Volume 34, Issue 4 e14974
REVIEW ARTICLE

Comparison of guidelines for the use of Ustekinumab for psoriasis in the United States, Europe, and the United Kingdom: A critical appraisal and comprehensive review

Vipawee S. Chat

Vipawee S. Chat

Medical College of Georgia, Augusta University, Augusta, Georgia, USA

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Shelley K. Uppal

Shelley K. Uppal

Albany Medical College, Albany, New York, USA

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Donovan G. Kearns

Donovan G. Kearns

Loma Linda University School of Medicine, Loma Linda, California, USA

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Jashin J. Wu

Corresponding Author

Jashin J. Wu

Dermatology Research and Education Foundation, Irvine, California, USA

Correspondence

Jashin J. Wu, Dermatology Research and Education Foundation, Irvine, CA, USA.

Email: [email protected]

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First published: 14 May 2021
Citations: 3

Abstract

The aim of this review is to compare and contrast evidence-based clinical practice guidelines from global dermatological organizations for the use of ustekinumab in psoriasis. Clinical practice guidelines from the American Academy of Dermatology, National Psoriasis Foundation, British Association of Dermatologists, and European S3 were reviewed and compared. Practice guidelines from the three dermatological organizations are similar with regards to treatment dosage and initiation but differ in their recommendations for baseline screening and interval laboratory monitoring, treatment in patients undergoing surgery or receiving live vaccines, and treatment contraindications. Ustekinumab is an effective and well-tolerated systemic treatment for patients with psoriasis and should be considered in the line of therapy that dermatologists discuss with their patients. Consideration should be given to evidence-based practice guidelines of global dermatology organizations to effectively guide treatment decisions in patients with psoriasis.

CONFLICT OF INTEREST

Dr. Wu is or has been an investigator, consultant, or speaker for AbbVie, Almirall, Amgen, Arcutis, Boehringer Ingelheim, Bristol-Myers Squibb, Dermavant, Dr. Reddy's Laboratories, Eli Lilly, Galderma, Janssen, LEO Pharma, Novartis, Regeneron, Sanofi Genzyme, Sun Pharmaceutical, UCB, Valeant Pharmaceuticals North America LLC.

DATA AVAILABILITY STATEMENT

Data sharing not applicable to this article as no datasets were generated or analyzed during the current study.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.