Zadowolenie pacjentów z leczenia przeciwłuszczycowego: wyniki badania PSO Survey w Polsce

Szepietowski, Jacek; Reich, Adam; Palotai, Tamás; Kaszuba4, Andrzej; Chodorowska, Grażyna; Brzezińska-Wcisło, Ligia; Rudnicka, Lidia; Giemza, Tomasz
September 2009
Clinical Dermatology / Dermatologia Kliniczna;2009, Vol. 11 Issue 3, p129
Academic Journal
Introduction: Psoriasis is a chronic, inflammatory skin disorder affecting about 1-3% of general population. Currently available treatment modalities enable to achieve remission of psoriasis, however, the complete cure of this disease is still not possible. Objective: The aim of the study was the assessment of patient satisfaction from current antipsoriatic therapy and an attempt to characterise parameters, that would enable to define high-need patients. Material and methods: A total of 210 patients suffering from psoriasis aged between 18 and 86 years (mean: 47.9±15.2 years) were recruited. A specially designed questionnaire with questions about clinical manifestation of psoriasis, currently applied treatment, and patient satisfaction and preferences regarding the antipsoriatic therapy was completed based on anamnesis and physical examination. All results were analysed statistically. Results: The mean severity of psoriasis according to PASI was 13.0±8.9 points (range 1-58 points), and the mean body surface area affected by psoriasis was 28.2±19.7% (range 2-99%). Among all included subjects, 85 (40.5%) patients were not satisfied with the current antipsoriatic treatment. Subjects with joint involvement (57.9% vs. 36.6%, p=0.03), scalp psoriasis (45.6% vs. 28.6%, p=0.03) and treated with coal tar products (62.5% vs. 35.3%, p<0.01), anthralin (50% vs. 23%, p<0.001), or methotrexate (57.9% vs. 36.6%, p=0.03) were more commonly dissatisfied with the antipsoriatic therapy. Dissatisfied patients also suffered from more severe (PASI: 15.9±9.5 points vs. 11.1±7.9 points, p<0.001) and more extensive psoriasis (BSA: 32.9±20.9% vs. 25.0±18.2%, p<0.001) and had more severely impaired quality of life (DLQI: 13.3±5.3 points vs. 9.4±6.2 points, p<0.001). Conclusions: Many Polish patients suffering from psoriasis are dissatisfied with the applied antipsoriatic treatment. It could be supposed, that better accessibility of Polish patients to the newest antipsoriatic therapies would improve the degree of patient satisfaction with the treatment of psoriasis.


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