Adherence to systemic therapy in patients with psoriasis during the COVID‐19 pandemic: A multicenter study

Background Adherence to treatment is important in chronic dermatological diseases. There are limited data regarding the adherence to treatment in patients with psoriasis during the COVID‐19 pandemic. Aims We aimed to determine the rates of adherence to systemic treatments in patients with psoriasis...

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Veröffentlicht in:Journal of cosmetic dermatology 2022-01, Vol.21 (1), p.39-47
Hauptverfasser: Oguz Topal, Ilteris, Kara Polat, Asude, Zindancı, İlkin, Kıvanç Altunay, İlknur, Akbulut, Tuğba Özkök, Arıkan, Eylem Emel, Topaloğlu Demir, Filiz, Sivaz, Onur, Karadağ, Ayşe Serap
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container_end_page 47
container_issue 1
container_start_page 39
container_title Journal of cosmetic dermatology
container_volume 21
creator Oguz Topal, Ilteris
Kara Polat, Asude
Zindancı, İlkin
Kıvanç Altunay, İlknur
Akbulut, Tuğba Özkök
Arıkan, Eylem Emel
Topaloğlu Demir, Filiz
Sivaz, Onur
Karadağ, Ayşe Serap
description Background Adherence to treatment is important in chronic dermatological diseases. There are limited data regarding the adherence to treatment in patients with psoriasis during the COVID‐19 pandemic. Aims We aimed to determine the rates of adherence to systemic treatments in patients with psoriasis and to identify the causes of non‐adherence during the COVID‐19 pandemic. Methods We conducted a cross‐sectional multicenter study from May 2021 to August 2021. A questionnaire including items regarding sociodemographic characteristics of the patients, disease‐related characteristics, and treatment‐related characteristics were filled out by the physicians. The Psoriasis Area Severity Index (PASI), Hospital Anxiety, and Depression Scale, and the Dermatology Life Quality Index were calculated. The rate of adherence and non‐adherence to treatment and reasons for non‐adherence to treatment were examined. Results A total of 342 patients with psoriasis were included (182 male/160 female) in the study. The mean age of the patients was 45.9 ± 14.2 years. The average duration of psoriasis was 192 ± 134.7 months. While the rate of adherence to treatment was 57.6%, the rate of non‐adherence to treatment was 42.4%. There were no significant differences with respect to adherence to treatment in comparison with oral and injection‐therapy groups. The most frequent reasons for non‐adherence to treatment were inability to go to the hospital (19.2%), concern about the COVID‐19 infection (16.3%), discontinuation of the treatment by the doctor (13.7%), inability to reach the doctor (7.3%), and inability to have access to the medication (7.3%). Conclusion Adherence to oral and injection therapies was fairly high among our patients with psoriasis during the COVID‐19 pandemic. Psoriasis severity and duration of medication use had a negative impact on adherence to treatment.
doi_str_mv 10.1111/jocd.14610
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There are limited data regarding the adherence to treatment in patients with psoriasis during the COVID‐19 pandemic. Aims We aimed to determine the rates of adherence to systemic treatments in patients with psoriasis and to identify the causes of non‐adherence during the COVID‐19 pandemic. Methods We conducted a cross‐sectional multicenter study from May 2021 to August 2021. A questionnaire including items regarding sociodemographic characteristics of the patients, disease‐related characteristics, and treatment‐related characteristics were filled out by the physicians. The Psoriasis Area Severity Index (PASI), Hospital Anxiety, and Depression Scale, and the Dermatology Life Quality Index were calculated. The rate of adherence and non‐adherence to treatment and reasons for non‐adherence to treatment were examined. Results A total of 342 patients with psoriasis were included (182 male/160 female) in the study. The mean age of the patients was 45.9 ± 14.2 years. The average duration of psoriasis was 192 ± 134.7 months. While the rate of adherence to treatment was 57.6%, the rate of non‐adherence to treatment was 42.4%. There were no significant differences with respect to adherence to treatment in comparison with oral and injection‐therapy groups. The most frequent reasons for non‐adherence to treatment were inability to go to the hospital (19.2%), concern about the COVID‐19 infection (16.3%), discontinuation of the treatment by the doctor (13.7%), inability to reach the doctor (7.3%), and inability to have access to the medication (7.3%). Conclusion Adherence to oral and injection therapies was fairly high among our patients with psoriasis during the COVID‐19 pandemic. Psoriasis severity and duration of medication use had a negative impact on adherence to treatment.