Improving patient outcomes in psoriasis: strategies to ensure treatment adherence

Oriol Yélamos, Sandra Ros, Lluís Puig Department of Dermatology, Hospital de la Santa Creu i Sant Pau – Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain Abstract: Psoriasis is a frequent inflammatory disease with a chronic and relapsing cours...

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Autores principales:	Yélamos O, Ros S, Puig L
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/8a2ed733be4146e2bd03dc9b9730021a
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spelling	oai:doaj.org-article:8a2ed733be4146e2bd03dc9b9730021a2021-12-02T07:25:13ZImproving patient outcomes in psoriasis: strategies to ensure treatment adherence2230-326Xhttps://doaj.org/article/8a2ed733be4146e2bd03dc9b9730021a2015-07-01T00:00:00Zhttp://www.dovepress.com/improving-patient-outcomes-in-psoriasis-strategies-to-ensure-treatment-peer-reviewed-article-PTThttps://doaj.org/toc/2230-326XOriol Yélamos, Sandra Ros, Lluís Puig Department of Dermatology, Hospital de la Santa Creu i Sant Pau – Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain Abstract: Psoriasis is a frequent inflammatory disease with a chronic and relapsing course. Therefore, patients with psoriasis are likely to undergo different treatments for long periods of time. Traditionally, therapies used in psoriasis have been associated with poor levels of adherence due to the complexity of the regimens and the poor results obtained with the topical therapies. These poor outcomes are associated with high levels of frustration and anxiety, which decrease adherence and worsen the disease. With the recent introduction of highly efficacious biologic therapies, patients can achieve very good and prolonged responses. However, most patients with psoriasis have mild disease and may be treated with skin-directed therapies. Therefore, it is important to develop strategies to improve adherence in order to achieve better outcomes, and to improve the overall quality of life. Hence, acknowledging the causes of nonadherence is crucial for implementing these strategies. In this summary, we review the causes of nonadherence, and we provide behavioral strategies in order to improve adherence and, ultimately, the outcome of patients with psoriasis. Keywords: psoriasis, adherence, outcome, drug therapy, psychotherapyYélamos ORos SPuig LDove Medical PressarticleDermatologyRL1-803ENPsoriasis: Targets and Therapy, Vol 2015, Iss default, Pp 109-115 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dermatology RL1-803
spellingShingle	Dermatology RL1-803 Yélamos O Ros S Puig L Improving patient outcomes in psoriasis: strategies to ensure treatment adherence
description	Oriol Yélamos, Sandra Ros, Lluís Puig Department of Dermatology, Hospital de la Santa Creu i Sant Pau – Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain Abstract: Psoriasis is a frequent inflammatory disease with a chronic and relapsing course. Therefore, patients with psoriasis are likely to undergo different treatments for long periods of time. Traditionally, therapies used in psoriasis have been associated with poor levels of adherence due to the complexity of the regimens and the poor results obtained with the topical therapies. These poor outcomes are associated with high levels of frustration and anxiety, which decrease adherence and worsen the disease. With the recent introduction of highly efficacious biologic therapies, patients can achieve very good and prolonged responses. However, most patients with psoriasis have mild disease and may be treated with skin-directed therapies. Therefore, it is important to develop strategies to improve adherence in order to achieve better outcomes, and to improve the overall quality of life. Hence, acknowledging the causes of nonadherence is crucial for implementing these strategies. In this summary, we review the causes of nonadherence, and we provide behavioral strategies in order to improve adherence and, ultimately, the outcome of patients with psoriasis. Keywords: psoriasis, adherence, outcome, drug therapy, psychotherapy
format	article
author	Yélamos O Ros S Puig L
author_facet	Yélamos O Ros S Puig L
author_sort	Yélamos O
title	Improving patient outcomes in psoriasis: strategies to ensure treatment adherence
title_short	Improving patient outcomes in psoriasis: strategies to ensure treatment adherence
title_full	Improving patient outcomes in psoriasis: strategies to ensure treatment adherence
title_fullStr	Improving patient outcomes in psoriasis: strategies to ensure treatment adherence
title_full_unstemmed	Improving patient outcomes in psoriasis: strategies to ensure treatment adherence
title_sort	improving patient outcomes in psoriasis: strategies to ensure treatment adherence
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/8a2ed733be4146e2bd03dc9b9730021a
work_keys_str_mv	AT yelamoso improvingpatientoutcomesinpsoriasisstrategiestoensuretreatmentadherence AT ross improvingpatientoutcomesinpsoriasisstrategiestoensuretreatmentadherence AT puigl improvingpatientoutcomesinpsoriasisstrategiestoensuretreatmentadherence
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Improving patient outcomes in psoriasis: strategies to ensure treatment adherence

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