title: Early detection of comorbidity in psoriasis: recommendations of the National Conference on Healthcare in Psoriasis.
abstract: BACKGROUND
  Psoriasis is associated with an increased rate of comorbidities, whose early detection has been adopted into the national healthcare goals. To date, agreed recommendations on early detection in the context of routine dermatological care are missing. The objective of this study was the interdisciplinary development of screening algorithms.
  
  
  METHODS
  The development of the consensus paper was based on a three-step process. First, the National Conference on Healthcare in Psoriasis, convening on behalf of the German Society of Dermatology (DDG) and the Professional Association of German Dermatologists (BVDD), developed a definition of the requirements, areas of application, conception, and methodology of a screening tool. Secondly, based on a literature search, individual working groups compiled evidence for the use of screening parameters. In a third step, an interdisciplinary working group adopted the algorithms in a Delphi consensus process.
  
  
  RESULTS
  The associated working groups evaluated more than 2,000 publications on 15 different comorbidities. A screening algorithm was agreed on for the following twelve indications: arterial hypertension, dyslipidemia, obesity, diabetes mellitus, metabolic syndrome, nonalcoholic steatohepatitis, depression, nicotine abuse, alcohol abuse, chronic inflammatory bowel disease, psoriasis arthritis, and malignant lymphoma. In this context, the requirements of everyday dermatological care were addressed in particular.
  
  
  CONCLUSIONS
  With respect to screening for comorbidities in psoriasis, standardized and consented algorithms are available, which - on national level - may be implemented as a screening tool within the framework of PsoNet - German Psoriasis Networks.
authors.affiliation: Institute for Health Services Research in Dermatology and Nursing (IVPD), German Center for Health Sevices Research in Dermatology (CVderm), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Marc Alexander
authors.initials: MA
authors.lastname: Radtke
authors.affiliation: Center for Psoriasis, Department of Dermatology, Venereology, and Allergology, University Hospital Schleswig- Holstein, Campus Kiel, Kiel, Germany.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Mrowietz
authors.affiliation: Institute for Health Services Research in Dermatology and Nursing (IVPD), German Center for Health Sevices Research in Dermatology (CVderm), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Julia
authors.initials: J
authors.lastname: Feuerhahn
authors.affiliation: Institute and Outpatient Clinic for Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Härter
authors.affiliation: Dermatological Practice, Selters, Germany.
authors.forename: Ralph
authors.initials: R
authors.lastname: von Kiedrowski
authors.affiliation: Division of Evidence-based Medicine (dEBM), Department of Dermatology, Venereology, and Allergology at the Charité - Medical Faculty of the University of Berlin, Berlin, Germany.
authors.forename: Alexander
authors.initials: A
authors.lastname: Nast
authors.affiliation: Dermatologikum Hamburg, Hamburg, Germany.
authors.forename: Kristian
authors.initials: K
authors.lastname: Reich
authors.affiliation: Dermatological Practice Mönchengladbach, Mönchengladbach, Germany.
authors.forename: Klaus
authors.initials: K
authors.lastname: Strömer
authors.affiliation: Department of Dermatology and Venereology, University Hospital Halle, Halle, Germany.
authors.forename: Johannes
authors.initials: J
authors.lastname: Wohlrab
authors.affiliation: Institute for Health Services Research in Dermatology and Nursing (IVPD), German Center for Health Sevices Research in Dermatology (CVderm), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Matthias
authors.initials: M
authors.lastname: Augustin
mesh_terms: D000465:Algorithms; D003880:Dermatology / Q000592:standards*; D042241:Early Diagnosis; D005858:Germany; D006801:Humans; D008403:Mass Screening / Q000592:standards*; D017410:Practice Guidelines as Topic; D011565:Psoriasis / Q000150:complications* / Q000175:diagnosis*