000 02985cam a2200325 4500500
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041 _afre
042 _adc
100 1 0 _ada Silva, Neuza
_eauthor
700 1 0 _a Augustin, Matthias
_eauthor
700 1 0 _a Langenbruch, Anna
_eauthor
700 1 0 _a Mrowietz, Ulrich
_eauthor
700 1 0 _a Reich, Kristian
_eauthor
700 1 0 _a Thaçi, Diamant
_eauthor
700 1 0 _a Boehncke, Wolf-Henning
_eauthor
700 1 0 _a Kirsten, Natalia
_eauthor
700 1 0 _a Danckworth, Alexandra
_eauthor
700 1 0 _a Sommer, Rachel
_eauthor
245 0 0 _aDisease burden and treatment needs of patients with psoriasis in sexually-sensitive and visible body areas: results from a large-scale survey in routine care
260 _c2020.
500 _a23
520 _aBackground: 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. Objectives: 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. Materials and Methods: 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. Results: 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. Conclusion: These results highlight the need for proactive evaluation of difficult-to-communicate impairments and the requirements for patient-centred routine care.
690 _apsoriasis
690 _asexually-sensitive body areas
690 _aquality of life
690 _avisible body areas
690 _apatient needs
786 0 _nEuropean Journal of Dermatology | 30 | 3 | 2020-05-01 | p. 267-278 | 1167-1122
856 4 1 _uhttps://shs.cairn.info/revue-european-journal-of-dermatology-2020-3-page-267?lang=en&redirect-ssocas=7080
999 _c602746
_d602746