Recommendations for psoriasis treatment in Pediatrics
Introduction: in one third of patients with psoriasis, symptoms start during childhood and adolescence, with a strong emotional and psychosocial impact. Objective: to develop a guideline for the systemic treatment of psoriasis in pediatric patients by means of recommendations based on the best avail...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2023
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/42874 |
| Aporte de: |
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I10-R327-article-42874 |
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Universidad Nacional de Córdoba |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
psoriasis clinical practice guideline Argentina pediatrics GRADE approach psoriasis guía de práctica clínica Argentina pediatría sistema GRADE psoríase diretriz de prática clínica Argentina pediatria sistema GRADE |
| spellingShingle |
psoriasis clinical practice guideline Argentina pediatrics GRADE approach psoriasis guía de práctica clínica Argentina pediatría sistema GRADE psoríase diretriz de prática clínica Argentina pediatria sistema GRADE Luna, Paula Carolina Abad, María Eugenia Larralde, Margarita Boggio, Paula Ferrari, Bruno Maccario, María Fernanda Castro, Carla Moreno, Silvia Kaplan, Débora Echeverría, Cristina Recommendations for psoriasis treatment in Pediatrics |
| topic_facet |
psoriasis clinical practice guideline Argentina pediatrics GRADE approach psoriasis guía de práctica clínica Argentina pediatría sistema GRADE psoríase diretriz de prática clínica Argentina pediatria sistema GRADE |
| author |
Luna, Paula Carolina Abad, María Eugenia Larralde, Margarita Boggio, Paula Ferrari, Bruno Maccario, María Fernanda Castro, Carla Moreno, Silvia Kaplan, Débora Echeverría, Cristina |
| author_facet |
Luna, Paula Carolina Abad, María Eugenia Larralde, Margarita Boggio, Paula Ferrari, Bruno Maccario, María Fernanda Castro, Carla Moreno, Silvia Kaplan, Débora Echeverría, Cristina |
| author_sort |
Luna, Paula Carolina |
| title |
Recommendations for psoriasis treatment in Pediatrics |
| title_short |
Recommendations for psoriasis treatment in Pediatrics |
| title_full |
Recommendations for psoriasis treatment in Pediatrics |
| title_fullStr |
Recommendations for psoriasis treatment in Pediatrics |
| title_full_unstemmed |
Recommendations for psoriasis treatment in Pediatrics |
| title_sort |
recommendations for psoriasis treatment in pediatrics |
| description |
Introduction: in one third of patients with psoriasis, symptoms start during childhood and adolescence, with a strong emotional and psychosocial impact. Objective: to develop a guideline for the systemic treatment of psoriasis in pediatric patients by means of recommendations based on the best available evidence. Materials and methods: Sources: articles indexed in PubMed, Epistemonikos, Google Scholar, Cochrane Library and Scielo, published between January 2010 and May 2022, in English, Spanish and Portuguese. Study selection: evidence-based clinical practice guidelines, systematic reviews, meta-analyses, randomized controlled studies, observational studies (case-control, cohort studies, real-life registries) and evaluations of biosimilar drugs in patients up to and including 17 years of age were considered. The keywords "psoriasis" and "treatment" were used in all three languages. Data extraction: the literature was evaluated using Grading of Recommendations Assessment, Development and Evaluation (GRADE) recommendations. Data synthesis: evidence tables were developed and analyzed by the expert committee. The questions for the development of recommendations were based on the PICO system (population, intervention, comparison, outcome). Results: A total of 8 recommendations and 7 points of good practice were developed. The direction and strength of the recommendations were expressed according to the GRADE system. Conclusions: the final decision on a specific therapy should be based on the best opinion of the treating physician, the individual characteristics, and the values and preferences of the patients and their caregivers. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2023 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/42874 |
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I10-R327-article-428742024-04-24T19:04:13Z Recommendations for psoriasis treatment in Pediatrics Recomendaciones para el tratamiento de la psoriasis en Pediatría Recomendações para o tratamento da psoríase em Pediatria Luna, Paula Carolina Abad, María Eugenia Larralde, Margarita Boggio, Paula Ferrari, Bruno Maccario, María Fernanda Castro, Carla Moreno, Silvia Kaplan, Débora Echeverría, Cristina psoriasis clinical practice guideline Argentina pediatrics GRADE approach psoriasis guía de práctica clínica Argentina pediatría sistema GRADE psoríase diretriz de prática clínica Argentina pediatria sistema GRADE Introduction: in one third of patients with psoriasis, symptoms start during childhood and adolescence, with a strong emotional and psychosocial impact. Objective: to develop a guideline for the systemic treatment of psoriasis in pediatric patients by means of recommendations based on the best available evidence. Materials and methods: Sources: articles indexed in PubMed, Epistemonikos, Google Scholar, Cochrane Library and Scielo, published between January 2010 and May 2022, in