Adherence, satisfaction and preferences for treatment in patients with psoriasis in the European Union: a systematic review of the literature
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Other documents of the author: Belinchón, I.; Rivera, R.; Blanch, Carles; Comellas, Marta; Lizán, Luis
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Title
Adherence, satisfaction and preferences for treatment in patients with psoriasis in the European Union: a systematic review of the literatureDate
2016Publisher
Dove Medical PressType
info:eu-repo/semantics/articlePublisher version
https://www.dovepress.com/adherence-satisfaction-and-preferences-for-treatment-i ...Subject
Abstract
Background and objective: Adherence to treatment in patients with psoriasis is often poor.
An investigation of patient preferences and satisfaction with treatment may be important, based
on the expected correlation ... [+]
Background and objective: Adherence to treatment in patients with psoriasis is often poor.
An investigation of patient preferences and satisfaction with treatment may be important, based
on the expected correlation with therapy compliance. This paper aims to examine and describe
the current literature on patient preferences, satisfaction and adherence to treatment for psoriasis
in the European Union (EU).
Methods: Electronic searches were conducted using PubMed, ISI Web of Knowledge, Scopus,
Spanish databases and Google Scholar. European studies published in English or Spanish
between January 1, 2009 and December 31, 2014 regarding patient-reported outcomes in
psoriatic patients were included. Studies conducted in non-EU countries, letters to the editor,
editorials, experts’ opinions, case studies, congress proceedings, publications that did not differentiate
between patients with psoriasis and psoriatic arthritis or studies related to specific
treatment were excluded.
Results: A total of 1,769 titles were identified, of which 1,636 were excluded as they were
duplicates or did not provide any relevant information. After a full-text reading and application
of the inclusion/exclusion criteria, 46 publications were included. This paper will describe publications
on adherence (n=4), preferences (n=5) and satisfaction with treatment (n=7). Results
related to health-related quality of life articles (n=30) have been published elsewhere. Adherence
rates are generally low in psoriasis patients regardless of the type of treatment, severity
of disease or methods used to measure adherence. Biologic therapy is associated with greater
clinical improvement. There is a direct association between physician recommendations, patient
preferences and several domains of treatment satisfaction.
Conclusion: The results of this review support the conclusion that adherence rates in patients
with psoriasis are suboptimal and highlight the need to improve patient compliance and satisfaction
with treatment. Patients’ preferences should be taken into account in the treatment
decision-making process in order to improve patients’ clinical outcomes by ensuring satisfaction
and adherence. [-]
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Patient Preference and Adherence, 17 November 2016 Volume 2016:10 Pages 2357—2367Rights
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