Psoriasis clearance rates with different treatments – An In-depth retrospective chart review

Background: Before the advent of biologics, psoriasis clearance was not a realistic goal of treatment. Purpose: This retrospective chart review aimed to compare the rates of psoriasis clearance associated with different modes of therapy in real-life practice. Methods: The study included 256 psoriasi...

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Main Authors: Katie Lovell, Mallory Zaino, Christina Kontzias, Steven R Feldman
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Dermatology and Dermatologic Surgery
Subjects:
Online Access:http://www.jddsjournal.org/article.asp?issn=2352-2410;year=2023;volume=27;issue=2;spage=63;epage=65;aulast=Lovell
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author Katie Lovell
Mallory Zaino
Christina Kontzias
Steven R Feldman
author_facet Katie Lovell
Mallory Zaino
Christina Kontzias
Steven R Feldman
author_sort Katie Lovell
collection DOAJ
description Background: Before the advent of biologics, psoriasis clearance was not a realistic goal of treatment. Purpose: This retrospective chart review aimed to compare the rates of psoriasis clearance associated with different modes of therapy in real-life practice. Methods: The study included 256 psoriasis patients who had >2 Physician Global Assessment and body surface area scores and psoriasis treatments recorded during a 3-year period. Results: Injection biologics performed better than regimens including topical agents alone or in combination with topical and oral systemic therapy. Patients on injection regimens accounted for 90% of patients with disease clearance. Injection therapy alone had a larger decrease in psoriasis severity scores from baseline than injection therapy combined with other agents. Despite clinical trials being monotherapy studies, this study conducted at a large referral center aligns with the clearance rates reported in clinical trials. Conclusion: Our results suggest that monotherapy studies can be translated into community practice. Overall, this study adds to the growing body of evidence supporting the use of biologic therapy in psoriasis management and underscores the importance of patient education on the potential for complete clearance with modern therapies.
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spelling doaj.art-5dd56bbbb91b41bb891f5160d9a7f3922024-04-01T05:56:16ZengWolters Kluwer Medknow PublicationsJournal of Dermatology and Dermatologic Surgery2352-24102352-24292023-01-01272636510.4103/jdds.jdds_33_23Psoriasis clearance rates with different treatments – An In-depth retrospective chart reviewKatie LovellMallory ZainoChristina KontziasSteven R FeldmanBackground: Before the advent of biologics, psoriasis clearance was not a realistic goal of treatment. Purpose: This retrospective chart review aimed to compare the rates of psoriasis clearance associated with different modes of therapy in real-life practice. Methods: The study included 256 psoriasis patients who had >2 Physician Global Assessment and body surface area scores and psoriasis treatments recorded during a 3-year period. Results: Injection biologics performed better than regimens including topical agents alone or in combination with topical and oral systemic therapy. Patients on injection regimens accounted for 90% of patients with disease clearance. Injection therapy alone had a larger decrease in psoriasis severity scores from baseline than injection therapy combined with other agents. Despite clinical trials being monotherapy studies, this study conducted at a large referral center aligns with the clearance rates reported in clinical trials. Conclusion: Our results suggest that monotherapy studies can be translated into community practice. Overall, this study adds to the growing body of evidence supporting the use of biologic therapy in psoriasis management and underscores the importance of patient education on the potential for complete clearance with modern therapies.http://www.jddsjournal.org/article.asp?issn=2352-2410;year=2023;volume=27;issue=2;spage=63;epage=65;aulast=Lovellbody surface areainflammatory diseasephysician global assessmentpsoriasis area and severity indexpsoriasis
spellingShingle Katie Lovell
Mallory Zaino
Christina Kontzias
Steven R Feldman
Psoriasis clearance rates with different treatments – An In-depth retrospective chart review
Journal of Dermatology and Dermatologic Surgery
body surface area
inflammatory disease
physician global assessment
psoriasis area and severity index
psoriasis
title Psoriasis clearance rates with different treatments – An In-depth retrospective chart review
title_full Psoriasis clearance rates with different treatments – An In-depth retrospective chart review
title_fullStr Psoriasis clearance rates with different treatments – An In-depth retrospective chart review
title_full_unstemmed Psoriasis clearance rates with different treatments – An In-depth retrospective chart review
title_short Psoriasis clearance rates with different treatments – An In-depth retrospective chart review
title_sort psoriasis clearance rates with different treatments an in depth retrospective chart review
topic body surface area
inflammatory disease
physician global assessment
psoriasis area and severity index
psoriasis
url http://www.jddsjournal.org/article.asp?issn=2352-2410;year=2023;volume=27;issue=2;spage=63;epage=65;aulast=Lovell
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AT malloryzaino psoriasisclearancerateswithdifferenttreatmentsanindepthretrospectivechartreview
AT christinakontzias psoriasisclearancerateswithdifferenttreatmentsanindepthretrospectivechartreview
AT stevenrfeldman psoriasisclearancerateswithdifferenttreatmentsanindepthretrospectivechartreview