English, Spanish and Portuguese. Study selection: evidence-based clinical practice guidelines, systematic reviews, meta-analyses, randomized controlled studies, observational studies (case-control, cohort studies, real-life registries) and evaluations of biosimilar drugs in patients up to and including 17 years of age were considered. The keywords "psoriasis" and "treatment" were used in all three languages. Data extraction: the literature was evaluated using Grading of Recommendations Assessment, Development and Evaluation (GRADE) recommendations. Data synthesis: evidence tables were developed and analyzed by the expert committee. The questions for the development of recommendations were based on the PICO system (population, intervention, comparison, outcome). Results: A total of 8 recommendations and 7 points of good practice were developed. The direction and strength of the recommendations were expressed according to the GRADE system. Conclusions: the final decision on a specific therapy should be based on the best opinion of the treating physician, the individual characteristics, and the values and preferences of the patients and their caregivers. Introducción: un tercio de los pacientes con psoriasis comienzan con sus síntomas en la niñez y la adolescencia, con fuerte impacto emocional y psicosocial. Objetivo: elaborar una guía de tratamiento sistémico de la psoriasis en pacientes pediátricos mediante recomendaciones fundamentadas en la mejor evidencia disponible. Materiales y métodos: Fuentes: artículos indexados en PubMed, Epistemonikos, Google Académico, Cochrane Library y Scielo, publicados entre enero de 2010 y mayo de 2022, en inglés, castellano y portugués. Selección de estudios: se consideraron guías de práctica clínica basadas en la evidencia, revisiones sistemáticas, metanálisis, estudios controlados y aleatorizados, estudios observacionales (casos y controles, estudios de cohortes, registros de la vida real) y evaluaciones de medicamentos biosimilares en pacientes de hasta 17 años de edad inclusive. Se utilizaron las palabras clave “psoriasis” y “tratamiento” en los tres idiomas. Extracción de datos: la bibliografía fue evaluada mediante las recomendaciones del sistema Grading of Recommendations Assessment, Development and Evaluation (GRADE). Síntesis de datos: elaboración de tablas de evidencia que fueron analizadas por el comité de expertos. Las preguntas para el desarrollo de recomendaciones se fundamentaron en el sistema PICO (población, intervención, comparación, outcome [desenlace]). Resultados: se elaboraron un total de 8 recomendaciones y 7 puntos de buena práctica. La dirección y fuerza de las recomendaciones se expresaron de acuerdo con lo sugerido por el sistema GRADE. Conclusiones: la decisión final de una terapia específica se fundamentará en la mejor opinión del médico tratante, las características individuales, y los valores y preferencias de los pacientes y sus cuidadores. Introdução: um terço dos pacientes com psoríase começa a apresentar sintomas na infância e na adolescência, com forte impacto emocional e psicossocial. Objetivo: elaborar uma diretriz para o tratamento sistêmico da psoríase em pacientes pediátricos por meio de recomendações baseadas nas melhores evidências disponíveis. Materiais e métodos: Fontes: artigos indexados no PubMed, Epistemonikos, Google Scholar, Cochrane Library e Scielo, publicados entre janeiro de 2010 e maio de 2022, em inglês, espanhol e português. Seleção de estudos: foram consideradas diretrizes de prática clínica baseadas em evidências, revisões sistemáticas, metanálises, estudos controlados randomizados, estudos observacionais (caso-controle, estudos de coorte, registros da vida real) e avaliações de medicamentos biossimilares em pacientes com até 17 anos de idade, inclusive. As palavras-chave "psoríase" e "tratamento" foram usadas nos três idiomas. Extração de dados: a literatura foi avaliada usando as recomendações do Grading of Recommendations Assessment, Development and Evaluation (GRADE). Síntese de dados: as tabelas de evidências foram desenvolvidas e analisadas pelo comitê de especialistas. As perguntas para o desenvolvimento de recomendações foram baseadas no sistema PICO (população, intervenção, comparação, outcome [resultado]). Resultados: foram desenvolvidas 8 recomendações e 7 pontos de boas práticas. A direção e a força das recomendações foram expressas conforme sugerido pelo sistema GRADE. Conclusões: a decisão final sobre uma terapia específica será baseada no melhor julgamento do médico responsável pelo tratamento, nas características individuais e nos valores e preferências dos pacientes e de seus cuidadores. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-12-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/42874 10.31053/1853.0605.v80.n4.42874 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 No. 4 (2023): Publicaciones especiales por 80° Aniversario; 523-537 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 Núm. 4 (2023): Publicaciones especiales por 80° Aniversario; 523-537 Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 n. 4 (2023): Publicaciones especiales por 80° Aniversario; 523-537 1853-0605 0014-6722 10.31053/1853.0605.v80.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/42874/43159 https://revistas.unc.edu.ar/index.php/med/article/view/42874/44186 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |