PMID- 27273146 OWN - NLM STAT- MEDLINE DCOM- 20171011 LR - 20181202 IS - 1365-2133 (Electronic) IS - 0007-0963 (Linking) VI - 176 IP - 3 DP - 2017 Mar TI - A systematic review of the use of quality-of-life instruments in randomized controlled trials for psoriasis. PG - 577-593 LID - 10.1111/bjd.14788 [doi] AB - Planners of interventional studies in psoriasis face the dilemma of selecting suitable quality-of-life (QoL) measures. Systematic reviews have the potential of identifying psychometrically sound measures in a given therapeutic area, while guiding the development of practice guidelines. The aim of this systematic review was to generate evidence of the use of QoL instruments in randomized controlled trials (RCTs) for interventions in psoriasis. The methodology followed the PRISMA guidelines. Six databases were searched with 388 search terms. Abstracts of articles were reviewed independently by two assessors, and a third adjudicator resolved any opinion differences. Risk of bias was assessed using the Jadad scale. Of 3646 screened publications, 99 articles (100 trials) met the eligibility criteria for inclusion, describing research on 33 215 patients. Thirty-three trials tested topical therapy, 18 systemic, 39 biologics, nine phototherapy and 10 other interventions. The Dermatology Life Quality Index (DLQI) was the most commonly used QoL instrument (83 studies, 83%), followed by the 36-Item Short Form Survey (SF-36) (31, 31%), EuroQoL-5D (EQ-5D) (15, 15%), Psoriasis Disability Index (14, 14%) and Skindex (five, 5%). There was widespread inconsistency in the way that QoL data were reported. Of the 100 trials identified, 37 reported minimal clinically important difference (MCID): 32 for DLQI, 10 for SF-36 and six for EQ-5D. QoL measurement is increasingly being reported in RCTs of psoriasis. Formal guidelines are needed for assessment and publishing of QoL data. Researchers should consider whether MCID information is available, and development of MCID data should be encouraged. CI - (c) 2016 British Association of Dermatologists. FAU - Ali, F M AU - Ali FM AUID- ORCID: 0000-0002-4184-2023 AD - Department of Dermatology and Academic Wound Healing, Division of Infection and Immunity, School of Medicine, Cardiff University, 3rd Floor Glamorgan House, Heath Park, Cardiff, CF14 4XN, U.K. FAU - Cueva, A C AU - Cueva AC AUID- ORCID: 0000-0002-6260-370X AD - Department of Dermatology and Academic Wound Healing, Division of Infection and Immunity, School of Medicine, Cardiff University, 3rd Floor Glamorgan House, Heath Park, Cardiff, CF14 4XN, U.K. AD - Centro de la Piel, Quito, Ecuador. FAU - Vyas, J AU - Vyas J AUID- ORCID: 0000-0003-2839-2651 AD - Department of Dermatology and Academic Wound Healing, Division of Infection and Immunity, School of Medicine, Cardiff University, 3rd Floor Glamorgan House, Heath Park, Cardiff, CF14 4XN, U.K. FAU - Atwan, A A AU - Atwan AA AUID- ORCID: 0000-0003-2104-6350 AD - Department of Dermatology and Academic Wound Healing, Division of Infection and Immunity, School of Medicine, Cardiff University, 3rd Floor Glamorgan House, Heath Park, Cardiff, CF14 4XN, U.K. FAU - Salek, M S AU - Salek MS AUID- ORCID: 0000-0002-4612-5699 AD - School of Life and Medical Sciences, University of Hertfordshire, Hatfield, U.K. AD - Institute for Medicines Development, Cardiff, U.K. FAU - Finlay, A Y AU - Finlay AY AUID- ORCID: 0000-0003-2143-1646 AD - Department of Dermatology and Academic Wound Healing, Division of Infection and Immunity, School of Medicine, Cardiff University, 3rd Floor Glamorgan House, Heath Park, Cardiff, CF14 4XN, U.K. FAU - Piguet, V AU - Piguet V AUID- ORCID: 0000-0001-6079-4517 AD - Department of Dermatology and Academic Wound Healing, Division of Infection and Immunity, School of Medicine, Cardiff University, 3rd Floor Glamorgan House, Heath Park, Cardiff, CF14 4XN, U.K. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20161012 PL - England TA - Br J Dermatol JT - The British journal of dermatology JID - 0004041 SB - IM CIN - Br J Dermatol. 2017 Mar;176(3):563. PMID: 28300302 MH - Humans MH - Practice Guidelines as Topic MH - Psoriasis/*therapy MH - *Quality of Life MH - Randomized Controlled Trials as Topic/*methods MH - Severity of Illness Index MH - Surveys and Questionnaires MH - Treatment Outcome EDAT- 2016/06/09 06:00 MHDA- 2017/10/12 06:00 CRDT- 2016/06/09 06:00 PHST- 2016/05/23 00:00 [accepted] PHST- 2016/06/09 06:00 [pubmed] PHST- 2017/10/12 06:00 [medline] PHST- 2016/06/09 06:00 [entrez] AID - 10.1111/bjd.14788 [doi] PST - ppublish SO - Br J Dermatol. 2017 Mar;176(3):577-593. doi: 10.1111/bjd.14788. Epub 2016 Oct 12.