The Dermatologists' Role in Managing Psoriatic Arthritis: Results of a Swiss Delphi Exercise Intended to Improve Collaboration with Rheumatologists

Abstract

<b><i>Background:</i></b> Psoriatic arthritis (PsA) substantially impacts the management of psoriatic disease. <b><i>Objective:</i></b> This study aimed to generate an interdisciplinary national consensus on recommendations of how PsA should be managed. <b><i>Methods:</i></b> Based on a systematic literature search, an interdisciplinary expert group identified important domains and went through 3 rounds of a Delphi exercise, followed by a nominal group discussion to generate specific recommendations. <b><i>Results:</i></b> A strong consensus was reached on numerous central messages regarding the impact of PsA, screening procedures, organization of the interaction between dermatologists and rheumatologists, and treatment goals. <b><i>Conclusion:</i></b> These recommendations can serve as a template for similar initiatives in other countries. At the same time, they highlight the need to take into account the impact of the respective national health care system.