- Title
- Vulval lichen sclerosus: An Australasian management consensus
- Creator
- Yeon, Janice; Oakley, Amanda; DeAmbrosis, Kate; Cook, Kathryn; Pepall, Linda; Eva, Lois Jane; Sladden, Michael; Selva-Nayagam, Priya; Phillips, Roderick; Ball, Sally; Hill, Sarah; Bohl, Tanya; Olsson, Ann; Day, Tania; Lee, Geoffrey; Fischer, Gayle; Drummond, Catherine; Veysey, Emma; Marshman, Gillian; Saunders, Helen; Opie, Jacinta; Bradford, Jennifer; Cole, Judith
- Relation
- Australasian Journal of Dermatology Vol. 62, Issue 3, p. 292-299
- Publisher Link
- http://dx.doi.org/10.1111/ajd.13594
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2021
- Description
- Background/Objectives: Vulval lichen sclerosus (VLS) is a chronic inflammatory skin condition predominantly affecting the anogenital region in women and children. To date, there is lack of agreement amongst experts on a severity scale to aid assessment, research and treatment stratification on VLS. Furthermore, literature on best practice for long-term management of VLS is lacking. The aim of this consensus is to provide broad guidelines on the short and long-term management of VLS. Methods: An initial focus group of Australasian experts in vulval dermatology developed a draft consensus statement for the management of VLS. Based on the results of the draft statement, a consensus panel of 22 Australasian experts, comprised of the initial and additional members, participated in an anonymous four-stage eDelphi process. Round 1 involved generation and voting on statements from the draft consensus statement developed by the focus group. In Rounds 2, 3 & 4, panel members were presented formal feedback from previous rounds and asked to indicate their level of agreement. Consensus was reached if there was ≥70% agreement on the importance of an item in the 4 (agree) to 5 (strongly agree) range. Results: The expert panel, with a total of 504 collective years of experience in the field of VLS, reached consensus on a core set of 51 management statements related to diagnosis, severity, initial and long-term management, follow-up, and complications of VLS. Conclusions: This study has identified a set of management statements for VLS that may be useful in clinical practice in the Australasian population.
- Subject
- concensus; lichen sclerosus; management; recommendations; vulva
- Identifier
- http://hdl.handle.net/1959.13/1472039
- Identifier
- uon:48748
- Identifier
- ISSN:0004-8380
- Language
- eng
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