Sharing Patient and Clinician Experiences of Moderate-to-Severe Psoriasis: A Nationwide Italian Survey and Expert Opinion to Explore Barriers Impacting upon Patient Wellbeing

Author:

Prignano FrancescaORCID,Brunasso Alexandra M. G.ORCID,Fabbrocini Gabriella,Argenziano GiuseppeORCID,Bardazzi Federico,Borroni Riccardo G.ORCID,Burlando Martina,Cagni Anna Elisabetta,Campione Elena,Cinotti Elisa,Cuccia Aldo,Dastoli Stefano,De Pasquale Rocco,De Simone Clara,Di Lernia Vito,Dini Valentina,Fargnoli Maria ConcettaORCID,Faure Elisa,Giacchetti Alfredo,Giofrè Claudia,Girolomoni GiampieroORCID,Lasagni Claudia,Lembo Serena,Loconsole Francesco,Montesu Maria Antonia,Pella Paolo,Pigatto Paolo,Richetta Antonio Giovanni,Stroppiana Elena,Venturini Marina,Zichichi Leonardo,Piaserico Stefano

Abstract

A nationwide survey was conducted in adult patients with psoriasis (PsO) across Italy to obtain their real-world perspective of the impact of PsO on their wellbeing. Patients completed a 26-question survey (based on the patient benefit index; PBI, The Dermatology Life Quality Index; DLQI and the World Health Organization-five; WHO-5 wellbeing index) and workshop discussion sessions were undertaken by dermatologists to interpret results from the survey. 392 patients with PsO completed the survey. Analysis of results was restricted to patients who had moderate-to-severe plaque psoriasis (assessed by patients; n = 252; 64.3%). Dermatologists (n = 32) completed one question from the survey related to wellbeing and rated social, physical and mental domains as contributing to a similar extent, with comparable scores also observed by patients. For treatment, biologics yielded higher scores on average, whereas little difference was observed between topical and conventional systemic treatments. Only 23.8% of patients felt that their dermatologist was taking into consideration their wellbeing and 32.6% of the patients considered their therapy as inadequate in improving signs and symptoms of the disease. This survey identified key factors contributing to barriers impacting on patient wellbeing. Simple, but comprehensive questionnaires can provide important insight to patients’ needs that may significantly increase clinician awareness during visits leading to tailored treatment.

Funder

Almirall SPA

Publisher

MDPI AG

Subject

General Medicine

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