Understanding Barriers Impacting upon Patient Wellbeing: A Nationwide Italian Survey and Expert Opinion of Dermatologists Treating Patients with Moderate-to-Severe Psoriasis

A nationwide cross-sectional online survey was administered to dermatologists managing patients with moderate-to-severe plaque psoriasis across Italy to obtain real-world dermatologists' perspectives on the impact of psoriasis and its treatment on patients' daily lives and quality of life...

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Bibliographic Details
Published in:	Journal of clinical medicine 2023-12, Vol.13 (1), p.101
Main Authors:	Prignano, Francesca, Argenziano, Giuseppe, Bardazzi, Federico, Borroni, Riccardo G, Brunasso, Alexandra M G, Burlando, Martina, Cagni, Anna Elisabetta, Campione, Elena, Cinotti, Elisa, Colonna, Fabrizio, Cuccia, Aldo, Dastoli, Stefano, De Pasquale, Rocco, De Simone, Clara, Di Lernia, Vito, Dini, Valentina, Fabbrocini, Gabriella, Galluzzi, Claudia, Giacchetti, Alfredo, Giofrè, Claudia, Lasagni, Claudia, Lembo, Serena, Loconsole, Francesco, Montesu, Maria Antonia, Pella, Paolo, Piaserico, Stefano, Pigatto, Paolo, Richetta, Antonio Giovanni, Scuotto, Adriana, Stroppiana, Elena, Venturini, Marina, Vinci, Anna Stefania, Zichichi, Leonardo, Fargnoli, Maria Concetta
Format:	Article
Language:	eng
Subjects:	Beliefs, opinions and attitudes Care and treatment Communication dermatologist perspective Dermatologists Dermatology Diagnosis Females Health aspects Patient outcomes Patients Psoriasis Psychologists Quality of life Suicides & suicide attempts treatment Tumor necrosis factor-TNF wellbeing
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Summary:	A nationwide cross-sectional online survey was administered to dermatologists managing patients with moderate-to-severe plaque psoriasis across Italy to obtain real-world dermatologists' perspectives on the impact of psoriasis and its treatment on patients' daily lives and quality of life (QoL). A total of 91 dermatologists (aged 39.1 ± 11.2 years) completed a 31-question survey and workshop sessions were undertaken in order to identify the best management approach to achieve patient wellbeing. Social (4.2 ± 0.1), physical (4.26 ± 0.2) and mental components (4.1 ± 0.3) were rated by dermatologists as contributing to patient wellbeing to similar extents. While a high proportion (85.4%; rating of 4.3 out of 5) of dermatologists felt that they considered the QoL of patients, a lower proportion (69.6%; rating of 3.7 out of 5) felt that patients were satisfied in this regard. The psoriasis area and severity index and body surface area were the instruments most frequently used to assess the physical domain, while interviews/questions and the dermatology life quality index were used to assess social and mental domains, with only 60% of dermatologists following up on these aspects. The importance of investigating the presence of comorbidities was recognized but not always carried out by many dermatologists, (>70%), particularly for obesity and anxiety/depression. This survey identified key components contributing to barriers impacting on the QoL of patients with moderate-to-severe psoriasis from the perspective of the dermatologist.
ISSN:	2077-0383 2077-0383