Spondyloarthritis & psoriatic arthritis
Establishing Centers of Excellence for Psoriatic Disease in Latin America: Consensus Recommendations From the REAL-PANLAR Group
Methodological detailsDelphi, Delphi methodology, narrative literature review, Likert scale, consensus ≥ 70% agreement, in-person meeting, Donabedian quality evaluation model
- Delphi
- Delphi methodology
- Narrative literature review
- Likert scale
- Consensus ≥ 70% agreement
- In-person meeting
- Donabedian quality evaluation model
Recommendations
As issued by the authors
Two types of COEs: optimal and model
Optimal COEs require a multidisciplinary team including rheumatologists, dermatologists, nurses and psychologists
Model COEs expand this team to include gastroenterologists, ophthalmologists, physiatrists, among other specialists
Structure: infrastructure and electronic systems for data management
Process: patient-centered education, multidisciplinary consultations and psychosocial support
Outcomes: standardized clinimetric tools (eg, PASI, DAPSA) and treat-to-target strategy
Approval ratings ranged from 80% to 100%
Original publication
Establishing Centers of Excellence for Psoriatic Disease in Latin America: Consensus Recommendations From the REAL-PANLAR Group. J Rheumatol. Published 15 August 2025. doi:10.
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