Journal of Clinical Medicine (Dec 2023)
Understanding Barriers Impacting upon Patient Wellbeing: A Nationwide Italian Survey and Expert Opinion of Dermatologists Treating Patients with Moderate-to-Severe Psoriasis
- Francesca Prignano,
- Giuseppe Argenziano,
- Federico Bardazzi,
- Riccardo G. Borroni,
- Alexandra M. G. Brunasso,
- Martina Burlando,
- Anna Elisabetta Cagni,
- Elena Campione,
- Elisa Cinotti,
- Fabrizio Colonna,
- Aldo Cuccia,
- Stefano Dastoli,
- Rocco De Pasquale,
- Clara De Simone,
- Vito Di Lernia,
- Valentina Dini,
- Gabriella Fabbrocini,
- Claudia Galluzzi,
- Alfredo Giacchetti,
- Claudia Giofrè,
- Claudia Lasagni,
- Serena Lembo,
- Francesco Loconsole,
- Maria Antonia Montesu,
- Paolo Pella,
- Stefano Piaserico,
- Paolo Pigatto,
- Antonio Giovanni Richetta,
- Adriana Scuotto,
- Elena Stroppiana,
- Marina Venturini,
- Anna Stefania Vinci,
- Leonardo Zichichi,
- Maria Concetta Fargnoli
Affiliations
- Francesca Prignano
- Department of Health Sciences, Section of Dermatology, University of Florence, 50125 Florence, Italy
- Giuseppe Argenziano
- Dermatology Unit, University of Campania, 80138 Naples, Italy
- Federico Bardazzi
- Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, 40138 Bologna, Italy
- Riccardo G. Borroni
- Department of Biomedical Sciences, Humanitas University, 20089 Milan, Italy
- Alexandra M. G. Brunasso
- Department of Dermatology, Villa Scassi Hospital, ASL 3, 16149 Genova, Italy
- Martina Burlando
- Dermatologic Clinic, DISSAL, San Martino Policlinico San Martino Hospital, 16132 Genova, Italy
- Anna Elisabetta Cagni
- Unità Operativa Dipartimentale di Dermatologia e Venereologia, IRCCS San Gerardo, 20900 Milan, Italy
- Elena Campione
- Dermatologic Unit, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy
- Elisa Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, 53100 Siena, Italy
- Fabrizio Colonna
- Dipartimento di Psicologia, Università di Torino, 10124 Turin, Italy
- Aldo Cuccia
- Unit of Dermatology, San Donato Hospital, 52100 Arezzo, Italy
- Stefano Dastoli
- Department of Health Sciences, Magna Graecia University of Catanzaro, 88100 Catanzaro, Italy
- Rocco De Pasquale
- Dermatology Unit, San Marco Hospital, 95123 Catania, Italy
- Clara De Simone
- Institute of Dermatology, Catholic University, 00185 Rome, Italy
- Vito Di Lernia
- Dermatology Unit, Arcispedale S. Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy
- Valentina Dini
- Unit of Dermatology, University of Pisa, 56126 Pisa, Italy
- Gabriella Fabbrocini
- Section of Dermatology, Department of Clinical, Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy
- Claudia Galluzzi
- Dermatologic Unit, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy
- Alfredo Giacchetti
- UOC Dermatology, IRCCS INRCA, 60124 Ancona, Italy
- Claudia Giofrè
- Dermatology Complex Operative Unit, Papardo Hospital, 98158 Messina, Italy
- Claudia Lasagni
- AOU Policlinico di Modena, Department of Specialized Medicine, University of Modena, 41121 Modena, Italy
- Serena Lembo
- Department of Medicine, Surgery and Dentistry, “Scuola Medica Salernitana”, University of Salerno, 84084 Fisciano, Italy
- Francesco Loconsole
- Clinica Dermatologica, Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari, 70124 Bari, Italy
- Maria Antonia Montesu
- Department of Surgical, Microsurgical and Medical Sciences, Dermatology, University of Sassari, 07100 Sassari, Italy
- Paolo Pella
- Dermatologia, Ospedale degli Infermi, 13875 Biella, Italy
- Stefano Piaserico
- Dermatology Unit, Department of Medicine, University of Padova, 35122 Padova, Italy
- Paolo Pigatto
- Clinical Dermatology, Department of Biomedical, Surgical and Dental Sciences, Istituto Ortopedico Galezzi, University of Milan, 20122 Milan, Italy
- Antonio Giovanni Richetta
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, 00185 Rome, Italy
- Adriana Scuotto
- Department of Advanced Biomedical Science, Legal Medicine Section, University of Naples Federico II, 80131 Naples, Italy
- Elena Stroppiana
- Section of Dermatology, Department of Medical Sciences, University of Turin, 10124 Turin, Italy
- Marina Venturini
- Dermatology Department, University of Brescia, ASST Spedali Civili, 25121 Brescia, Italy
- Anna Stefania Vinci
- Private Clinic, Via Cenisio 18, 20154 Milan, Italy
- Leonardo Zichichi
- Unit of Dermatology, San Antonio Abate Hospital, 80057 Trapani, Italy
- Maria Concetta Fargnoli
- Dermatology, Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy
- DOI
- https://doi.org/10.3390/jcm13010101
- Journal volume & issue
-
Vol. 13,
no. 1
p. 101
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.
Keywords