Modified Delphi Consensus Recommendations for the Management of Psoriasis in Asia-Pacific
AI Summary
Delphi-derived, APAC-contextualised consensus standardises psoriasis severity classification, assessment thresholds, and treatment response criteria to guide clinical decision making.
Modified Delphi process engaged dermatology experts across six APAC markets, achieving consensus on 121 practical statements after two voting rounds and steering committee review.
Recommendations aim to standardise care, prompt timely systemic therapy escalation, support equitable access, and ultimately improve patient outcomes and quality of life in APAC.
INTRODUCTION: Psoriasis imposes a substantial clinical and quality-of-life burden across the Asia-Pacific (APAC) region. Despite advances in systemic therapies, variability in disease severity classification, assessment tools, and treatment escalation criteria continues to contribute to undertreatment and delayed access to effective care.
METHODS: A modified Delphi panel was conducted to develop APAC-contextualised consensus recommendations for psoriasis management. Statements were generated from a literature review and refined through Steering Committee interviews and review. The steering committee (n = 6) and Delphi panellists (n = 12) was comprised of dermatology experts from six APAC markets (Australia, China, Japan, South Korea, Malaysia, Taiwan). Consensus was generated through two structured online voting rounds involving all panellists, followed by a moderated consensus meeting, involving only the steering committee, to deliberate on any remaining non-consensus items. Consensus was defined a priori as ≥ 75% agreement among panellists.
RESULTS: In rounds 1 and 2, 92/130 (71%) and 17/24 (71%) statements achieved consensus, respectively. Eight statements were discussed during the steering committee meeting, during which consensus was reached on all eight. In total, 121 statements achieved formal consensus, which includes an additional 4 non-consensus statements from round 1 that were retained in the final recommendations based on steering committee determination of clinical relevance. Recommendations focused on severity classification and assessment thresholds, treatment goals and response criteria, and systemic therapy eligibility and escalation.
CONCLUSION: These Delphi-derived recommendations provide a practical, patient-centred framework to standardise psoriasis assessment and guide timely treatment escalation in APAC. Adoption may reduce variability in care, support equitable access to appropriate systemic therapies, and improve outcomes across diverse APAC health systems.
Clin Case Rep. 2026 Jul 1;14(7):e73055. doi: 10.1002/ccr3.73055. eCollection 2026 Jul.ABSTRACTGraves' disease may rarely present with predominant neuropsychiatric symptoms, such as severe, treatment-resistant panic attacks,...
Suicide Life Threat Behav. 2026 Aug;56(4):e70124. doi: 10.1111/sltb.70124.ABSTRACTINTRODUCTION: Passive suicidal ideation (SI) is a well-established risk factor for suicidal behavior but has received less attention...
Neuropsychopharmacol Hung. 2026 Jun;28(2):85-101.ABSTRACTBACKGROUND: Childhood trauma constitutes a major public health issue, as it is associated with enduring mental and physical health complications, as well...
Neuropsychopharmacol Hung. 2026 Jun;28(2):66-84.ABSTRACTOBJECTIVE: This study aimed to adapt the Children's Kitchen Task Assessment for Hungarian primary school children and to investigate its relationship with...
Front Psychiatry. 2026 Jun 17;17:1800695. doi: 10.3389/fpsyt.2026.1800695. eCollection 2026.ABSTRACTBACKGROUND: Treatment options for severe self-injurious behavior (SIB) in autism spectrum disorder (ASD) with comorbid intellectual disability...
Front Sociol. 2026 Jun 17;11:1850315. doi: 10.3389/fsoc.2026.1850315. eCollection 2026.ABSTRACTThis article proposes a reconceptualisation of children's surname attribution as a gendered site of symbolic power within...
