients with Moderate-to-Severe Plaque Psoriasis: Consensus Recommendations.

Paolo Gisondi, Marina Talamonti, Andrea Chiricozzi, Stefano Piaserico, Paolo Amerio, Anna Balato, Federico Bardazzi, Piergiacomo Calzavara Pinton, Anna Campanati, Angelo Cattaneo and 29 more

Abstract read
In one paragraph

Article in Dermatology and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  9. Remission in chronic rhinosinusitis with nasal polyps treated with biologics: a real-life experience.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

39 authors.

Paolo Gisondi *Department of Medicine, Section of Dermatology and Venereology, University of Verona, Piazzale A. Stefani 1, 37126, Verona, Italy. paolo.gisondi@univr.it.
Marina Talamonti *Dermatology Unit, Department of Systems Medicine, Tor Vergata University of Rome, Viale Oxford 81, 00133, Rome, Italy.
Andrea Chiricozzi *Institute of Dermatology, Catholic University, Largo Francesco Vito, 1, 00168, Rome, Italy.
Stefano Piaserico *Department of Dermatology, University of Padova, Via Vincenzo Gallucci, 4, 35121, Padova, Italy.
Paolo AmerioDepartment of Medicine and Aging Science and Dermatologic Clinic, University "G. d'Annunzio", Via dei Vestini, 31 66100, Chieti-Pescara, Chieti, Italy.
Anna BalatoDepartment of Dermatology, University of Naples Federico II, Corso Umberto I, 40, 80138, Naples, Italy.
Federico BardazziDermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Via Zamboni, 33, 40126, Bologna, Italy.
Piergiacomo Calzavara PintonDermatology Department, University of Brescia, ASST Spedali Civili, P.le Spedali Civili, 1, 25123, Brescia, Italy.
Anna CampanatiDermatology Unit, Department of Clinical and Molecular Sciences, Polytechnic Marche University, via Conca 71, 60126, Ancona, Italy.
Angelo CattaneoDermatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, via Francesco Sforza 28, 20122, Milano, Italy.
Paolo DapavoASO City of Health and Science, University Dermatological Clinic, Corso Vittorio Emanuele II, 62, 10121, Torino, Italy.
Clara De SimoneInstitute of Dermatology, Catholic University, Largo Francesco Vito, 1, 00168, Rome, Italy.
Valentina DiniDermatology Unit, Department of Clinical and Experimental Medicine Ospedale Santa Chiara, 11 Via Roma 67, 56126, Pisa, Italy.
Maria C FargnoliDermatology, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Vetoio, Coppito, 67100, L'Aquila, Italy.
Maria L FloriAllergological Dermatology Unit Dermatology Section Department of Medical, Surgical and Neuro-Sciences, University of Siena, via Banchi di Sotto 55, 53100, Siena, Italy.
Marco GalluzzoDermatology Unit, Fondazione Policlinico Tor Vergata, Viale Oxford 81, 00133, Rome, Italy.
Claudio GuarneriDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Piazza Pugliatti 1, 98122, Messina, Italy.
Claudia LasagniDermatological Clinic, Department of Specialized Medicine, University of Modena, Via Università 4, 41121, Modena, Italy.
Francesco LoconsoleDepartment of Dermatology, University of Bari, Piazza Umberto I, 1, 70121, Bari, Italy.
Ada Lo SchiavoDermatology Unit, University of Campania Luigi Vanvitelli, Viale Abramo Lincoln, 5, 81100, Naples, Italy.
Piergiorgio MalagoliHead Psocare Unit IRCCS Policlinico San Donato, Piazza Edmondo Malan, 2, 20097, San Donato, Milano, Italy.
Giovanna MalaraUOC of Dermatology, Great Metropolitan Hospital "BMM", Via Giuseppe Melacrino 21, 89124, Reggio Calabria, Italy.
Santo R MercuriIRCCS Scientific Institute San Raffaele Vita-Salute University, Via Olgettina n. 60, 20132, Milano, Italy.
Maria L MusumeciU.O.C. Dermatology, P.O.G. Rodolico, A.O.U. Policlnico-Vittorio Emanuele, Catania, Italy.
Luigi NaldiDepartment of Dermatology, AULSS8 Ospedale San Bortolo, viale Rodolfi 37, 36100, Vicenza, Italy.
Manuela PapiniDermatology Clinic of Terni, University of Perugia, Piazza dell'Università 1, 06123, Perugia, Italy.
Aurora ParodiDiSSal Section of Dermatology, University of Genoa, Policlinic-Hospital San Martino IRCCS, Largo R. Benzi 10, 16132, Genoa, Italy.
Concetta PotenzaDermatology Unit "Daniele Innocenzi", Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.
Francesca PrignanoUnit of Dermatology, Department of Health Science, University of Florence, Viale Michelangiolo, 41 50125, Florence, Italy.
Franco RongiolettiDermatology Clinic, Department of Medical Sciences and Public Health, University of Cagliari, Via Università 40, 09124, Cagliari, Italy.
Luca StingeniDermatology Section, Department of Medicine, University of Perugia, Piazza dell'Università 1, 06123, Perugia, Italy.
Rossana TiberioDepartment of Health Science, Dermatologic Clinic, University of Eastern Piedmont, Corso Mazzini 18, 28100, Novara, Italy.
Marina VenturiniDermatology Department, University of Brescia, ASST Spedali Civili, P.le Spedali Civili, 1, 25123, Brescia, Italy.
Luca BianchiDermatology Unit, Department of Systems Medicine, Tor Vergata University of Rome, Viale Oxford 81, 00133, Rome, Italy.
Antonio CostanzoDermatology Unit Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, 20089, Pieve Emanuele, Milano, Italy.
Francesco CusanoDermatology Unit, "San Pio" General Hospital, Via Pacevecchia 53, 82100, Benevento, Italy.
Giampiero GirolomoniDepartment of Medicine, Section of Dermatology and Venereology, University of Verona, Piazzale A. Stefani 1, 37126, Verona, Italy.
Anna M OffidaniDermatology Unit, Department of Clinical and Molecular Sciences, Polytechnic Marche University, via Conca 71, 60126, Ancona, Italy.
Ketty PerisInstitute of Dermatology, Catholic University, Largo Francesco Vito, 1, 00168, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTreat-to-target strategies are used in several chronic diseases to improve outcomes. Treatment goals have also been suggested for psoriasis, but there is currently no consensus on targets, and guidance is needed to implement this strategy in clinical practice. The project 'Treat to Target Italia' was launched by a scientific board (SB) of 10 psoriasis experts to generate expert consensus recommendations.