</description><identifier>ISSN: 1473-2130</identifier><identifier>EISSN: 1473-2165</identifier><identifier>DOI: 10.1111/jocd.14610</identifier><identifier>PMID: 34792848</identifier><language>eng</language><publisher>England: John Wiley and Sons Inc</publisher><subject>adherence ; Adult ; Covid ; COVID-19 ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Original ; Pandemics ; psoriasis ; Psoriasis - drug therapy ; Psoriasis - epidemiology ; Quality of Life ; SARS-CoV-2 ; Severity of Illness Index</subject><ispartof>Journal of cosmetic dermatology, 2022-01, Vol.21 (1), p.39-47</ispartof><rights>2021 Wiley Periodicals LLC</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4480-83bb224d93ba34a5573b7082b6f5854105c83793d27193fa2e5a5a8586eaffe83</citedby><cites>FETCH-LOGICAL-c4480-83bb224d93ba34a5573b7082b6f5854105c83793d27193fa2e5a5a8586eaffe83</cites><orcidid>0000-0001-8735-9806</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocd.14610$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocd.14610$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34792848$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oguz Topal, Ilteris</creatorcontrib><creatorcontrib>Kara Polat, Asude</creatorcontrib><creatorcontrib>Zindancı, İlkin</creatorcontrib><creatorcontrib>Kıvanç Altunay, İlknur</creatorcontrib><creatorcontrib>Akbulut, Tuğba Özkök</creatorcontrib><creatorcontrib>Arıkan, Eylem Emel</creatorcontrib><creatorcontrib>Topaloğlu Demir, Filiz</creatorcontrib><creatorcontrib>Sivaz, Onur</creatorcontrib><creatorcontrib>Karadağ, Ayşe Serap</creatorcontrib><title>Adherence to systemic therapy in patients with psoriasis during the COVID‐19 pandemic: A multicenter study</title><title>Journal of cosmetic dermatology</title><addtitle>J Cosmet Dermatol</addtitle><description>Background Adherence to treatment is important in chronic dermatological diseases. There are limited data regarding the adherence to treatment in patients with psoriasis during the COVID‐19 pandemic. Aims We aimed to determine the rates of adherence to systemic treatments in patients with psoriasis and to identify the causes of non‐adherence during the COVID‐19 pandemic. Methods We conducted a cross‐sectional multicenter study from May 2021 to August 2021. A questionnaire including items regarding sociodemographic characteristics of the patients, disease‐related characteristics, and treatment‐related characteristics were filled out by the physicians. The Psoriasis Area Severity Index (PASI), Hospital Anxiety, and Depression Scale, and the Dermatology Life Quality Index were calculated. The rate of adherence and non‐adherence to treatment and reasons for non‐adherence to treatment were examined. Results A total of 342 patients with psoriasis were included (182 male/160 female) in the study. The mean age of the patients was 45.9 ± 14.2 years. The average duration of psoriasis was 192 ± 134.7 months. While the rate of adherence to treatment was 57.6%, the rate of non‐adherence to treatment was 42.4%. There were no significant differences with respect to adherence to treatment in comparison with oral and injection‐therapy groups. The most frequent reasons for non‐adherence to treatment were inability to go to the hospital (19.2%), concern about the COVID‐19 infection (16.3%), discontinuation of the treatment by the doctor (13.7%), inability to reach the doctor (7.3%), and inability to have access to the medication (7.3%). Conclusion Adherence to oral and injection therapies was fairly high among our patients with psoriasis during the COVID‐19 pandemic. Psoriasis severity and duration of medication use had a negative impact on adherence to treatment.</description><subject>adherence</subject><subject>Adult</subject><subject>Covid</subject><subject>COVID-19</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Pandemics</subject><subject>psoriasis</subject><subject>Psoriasis - drug therapy</subject><subject>Psoriasis - epidemiology</subject><subject>Quality of Life</subject><subject>SARS-CoV-2</subject><subject>Severity of Illness Index</subject><issn>1473-2130</issn><issn>1473-2165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctKxDAUhoMo3jc-gGQpwmiubeJCGMbbiDAbdRvSNnUivZmkSnc-gs_ok9g646Abszkh-c53DvwAHGB0gvtz-lyn2QlmEUZrYBuzmI4Ijvj66k7RFtjx_hkhHEvMN8EWZbEkgoltUIyzuXGmSg0MNfSdD6a0KQz9o246aCvY6GBNFTx8s2EOG187q731MGudrZ4GEk5mj9OLz_cPLHu6ygbDGRzDsi2CTfte46APbdbtgY1cF97sL-sueLi6vJ_cjO5m19PJ-G6UMibQSNAkIYRlkiaaMs15TJMYCZJEORecYcRTQWNJMxJjSXNNDNdcCy4io_PcCLoLzhfepk1Kkw0rOF2oxtlSu07V2qq_P5Wdq6f6VYkoIohFveBoKXD1S2t8UKX1qSkKXZm69YpwKVFMmeQ9erxAU1d770y-GoORGuJRQzzqO54ePvy92Ar9yaMH8AJ4s4Xp_lGp29nkYiH9Aj0UnNY</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Oguz Topal, Ilteris</creator><creator>Kara Polat, Asude</creator><creator>Zindancı, İlkin</creator><creator>Kıvanç Altunay, İlknur</creator><creator>Akbulut, Tuğba