RT journal article T1 Definition of the Concept of Super-responders in Atopic Dermatitis: A Spanish Delphi Consensus A1 Liñán-Barroso, Juan Manuel A1 Hernández Rodríguez, Juan Carlos A1 Ruiz Villaverde, Ricardo A1 Galán Gutiérrez, Manuel A1 Navarro-Triviño, Francisco A1 Domínguez-Cruz, Javier A1 Armario Hita, José Carlos A1 Pereyra-Rodriguez, José-Juan A2 Cirugía A2 Medicina K1 atopic dermatitis K1 biological agents K1 Delphi consensus K1 Janus kinase inhibitors AB A consensus study of experts was conducted to establish a definition of the concept of super-responders(SR) in atopic dermatitis (AD). The study employed aDelphi methodology based on 2 rounds to define theconcept of SR in AD, exploring the opinions of expertdermatologists in AD from across Spain regardinga series of statements developed after a systematicreview. Consensus was predefined as an agreementof ≥ 80% among all respondents. In the first round, 4statements reached consensus. In the second round,2 additional statements reached consensus. To illustrate these definitions, a set of practical cases wasprovided, and the level of agreement among expertswas evaluated. According to the agreed statements,time is important when defining the achievableresponse as SR. The concept of SR should associate arapid response (before week 16), include both symptom variables, such as the Eczema Area and SeverityIndex and Investigators Global Assessment (IGA) andpatient-reported outcomes, including pruritus or thePatient-Oriented Eczema Measure. This concept shouldbe associated with complete or nearly complete clearance of lesions (IGA 0–1), and with sustained responses over time (at week 52). Mild flares (IGA ≤2) mayoccur without varying according to the patient’s age. PB MJS Publishing SN 1651-2057 YR 2025 FD 2025-03 LK http://hdl.handle.net/10498/37955 UL http://hdl.handle.net/10498/37955 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 10-nov-2026