methodsOn the basis of the published literature, their clinical experience, and the results of a survey among Italian dermatologists, the SB identified four relevant topics: (1) clinical remission; (2) quality of life; (3) abrogation of systemic inflammation; (4) safety. They drafted 20 statements addressing these four topics and submitted them to a panel of 28 dermatologists, in a Delphi process, to achieve consensus (greater than 80% agreement).

resultsConsensus was reached on all statements. Treatment goals defining clinical remission should include a 90% improvement from baseline in the Psoriasis Area and Severity Index (PASI90 response) or an absolute PASI score of less than or equal to 3. Patient's quality of life and satisfaction are important targets. If PASI targets are achieved, there should be no or very low impact of psoriasis on quality of life [Dermatology Life Quality Index (DLQI) score less than or equal to 3]. If PASI or DLQI goals are not achieved within 3-4 months, treatment should be changed. Abrogation of systemic inflammation may be crucial for preventing or delaying inflammatory comorbidities. Safety is an equally important target as efficacy.

conclusionThese 20 consensus statements define the parameters of a treat-to-target strategy for psoriasis in Italy. It is hoped that use of these in the management of patients with psoriasis will improve treatment outcomes and patient health-related quality of life.

Indexed as

ConsensusPlaque psoriasisQuality of lifeSystemic inflammationTreat-to-target

Identifiers

PMID33426634
PMCPMC7859133

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