Interface Between Cochrane Skin Group Reviews and Guidelines at Annual Meeting 2016
French Satellite of Cochrane Skin Group, the French Centre of Evidence-Based Dermatology, provides literature updates and guidelines in collaboration with Haute Autorité de Santé (HAS). The guidelines focus on various dermatological conditions such as acne vulgaris, hydradenitis suppurativa, chronic urticaria, metastatic melanoma, and bacterial skin infections. The multidisciplinary group involved in developing the guidelines includes dermatologists, GPs, gynecologists, endocrinologists, infectiologists, microbiologists, psychiatrists, pediatricians, and consumers. Literature synthesis and appraisal are based on systematic reviews, RCTs, and observational studies. Complementary therapies for acne vulgaris are also explored, covering treatments like minocycline, spironolactone, oral contraceptives, benzoyl peroxide, azelaic acid, isotretinoin, light therapies, antibiotics, and retinoids. Further details and guidelines for acne vulgaris can be found at reco.dermato-sfd.org/acne.
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Presentation Transcript
Interface between Cochrane Skin Group reviews and guidelines Annual Cochrane Skin Group Meeting, London, 2016
Context French Satellite of Cochrane Skin Group French Centre of Evidence Based Dermatology : Literature update Guidelines in collaboration with Haute Autorit de Sant (HAS) (French NICE) First guidelines: Acne vulgaris Ongoing or planned : Hydradenitis suppurativa Chronic urticaria Metastatic melanoma Bacterial skin infections
Guidelines : acne vulgaris Methods Multidisciplinary group with no conflict of interest declaration examined and stated by HAS commission dermatologists, GPs, gynaecologists, endocrinologist, infectiologist, microbiologist, psychiatrist, paediatrician, consumers HAS librarian Literature analysis : 4 physicians with methodology Master 2 or PhD
Guidelines : acne vulgaris Literature synthesis and appraisal References (Update 2007) Guidelines: 79 Systematic reviews : 53 RCT and observational studies : 520 Selection 133 selected and appraised : Guidelines : AGREE Systematic reviews: AMSTAR RCTs: ROB tool
Complementary therapies for acne vulgaris 2015 Minocycline for acne vulgaris: efficacy and safety 2012 Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne 2009 Combined oral contraceptive pills for treatment of acne 2012 Topical benzoyl peroxide for acne Protocol 2014 Topical azelaic acid, salicylic acid, nicotinamide, and sulphur for acne Protocol 2014 Oral isotretinoin for acne Protocol 2011 Light therapies for acne Protocol 2009 Topical antibiotics for acne Title 2012 Topical retinoids for the treatment of acne vulgaris Withdrawn Tobacco smoking cessation for treating acne Withdrawn
Guidelines : acne vulgaris http://reco.dermato-sfd.org/acne
French Centre of Evidence Based Dermatology How to collaborate to avoid duplication of efforts ? Theme choice oriented by available Cochrane reviews ? Hydradenitis suppurativa Chronic urticaria Timing choice for actualisation oriented by expected date of Cochrane review publication? Acne vulgaris
