Treatment satisfaction of patients with psoriasis with topical therapy in a real-world setting: unmet need for higher effectiveness
Background Topical medication is the mainstay for treatment of mild psoriasis. However, dissatisfaction with topicals is common and rates of non-adherence are high. Assessing patients’ perspectives can help to identify unmet needs. Objective Our aim was to investigate satisfaction of patients with p...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Journal of Dermatological Treatment |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/09546634.2023.2200570 |
| _version_ | 1827816483399401472 |
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| author | Nadia Ninosu Suna Hoelker Max Kappenstein Sylvia Buettner Wiebke K. Peitsch Marthe-Lisa Schaarschmidt |
| author_facet | Nadia Ninosu Suna Hoelker Max Kappenstein Sylvia Buettner Wiebke K. Peitsch Marthe-Lisa Schaarschmidt |
| author_sort | Nadia Ninosu |
| collection | DOAJ |
| description | Background Topical medication is the mainstay for treatment of mild psoriasis. However, dissatisfaction with topicals is common and rates of non-adherence are high. Assessing patients’ perspectives can help to identify unmet needs. Objective Our aim was to investigate satisfaction of patients with psoriasis with topical therapy and to determine influencing factors. Methods Patients were recruited from the Department of Dermatology, University Medical Center Mannheim, Germany. Satisfaction was assessed using the Treatment Satisfaction Questionnaire for Medication version 1.4 with the domains effectiveness, side effects, convenience, and global satisfaction (scale 0–100 each). The impact of sociodemographic and disease characteristics was determined by multivariate regression. Results Averaged across the cohort (n = 122, mean age 52.5 years, 58.2% male), the side effects domain had the highest mean satisfaction score (89.7), followed by convenience (72.5), global satisfaction (60.8), and effectiveness (55.0). Comparing specific medications, combinations of corticosteroids and vitamin D analogues were rated best in effectiveness. Treatment satisfaction was influenced by age, partnership, ability to apply topicals independently, disease-related quality-of-life impairment, sole or adjunctive use of topicals and pruritus. Conclusions Participants were particularly satisfied with safety but rather dissatisfied with effectiveness of topicals. Topical therapy should be adapted to individual needs with special attention to effectiveness. |
| first_indexed | 2024-03-12T00:14:56Z |
| format | Article |
| id | doaj.art-6c4ac45bd451403da08b3644597e52a1 |
| institution | Directory Open Access Journal |
| issn | 0954-6634 1471-1753 |
| language | English |
| last_indexed | 2024-03-12T00:14:56Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Dermatological Treatment |
| spelling | doaj.art-6c4ac45bd451403da08b3644597e52a12023-09-15T14:28:53ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532023-12-0134110.1080/09546634.2023.22005702200570Treatment satisfaction of patients with psoriasis with topical therapy in a real-world setting: unmet need for higher effectivenessNadia Ninosu0Suna Hoelker1Max Kappenstein2Sylvia Buettner3Wiebke K. Peitsch4Marthe-Lisa Schaarschmidt5Department of Dermatology, Venereology and Allergology, University Medical Center Mannheim, Heidelberg UniversityDepartment of Dermatology, Venereology and Allergology, University Medical Center Mannheim, Heidelberg UniversityDepartment of Dermatology, Venereology and Allergology, University Medical Center Mannheim, Heidelberg UniversityDepartment of Biomathematics and Medical Statistics, Faculty of Medicine Mannheim, University of HeidelbergDepartment of Dermatology and Phlebology, Vivantes Klinikum im FriedrichshainDepartment of Dermatology, Venereology and Allergology, University Medical Center Mannheim, Heidelberg UniversityBackground Topical medication is the mainstay for treatment of mild psoriasis. However, dissatisfaction with topicals is common and rates of non-adherence are high. Assessing patients’ perspectives can help to identify unmet needs. Objective Our aim was to investigate satisfaction of patients with psoriasis with topical therapy and to determine influencing factors. Methods Patients were recruited from the Department of Dermatology, University Medical Center Mannheim, Germany. Satisfaction was assessed using the Treatment Satisfaction Questionnaire for Medication version 1.4 with the domains effectiveness, side effects, convenience, and global satisfaction (scale 0–100 each). The impact of sociodemographic and disease characteristics was determined by multivariate regression. Results Averaged across the cohort (n = 122, mean age 52.5 years, 58.2% male), the side effects domain had the highest mean satisfaction score (89.7), followed by convenience (72.5), global satisfaction (60.8), and effectiveness (55.0). Comparing specific medications, combinations of corticosteroids and vitamin D analogues were rated best in effectiveness. Treatment satisfaction was influenced by age, partnership, ability to apply topicals independently, disease-related quality-of-life impairment, sole or adjunctive use of topicals and pruritus. Conclusions Participants were particularly satisfied with safety but rather dissatisfied with effectiveness of topicals. Topical therapy should be adapted to individual needs with special attention to effectiveness.http://dx.doi.org/10.1080/09546634.2023.2200570satisfactionpsoriasistopical therapytsqm |
| spellingShingle | Nadia Ninosu Suna Hoelker Max Kappenstein Sylvia Buettner Wiebke K. Peitsch Marthe-Lisa Schaarschmidt Treatment satisfaction of patients with psoriasis with topical therapy in a real-world setting: unmet need for higher effectiveness Journal of Dermatological Treatment satisfaction psoriasis topical therapy tsqm |
| title | Treatment satisfaction of patients with psoriasis with topical therapy in a real-world setting: unmet need for higher effectiveness |
| title_full | Treatment satisfaction of patients with psoriasis with topical therapy in a real-world setting: unmet need for higher effectiveness |
| title_fullStr | Treatment satisfaction of patients with psoriasis with topical therapy in a real-world setting: unmet need for higher effectiveness |
| title_full_unstemmed | Treatment satisfaction of patients with psoriasis with topical therapy in a real-world setting: unmet need for higher effectiveness |
| title_short | Treatment satisfaction of patients with psoriasis with topical therapy in a real-world setting: unmet need for higher effectiveness |
| title_sort | treatment satisfaction of patients with psoriasis with topical therapy in a real world setting unmet need for higher effectiveness |
| topic | satisfaction psoriasis topical therapy tsqm |
| url | http://dx.doi.org/10.1080/09546634.2023.2200570 |
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