학술논문
Understanding Barriers Impacting upon Patient Wellbeing: A Nationwide Italian Survey and Expert Opinion of Dermatologists Treating Patients with Moderate-to-Severe Psoriasis.
Document Type
Academic Journal
Author
Prignano F; Department of Health Sciences, Section of Dermatology, University of Florence, 50125 Florence, Italy.; Argenziano G; Dermatology Unit, University of Campania, 80138 Naples, Italy.; Bardazzi F; Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, 40138 Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, 40126 Bologna, Italy.; Borroni RG; Department of Biomedical Sciences, Humanitas University, 20089 Milan, Italy.; Dermatology Unit, Humanitas Research Hospital, IRCCS, 20089 Milan, Italy.; Brunasso AMG; Department of Dermatology, Villa Scassi Hospital, ASL 3, 16149 Genova, Italy.; Burlando M; Dermatologic Clinic, DISSAL, San Martino Policlinico San Martino Hospital, 16132 Genova, Italy.; Cagni AE; Unità Operativa Dipartimentale di Dermatologia e Venereologia, IRCCS San Gerardo, 20900 Milan, Italy.; Campione E; Dermatologic Unit, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.; Cinotti E; Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, 53100 Siena, Italy.; Colonna F; Dipartimento di Psicologia, Università di Torino, 10124 Turin, Italy.; Cuccia A; Unit of Dermatology, San Donato Hospital, 52100 Arezzo, Italy.; Dastoli S; Department of Health Sciences, Magna Graecia University of Catanzaro, 88100 Catanzaro, Italy.; De Pasquale R; Dermatology Unit, San Marco Hospital, 95123 Catania, Italy.; De Simone C; Institute of Dermatology, Catholic University, 00185 Rome, Italy.; Dermatology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.; Di Lernia V; Dermatology Unit, Arcispedale S. Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy.; Dini V; Unit of Dermatology, University of Pisa, 56126 Pisa, Italy.; Fabbrocini G; Section of Dermatology, Department of Clinical, Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy.; Galluzzi C; Dermatologic Unit, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.; Giacchetti A; UOC Dermatology, IRCCS INRCA, 60124 Ancona, Italy.; Giofrè C; Dermatology Complex Operative Unit, Papardo Hospital, 98158 Messina, Italy.; Lasagni C; AOU Policlinico di Modena, Department of Specialized Medicine, University of Modena, 41121 Modena, Italy.; Lembo S; Department of Medicine, Surgery and Dentistry, 'Scuola Medica Salernitana', University of Salerno, 84084 Fisciano, Italy.; Loconsole F; Clinica Dermatologica, Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari, 70124 Bari, Italy.; Montesu MA; Department of Surgical, Microsurgical and Medical Sciences, Dermatology, University of Sassari, 07100 Sassari, Italy.; Pella P; Dermatologia, Ospedale degli Infermi, 13875 Biella, Italy.; Piaserico S; Dermatology Unit, Department of Medicine, University of Padova, 35122 Padova, Italy.; Pigatto P; Clinical Dermatology, Department of Biomedical, Surgical and Dental Sciences, Istituto Ortopedico Galezzi, University of Milan, 20122 Milan, Italy.; Richetta AG; Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, 00185 Rome, Italy.; Scuotto A; Department of Advanced Biomedical Science, Legal Medicine Section, University of Naples Federico II, 80131 Naples, Italy.; Stroppiana E; Section of Dermatology, Department of Medical Sciences, University of Turin, 10124 Turin, Italy.; Venturini M; Dermatology Department, University of Brescia, ASST Spedali Civili, 25121 Brescia, Italy.; Vinci AS; Private Clinic, Via Cenisio 18, 20154 Milan, Italy.; Zichichi L; Unit of Dermatology, San Antonio Abate Hospital, 80057 Trapani, Italy.; Fargnoli MC; Dermatology, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, 67100 L'Aquila, Italy.
Source
Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101606588 Publication Model: Electronic Cited Medium: Print ISSN: 2077-0383 (Print) Linking ISSN: 20770383 NLM ISO Abbreviation: J Clin Med Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2077-0383
Abstract
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.