Evidence map›Paper›PMID 34601988›Full record

ArticleAnnals of medicine2021

Therapeutic goals and treatment response evaluation in moderate to severe psoriasis: an experts opinion document.

Isabel Belinchón Romero, Esteban Dauden, Carlos Ferrándiz Foraster, Álvaro González-Cantero, Jose Manuel Carrascosa Carrillo

Open access · goldAbstract read
In one paragraph

Article in Annals of medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 28% of its field
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

12 citing papers in PubMed, 20 citations in OpenAlex.

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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

5 authors at 5 institutions in 1 country.

Isabel Belinchón RomeroDepartment of Dermatology, Hospital General Universitario de Alicante-ISABIAL-UMH, Alicante, Spain.
Esteban DaudenDepartment of Dermatology, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria La Princesa (IIS-IP), Madrid, Spain.
Carlos Ferrándiz ForasterDepartment of Dermatology, Hospital Universitari Germans Trias i Pujol, Badalona, e IGTP, Universitat Autònoma de Barcelona, Barcelona, Spain.
Álvaro González-CanteroDepartment of Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Jose Manuel Carrascosa CarrilloDepartment of Dermatology, Hospital Universitari Germans Trias i Pujol, Badalona, e IGTP, Universitat Autònoma de Barcelona, Barcelona, Spain.
Hospital General Universitario de Alicante Doctor Balmis · ESHospital Universitari Germans Trias i Pujol · ESHospital Universitario de La Princesa · ESHospital Universitario Ramón y Cajal · ESUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo critically analyse and define therapeutic objectives, response to treatment evaluation and related decisions in psoriasis.

methodsExpert consensus meetings, a systematic and narrative reviews and a collaborative Delphi procedure were carried out. A steering committee from the Spanish Group of Psoriasis was established who based on the reviews generated a set of related statements. Subsequently, a group of 40 experts tested their agreement with the statements, through 3 Delphi rounds.

resultsWe found a great variability in clinical guidelines regarding to the definition of treatment goal and the response. In general, treatment failure was considered if a PASI50 is not achieved. The panel of experts agreed on (1) clearly differentiate between ideal and a realistic goals when establishing the therapeutic goal in moderate to severe psoriasis; (2) treatment goals should be in general established regardless of the type of drug for psoriasis; (3) treatment failure if PASI75 response is not reached; (4) an absolute PASI is in general preferred to the rate of PASI improvement from baseline; (5) disease characteristics, patients and physicians opinions/needs and treatment adherence influence treatment goals.

conclusionsA clear treatment decision making framework is vital to improve management of psoriasis.KEY MESSAGESPsoriasis characteristics, patients and physicians opinions/needs and treatment adherence influence treatment goals.Different disease indexes could be used to assess treatment response but absolute PASI is preferredIn general psoriasis treatment failure should be considered if PASI75 response is not reached.

Indexed as

Patient Care PlanningConsensusGoalsHumansPsoriasisSeverity of Illness IndexDelphiPsoriasissystematic literature reviewtherapeutic objectivetreatment response

Identifiers

PMID34601988
PMCPMC8491706
OpenAlexW3204318996

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.