Improving access to home phototherapy for patients with psoriasis: current challenges and future prospects

Sylvie M Franken, Carlijn L Vierstra, Thomas RustemeyerDepartment of Dermatology, VU University Medical Centre, Amsterdam, the Netherlands Introduction: Although the treatment burden for phototherapy in the outpatient setting is considerable, prescription of home-based phototherapy has not been ins...

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Autores principales:	Franken SM, Vierstra CL, Rustemeyer T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	psoriasis phototherapy UVB home-based effectiveness burden costs access Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/063c8b72af774639993dc56375eeddd5
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spelling	oai:doaj.org-article:063c8b72af774639993dc56375eeddd52021-12-02T02:36:36ZImproving access to home phototherapy for patients with psoriasis: current challenges and future prospects2230-326Xhttps://doaj.org/article/063c8b72af774639993dc56375eeddd52016-05-01T00:00:00Zhttps://www.dovepress.com/improving-access-to-home-phototherapy-for-patients-with-psoriasis-curr-peer-reviewed-article-PTThttps://doaj.org/toc/2230-326XSylvie M Franken, Carlijn L Vierstra, Thomas RustemeyerDepartment of Dermatology, VU University Medical Centre, Amsterdam, the Netherlands Introduction: Although the treatment burden for phototherapy in the outpatient setting is considerable, prescription of home-based phototherapy has not been instigated. Home-based phototherapy seems more patient friendly in terms of avoiding the thrice-weekly hospital visits. So why are most treatments still given in a hospital setting? Is home-based treatment less effective? Are there financial barriers? Is the treatment not available? To answer these questions, a literature search was done. Methods: A literature search of PubMed, Embase, and Cochrane Library databases was performed, using the search terms “psoriasis” and “phototherapy”. Selection was based on two rounds; the first round involved screening the title and abstract of all records and second involved evaluating the full text of the remaining articles for eligibility according to inclusion and exclusion criteria. Results: In total, 23 publications were included with consensus of both researchers. Overall, the patients reported being very satisfied with home-based phototherapy. Results regarding effectivity in terms of improvement from disease severity and in quality of life were variable but generally positive. Reasons for reluctance varied from medicolegal and social aspects to lack of reimbursement and unfamiliarity on the side of the prescriber. Conclusion: In the treatment for psoriasis, home-based phototherapy is as effective and safe as phototherapy in an outpatient setting. Patients were more satisfied with home-based phototherapy. Factors that negatively influence the prescription of or choice for home-based phototherapy can be summarized in terms of lack of control, lack of knowledge, and lack of a good reimbursement system. Keywords: psoriasis, phototherapy, UVB, home-based, effectiveness, burden, costs, access Franken SMVierstra CLRustemeyer TDove Medical PressarticlepsoriasisphototherapyUVBhome-basedeffectivenessburdencostsaccessDermatologyRL1-803ENPsoriasis: Targets and Therapy, Vol 2016, Iss Issue 1, Pp 55-64 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	psoriasis phototherapy UVB home-based effectiveness burden costs access Dermatology RL1-803
spellingShingle	psoriasis phototherapy UVB home-based effectiveness burden costs access Dermatology RL1-803 Franken SM Vierstra CL Rustemeyer T Improving access to home phototherapy for patients with psoriasis: current challenges and future prospects
description	Sylvie M Franken, Carlijn L Vierstra, Thomas RustemeyerDepartment of Dermatology, VU University Medical Centre, Amsterdam, the Netherlands Introduction: Although the treatment burden for phototherapy in the outpatient setting is considerable, prescription of home-based phototherapy has not been instigated. Home-based phototherapy seems more patient friendly in terms of avoiding the thrice-weekly hospital visits. So why are most treatments still given in a hospital setting? Is home-based treatment less effective? Are there financial barriers? Is the treatment not available? To answer these questions, a literature search was done. Methods: A literature search of PubMed, Embase, and Cochrane Library databases was performed, using the search terms “psoriasis” and “phototherapy”. Selection was based on two rounds; the first round involved screening the title and abstract of all records and second involved evaluating the full text of the remaining articles for eligibility according to inclusion and exclusion criteria. Results: In total, 23 publications were included with consensus of both researchers. Overall, the patients reported being very satisfied with home-based phototherapy. Results regarding effectivity in terms of improvement from disease severity and in quality of life were variable but generally positive. Reasons for reluctance varied from medicolegal and social aspects to lack of reimbursement and unfamiliarity on the side of the prescriber. Conclusion: In the treatment for psoriasis, home-based phototherapy is as effective and safe as phototherapy in an outpatient setting. Patients were more satisfied with home-based phototherapy. Factors that negatively influence the prescription of or choice for home-based phototherapy can be summarized in terms of lack of control, lack of knowledge, and lack of a good reimbursement system. Keywords: psoriasis, phototherapy, UVB, home-based, effectiveness, burden, costs, access
format	article
author	Franken SM Vierstra CL Rustemeyer T
author_facet	Franken SM Vierstra CL Rustemeyer T
author_sort	Franken SM
title	Improving access to home phototherapy for patients with psoriasis: current challenges and future prospects
title_short	Improving access to home phototherapy for patients with psoriasis: current challenges and future prospects
title_full	Improving access to home phototherapy for patients with psoriasis: current challenges and future prospects
title_fullStr	Improving access to home phototherapy for patients with psoriasis: current challenges and future prospects
title_full_unstemmed	Improving access to home phototherapy for patients with psoriasis: current challenges and future prospects
title_sort	improving access to home phototherapy for patients with psoriasis: current challenges and future prospects
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/063c8b72af774639993dc56375eeddd5
work_keys_str_mv	AT frankensm improvingaccesstohomephototherapyforpatientswithpsoriasiscurrentchallengesandfutureprospects AT vierstracl improvingaccesstohomephototherapyforpatientswithpsoriasiscurrentchallengesandfutureprospects AT rustemeyert improvingaccesstohomephototherapyforpatientswithpsoriasiscurrentchallengesandfutureprospects
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Improving access to home phototherapy for patients with psoriasis: current challenges and future prospects

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