Özkök</creator><creator>Arıkan, Eylem Emel</creator><creator>Topaloğlu Demir, Filiz</creator><creator>Sivaz, Onur</creator><creator>Karadağ, Ayşe Serap</creator><general>John Wiley and Sons Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8735-9806</orcidid></search><sort><creationdate>202201</creationdate><title>Adherence to systemic therapy in patients with psoriasis during the COVID‐19 pandemic: A multicenter study</title><author>Oguz Topal, Ilteris ; Kara Polat, Asude ; Zindancı, İlkin ; Kıvanç Altunay, İlknur ; Akbulut, Tuğba Özkök ; Arıkan, Eylem Emel ; Topaloğlu Demir, Filiz ; Sivaz, Onur ; Karadağ, Ayşe Serap</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4480-83bb224d93ba34a5573b7082b6f5854105c83793d27193fa2e5a5a8586eaffe83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>adherence</topic><topic>Adult</topic><topic>Covid</topic><topic>COVID-19</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Pandemics</topic><topic>psoriasis</topic><topic>Psoriasis - drug therapy</topic><topic>Psoriasis - epidemiology</topic><topic>Quality of Life</topic><topic>SARS-CoV-2</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oguz Topal, Ilteris</creatorcontrib><creatorcontrib>Kara Polat, Asude</creatorcontrib><creatorcontrib>Zindancı, İlkin</creatorcontrib><creatorcontrib>Kıvanç Altunay, İlknur</creatorcontrib><creatorcontrib>Akbulut, Tuğba Özkök</creatorcontrib><creatorcontrib>Arıkan, Eylem Emel</creatorcontrib><creatorcontrib>Topaloğlu Demir, Filiz</creatorcontrib><creatorcontrib>Sivaz, Onur</creatorcontrib><creatorcontrib>Karadağ, Ayşe Serap</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of cosmetic dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oguz Topal, Ilteris</au><au>Kara Polat, Asude</au><au>Zindancı, İlkin</au><au>Kıvanç Altunay, İlknur</au><au>Akbulut, Tuğba Özkök</au><au>Arıkan, Eylem Emel</au><au>Topaloğlu Demir, Filiz</au><au>Sivaz, Onur</au><au>Karadağ, Ayşe Serap</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adherence to systemic therapy in patients with psoriasis during the COVID‐19 pandemic: A multicenter study</atitle><jtitle>Journal of cosmetic dermatology</jtitle><addtitle>J Cosmet Dermatol</addtitle><date>2022-01</date><risdate>2022</risdate><volume>21</volume><issue>1</issue><spage>39</spage><epage>47</epage><pages>39-47</pages><issn>1473-2130</issn><eissn>1473-2165</eissn><abstract>Background Adherence to treatment is important in chronic dermatological diseases. There are limited data regarding the adherence to treatment in patients with psoriasis during the COVID‐19 pandemic. Aims We aimed to determine the rates of adherence to systemic treatments in patients with psoriasis and to identify the causes of non‐adherence during the COVID‐19 pandemic. Methods We conducted a cross‐sectional multicenter study from May 2021 to August 2021. A questionnaire including items regarding sociodemographic characteristics of the patients, disease‐related characteristics, and treatment‐related characteristics were filled out by the physicians. The Psoriasis Area Severity Index (PASI), Hospital Anxiety, and Depression Scale, and the Dermatology Life Quality Index were calculated. The rate of adherence and non‐adherence to treatment and reasons for non‐adherence to treatment were examined. Results A total of 342 patients with psoriasis were included (182 male/160 female) in the study. The mean age of the patients was 45.9 ± 14.2 years. The average duration of psoriasis was 192 ± 134.7 months. While the rate of adherence to treatment was 57.6%, the rate of non‐adherence to treatment was 42.4%. There were no significant differences with respect to adherence to treatment in comparison with oral and injection‐therapy groups. The most frequent reasons for non‐adherence to treatment were inability to go to the hospital (19.2%), concern about the COVID‐19 infection (16.3%), discontinuation of the treatment by the doctor (13.7%), inability to reach the doctor (7.3%), and inability to have access to the medication (7.3%). Conclusion Adherence to oral and injection therapies was fairly high among our patients with psoriasis during the COVID‐19 pandemic. Psoriasis severity and duration of medication use had a negative impact on adherence to treatment.</abstract><cop>England</cop><pub>John Wiley and Sons Inc</pub><pmid>34792848</pmid><doi>10.1111/jocd.14610</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8735-9806</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects adherence
Adult
Covid
COVID-19
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Original
Pandemics
psoriasis
Psoriasis - drug therapy
Psoriasis - epidemiology
Quality of Life
SARS-CoV-2
Severity of Illness Index
title Adherence to systemic therapy in patients with psoriasis during the COVID‐19 pandemic: A multicenter study
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