Vulval lichen sclerosus: An Australasian management consensus

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dc.contributor.authorYeon, Janice
dc.contributor.authorOakley, Amanda
dc.contributor.authorOlsson, Ann
dc.contributor.authorDrummond, Catherine
dc.contributor.authorVeysey, Emma
dc.contributor.authorMarshman, Gillian
dc.contributor.authorSaunders, Helen
dc.contributor.authorOpie, Jacinta
dc.contributor.authorBradford, Jennifer
dc.contributor.authorCole, Judith M
dc.contributor.authorDeAmbrosis, Kate
dc.date.accessioned2024-01-28T21:39:33Z
dc.date.issued2021
dc.date.updated2022-10-02T07:18:06Z
dc.description.abstractBackground/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.en_AU
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.issn0004-8380en_AU
dc.identifier.urihttp://hdl.handle.net/1885/311865
dc.language.isoen_AUen_AU
dc.publisherBlackwell Publishing Ltden_AU
dc.rights© 2021 The authorsen_AU
dc.sourceAustralasian Journal of Dermatologyen_AU
dc.titleVulval lichen sclerosus: An Australasian management consensusen_AU
dc.typeJournal articleen_AU
local.bibliographicCitation.issue3en_AU
local.bibliographicCitation.lastpage299en_AU
local.bibliographicCitation.startpage292en_AU
local.contributor.affiliationYeon, Janice, The Skin Hospitalen_AU
local.contributor.affiliationOakley, Amanda, Waikato Clinical Campus, University of Aucklanden_AU
local.contributor.affiliationOlsson, Ann, Flinders Medical Centreen_AU
local.contributor.affiliationDrummond, Catherine, College of Health and Medicine, ANUen_AU
local.contributor.affiliationVeysey, Emma, Dermatology Department, The Royal Women's Hospitalen_AU
local.contributor.affiliationMarshman, Gillian, Flinders University Medical Schoolen_AU
local.contributor.affiliationSaunders, Helen, The Royal Women's Hospital, Victoria and Dermatology Departmenten_AU
local.contributor.affiliationOpie, Jacinta , Dermatogynaecology Clinic, Mercy Hospital for Womenen_AU
local.contributor.affiliationBradford, Jennifer, School of Medicine, University of Western Sydneyen_AU
local.contributor.affiliationCole , Judith M, St John of God Dermatologyen_AU
local.contributor.affiliationDeAmbrosis, Kate, Mater Misericordiae Hospitalen_AU
local.contributor.authoremailu5076361@anu.edu.auen_AU
local.contributor.authoruidDrummond, Catherine, u5076361en_AU
local.description.embargo2099-12-31
local.description.notesImported from ARIESen_AU
local.identifier.absfor320205 - Dermatologyen_AU
local.identifier.ariespublicationa383154xPUB19870en_AU
local.identifier.citationvolume62en_AU
local.identifier.doi10.1111/ajd.13594en_AU
local.identifier.scopusID2-s2.0-85107636552
local.identifier.thomsonIDWOS:000660508500001
local.identifier.uidSubmittedBya383154en_AU
local.publisher.urlhttps://onlinelibrary.wiley.com/en_AU
local.type.statusPublished Versionen_AU

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