To establish expert consensus recommendations that recognise CHE as a chronic disease and define the assessment principles required for long-term management
Consensus statement
Defining long-term management strategies in chronic hand eczema:
Consensus from an international expert panel
Affiliations
- Department of Dermatology, Venerology and Allergy, Charité – Universitätsmedizin Berlin, Berlin, Germany
- Germany University Hospital Carl Gustav Carus, Dresden, Germany
- Department of Occupational and Environmental Pathologies, Hotel Dieu Hospital, Paris, France
- Department of Dermatology, Cochin Hospital, University of Paris-Centre, Paris, France
- Hospital del Mar Research Institute, Universitat Pompeu Fabra, Barcelona, Spain
- Department of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
- St John’s Institute of Dermatology, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
- Southeast Research Specialists, Atlanta, Georgia, USA
Why was this consensus initiative conducted?
Unite evidence and expert opinion into actionable best-practice guidance that empowers confident treatment decisions in moderate to severe CHE
Objectives of the consensus initiative:
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Develop an optimised treatment pathway that is actionable and realistic to implement in practice
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Establish clear definitions of inadequate response for patients with moderate to severe CHE
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Empower HCPs to escalate or change treatment strategy in patients who fail to achieve sustained disease control after an adequate treatment trial
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Highlight the importance of the patient voice in making treatment decisions
Listen to Dr Sonja Molin’s take on the consensus recommendations
Consensus recommendations were developed through a modified Delphi process to establish expert agreement on the recognition, assessment and long-term management of CHE
Priority setting and initial discussions of statement sections
Initial draft of simple statements and open-ended responses to gather insights
Full list of statements built from earlier insights
Validation of full statement list with the wider panel
Re-validation of iterative updates to rejected statements and narrative insight collection
Creation of patient checklist tool
Delphi panel validation of patient checklist tool