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Type 2 inflammation: a Portuguese consensus using Web-Delphi and decision conferencing (INFLAT2-PT)

Costa, Suzete, Aguiar, Joao Pedro, Oliveira, Monica D., Goncalves, Joao, Ribeiro, Joao Carlos, Taborda-Barata, Luis, Farinha, Helena, Escada, Pedro, Fernandes, Samuel, Soares-de-Almeida, Luis, Paiva-Lopes, Maria Joao, Chaves Loureiro, Claudia, Lourinho, Isabel, Fonseca, Joao A., Drummond, Marta, Marinho, Rui Tato, Costa, Joao, Vaz Carneiro, Antonio and Bana e Costa, Carlos A. (2025) Type 2 inflammation: a Portuguese consensus using Web-Delphi and decision conferencing (INFLAT2-PT). Expert Review of Clinical Immunology. ISSN 1744-666X

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Identification Number: 10.1080/1744666X.2024.2448990

Abstract

Objectives Atopic/allergic diseases impose a growing burden on public health, affecting millions of patients worldwide. The main objective of this study was to develop a national expert consensus on relevant clinical questions related to type 2 inflammation. Methods We conducted: a comprehensive literature review with a qualitative analysis to identify the most repeated themes on the overlap of conditions; a modified 3-round Web-Delphi (or e-Delphi); and a final online decision conference. Results We included 51 studies. Following three Web-Delphi rounds, we ended up with 30 statements with a 76% overall full agreement rate, 16% agreement, 2% disagreement, and 0% full disagreement. The decision conference enabled adjustments, and the expert panel agreed unanimously on the final set of statements. The consensus used evidence synthesis, Web-Delphi, and decision conference to produce 30 statements on type 2 inflammation as a driver for multimorbidity in asthma, certain rhinitis phenotypes, atopic dermatitis, chronic rhinosinusitis with nasal polyps, and eosinophilic esophagitis grouped under five domains in underlying pathophysiology, multimorbidity, diagnosis and management, multidisciplinary management, and impact on mental health. Conclusion We expect the first Portuguese expert consensus INFLAT2-PT to promote understanding of type 2 inflammation diseases, multidisciplinary care, integrated care pathways, future research, and inform health authorities.

Item Type: Article
Divisions: ?? MTRG ??
Subjects: R Medicine > RA Public aspects of medicine
Date Deposited: 14 Jan 2025 13:54
Last Modified: 01 Feb 2025 17:45
URI: http://eprints.lse.ac.uk/id/eprint/126878

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