Original ArticleAnnals of Dermatology 2023;35(3):173-182 https://doi.ong/10.5021/ad.22.216食Check for updatesBasic Therapeutic Approach for Patients with Plaque Psoriasis:Korean Expert Consensus Using the Modified Delphi MethodSeong Jin Jo,Yoo Sang Baek,Tae-Gyun Kim,Ki-Heon Jeong',Jeong Eun Kim",Yu Sung Choi',Byungsoo Kim,Eun-So Lee',Yong Beom Choe;The Korean Society for PsoriasisDepartment of Dermatology,Seoul National University College of Medicine,Seoul,Korea;'Department of Dermatology,Guro Hospital,Korea University College of Medicine,Seoul,Korea;Department of Dermatology,Severance Hospital,Cutaneous Biology Research Institute,Yonsei University College of Medicine,Seoul,Korea;Department of Dermatology,College of Medicine,Kyung Hee University,Seoul,Korea;Department of Dermatology,Hanyang University College of Medicine,Seoul,Korea;Department of Dermatology,SoonchunhyangUniversity Hospital,Seoul,Korea;Department of Dermatology,Pusan National University School of Medicine,Busan,Korea;'Departmentof Dermatology,Ajou University School of Medicine,Suwon,Korea;Department of Dermatology,Konkuk University School of Medicine,Seoul,KoreaReceived December 13.2022Background:Currently,there is no consensus on the treatment of psoriasis in Korean pa-Revised December 29,2022tients.Accepted January 2,2023Objective:This study aimed to establish a consensus on the basic therapeutic principles forKorean patients with plaque psoriasis.Methods:Using the modified Delphimethod,a steering committee proposed 53 statementsfor the first Delphi round,which covered five subjects:(1)the goal of treatment and evalu-ation of disease severity,(2)topical therapy,(3)phototherapy,(4)conventional systemicCorresponding Authortherapy,and(5)biologic therapy.The panel of dermatologists scored the level of agreementEun-So Leefor each statement on a ten-point scale with scores ranging from 1(strongly disagree)to 10Department of Demmatdlogy,Ajou University(strongly agree).After discussing the results of the first round,the committee reformulatedHospital,Ajou University School of Medicine,164 WorldCup-ro,Yeongtong-gu,Suwon41 statements.Finally,consensus was defined as more than 70%of the second round scores16499,Koreabeing 27.Tel:+82-31-2195192Results:The panel participants strongly agreed that the ideal treatment goals for Korean pa-Fax:+82-31-219-5189E-mail:esl@ajou.ac.krtients with plaque psoriasis should include complete skin clearance and high dermatologicalhttps:/orcid.org0000-0003-0232-7704quality of life.A strong consensus was also reached on the use of topical agents for psoriasisof any severity,the consideration of phototherapy before biologics therapy,the conventionalYong Beom Choesystemic agents for moderate-to-severe psoriasis,and the recommendation of biologic forDepartment of Dermatology,KonkukUniversity School of Medicine,120-1retractable psoriasis to conventional systemic therapy and phototherapy.Neungdong-ro,Gwangjin-gu,Seoul 05029Conclusion:This modified Delphipanel estab
