PMID- 27737638
OWN - NLM
STAT- MEDLINE
DCOM- 20171107
LR  - 20181113
IS  - 1471-2296 (Electronic)
IS  - 1471-2296 (Linking)
VI  - 17
IP  - 1
DP  - 2016 Oct 14
TI  - Severity and management of psoriasis within primary care.
PG  - 145
LID - 145
AB  - BACKGROUND: Scottish Intercollegiate Guidelines Network and National Institute of 
      Health and Care Excellence guidelines stress the importance of assessing patients 
      with psoriasis for psoriatic arthritis, comorbidities associated with severe 
      disease and quality of life (QoL). The purpose of the study was to evaluate the 
      primary care management of psoriasis in relation to disease severity and QoL from 
      a patient's perspective. METHODS: A cross-sectional survey of adults (>/=18 years) 
      with psoriasis managed in primary care was conducted in Scotland over 1-year 
      (2012-2013). Patients with psoriasis were identified and invited to participate 
      in the online/telephone survey. The questionnaires included; Dermatology Life 
      Quality Index (DLQI), Self-Administered Psoriasis Area and Severity Index 
      (SAPASI), Psoriasis Epidemiology Screening Tool (PEST). The primary outcome 
      measure was DLQI. Secondary outcomes included; demographics; comorbidities; 
      involvement of different body sites; SAPASI and PEST scores. Relationships 
      between measures were analysed using univariate analysis. RESULTS: The mean age 
      of patients (n = 905) was 54.5 years (SD = 16.1), 436 (48.2 %) were men, and 
      median DLQI and SAPASI scores were 4.0 and 6.0, respectively. Current psoriasis 
      treatments were topical only (587, 64.9 %), oral medications or phototherapy 
      (122, 13.5 %), biologics (26, 3 %) and none (156, 17.2 %). Despite SIGN 
      recommendations, 256 of 391 patients (65.5 %) with a DLQI >5 (at least a moderate 
      effect on QoL) had not seen a specialist during the past year. According to PEST 
      scores, 259 patients (28.6 %) had symptoms suggestive of psoriatic arthritis 
      requiring rheumatology referral. CONCLUSION: National recommendations are not 
      being fully implemented in primary care in patients with psoriasis or psoriatic 
      arthritis.
FAU - Wade, Alan G
AU  - Wade AG
AD  - Patients Direct, 3 Todd Campus, West of Scotland Science Park, Glasgow, G20 0XA, 
      UK. alan@patientsdirect.org.
FAU - Crawford, Gordon M
AU  - Crawford GM
AD  - Patients Direct, 3 Todd Campus, West of Scotland Science Park, Glasgow, G20 0XA, 
      UK.
FAU - Young, David
AU  - Young D
AD  - Department of Mathematics and Statistics, University of Strathclyde, Glasgow, G1 
      1XQ, UK.
FAU - Leman, Joyce
AU  - Leman J
AD  - Western Infirmary, Glasgow, G11 6NT, UK.
FAU - Pumford, Neil
AU  - Pumford N
AD  - AbbVie Ltd, Abbott House, Vanwall Business Park, Vanwall Road, Maidenhead, SL6 
      4XE, UK.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20161014
PL  - England
TA  - BMC Fam Pract
JT  - BMC family practice
JID - 100967792
SB  - IM
MH  - Adult
MH  - Aged
MH  - Anxiety/epidemiology
MH  - Arthritis, Psoriatic/diagnosis
MH  - Cardiovascular Diseases/epidemiology
MH  - Comorbidity
MH  - Cross-Sectional Studies
MH  - Depression/epidemiology
MH  - Diagnostic Self Evaluation
MH  - Female
MH  - General Practice/*statistics & numerical data
MH  - Guideline Adherence/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Acceptance of Health Care/*statistics & numerical data
MH  - Primary Health Care/*statistics & numerical data
MH  - Psoriasis/*epidemiology/*therapy
MH  - *Quality of Life
MH  - Referral and Consultation/statistics & numerical data
MH  - Scotland
MH  - Severity of Illness Index
MH  - Surveys and Questionnaires
PMC - PMC5064962
OTO - NOTNLM
OT  - Comorbidity
OT  - DLQI
OT  - General practice
OT  - Primary health care
OT  - Psoriasis
OT  - Psoriatic arthritis
OT  - SAPASI
OT  - SIGN
OT  - Survey
EDAT- 2016/10/16 06:00
MHDA- 2017/11/08 06:00
PMCR- 2016/10/14
CRDT- 2016/10/15 06:00
PHST- 2016/01/13 00:00 [received]
PHST- 2016/10/07 00:00 [accepted]
PHST- 2016/10/15 06:00 [entrez]
PHST- 2016/10/16 06:00 [pubmed]
PHST- 2017/11/08 06:00 [medline]
PHST- 2016/10/14 00:00 [pmc-release]
AID - 10.1186/s12875-016-0544-6 [pii]
AID - 544 [pii]
AID - 10.1186/s12875-016-0544-6 [doi]
PST - epublish
SO  - BMC Fam Pract. 2016 Oct 14;17(1):145. doi: 10.1186/s12875-016-0544-6.