Are we giving patients enough information on how to use topical treatments? Analysis of 767 prescriptions in psoriasis

Summary Background Unclear instructions probably contribute to the suboptimal efficacy and adherence to topical agents in psoriasis. Objectives To analyse the quality of prescriptions for topical therapy in psoriasis and to determine factors associated with high‐quality prescription writing. Methods We made a systematic analysis of 767 topical prescriptions written by dermatologists and general practitioners (GPs). The following parameters were recorded: writing mode (electronic vs. hand written), indication of formulation, frequency of administration, duration of treatment, indication of areas to be treated, and indication of amount of product to be used. We considered prescriptions of high quality to be those including at least four of the five prospectively defined quality parameters. Results Only 35·7% of prescriptions fulfilled the definition of a high‐quality prescription. Quality of prescription writing was significantly influenced by two factors: electronic writing [odds ratio (OR) 3·04, 95% confidence interval (CI) 2·2–4·21; P