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Scientific article
English

Disease burden and treatment needs of patients with psoriasis in sexually-sensitive and visible body areas: results from a large-scale survey in routine care

Published inEuropean journal of dermatology, vol. 30, no. 3, p. 267-278
Publication date2020
Abstract

Psoriasis may cause considerable disease burden. The involvement of sexually-sensitive/visible body areas has been associated with decreased quality of life (QoL), more depressive symptoms and stigmatisation experiences. To characterise the topical distribution of psoriasis in sexually-sensitive and visible areas, to examine its impact on QoL and to determine which specific patient needs should be addressed in routine care. Patients with psoriasis vulgaris were recruited within a cross-sectional nationwide survey, involving 157 randomly assigned German dermatology practices/clinics. The main outcome measures were the EuroQoL visual analogue scale (EQ VAS), the Dermatology Life Quality Index (DLQI), the Patient Needs Questionnaire (PNQ) and a grid scheme for topical distribution of psoriasis. The sample included 2,009 patients (43.7% female; 21.8% ≥ 65 years; 64.2% with lesions in sexually-sensitive areas and 86.2% with lesions in visible areas). Patients with concomitant involvement of sexually-sensitive and visible areas presented increased DLQI impairments relative to patients with no involvement of sexually-sensitive or visible areas (F(3,1723) = 4.091, p = 0.007). Significant differences were also found for patient needs dimensions (PNQ) depending on the body areas affected (F(15, 4602) = 2.936, p < 0.001). Significant effects of gender and age group were also observed. Increased disease severity, lesions in both sexually-sensitive/visible or only visible areas, and increased QoL impairment were associated with specific patient needs. These results highlight the need for proactive evaluation of difficult-to-communicate impairments and the requirements for patient-centred routine care.

eng
Keywords
  • Patient needs
  • Psoriasis
  • Quality of life
  • Sexually-sensitive body areas
  • Visible body areas
  • Adult
  • Aged
  • Body Surface Area
  • Cost of Illness
  • Cross-Sectional Studies
  • Face
  • Female
  • Fingers
  • Groin
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Nails
  • Neck
  • Needs Assessment
  • Nipples
  • Patient Care Planning
  • Penis
  • Psoriasis / psychology
  • Psoriasis / therapy
  • Quality of Life
  • Sacrococcygeal Region
  • Scalp
  • Scrotum
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Thorax
  • Vulva
Citation (ISO format)
DA SILVA, Neuza et al. Disease burden and treatment needs of patients with psoriasis in sexually-sensitive and visible body areas: results from a large-scale survey in routine care. In: European journal of dermatology, 2020, vol. 30, n° 3, p. 267–278. doi: 10.1684/ejd.2020.3768
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Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal1167-1122
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Creation10/08/2021 9:05:00 AM
First validation10/08/2021 9:05:00 AM
Update time03/16/2023 2:11:01 AM
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