Dutch psoriasis patients satisfaction with treatment

[Fred]

Would be interesting to analyse the whole of the studies in a statistical way.

Sorry can't get more than that without paying for the full document, though sometimes they are released free after a few months.

I don't know if this is related to the same people surveyed, it's about a Nail Psoriasis survey from the Dutch Psoriasis Association.

Quote:

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Background:
Skin manifestations are the most characteristic finding of psoriasis. However, nail involvement is also a clinical feature of disease although it is often overlooked. The documented prevalence of nail psoriasis varies between 10.0 and 81.1%.

Objective:
The aim of this investigation was to gain knowledge about the prevalence and clinical manifestations of nail psoriasis and patient experiences on treatment of nail psoriasis.

Method:
A structured self-administered questionnaire was distributed to all members (n=5400) of the Dutch Psoriasis Association. The questionnaire enquired about socio-demographic patient characteristics, disease-related data and treatment of nail psoriasis. Patients reported their nail manifestations after instruction with photographs. Patients with nail psoriasis were compared to patients without nail psoriasis.

Results:
A response rate of 27% was achieved. The prevalence of nail psoriasis was 66.0%. The most frequently observed psoriatic nail manifestation was pitting (65.4%), whereas red spots in the lunula were infrequently seen (6.5%). Patients with nail psoriasis more frequently stated psoriasis capitis (75.8 vs 65.7%), genital psoriasis (32.7 vs 20.3) and psoriatic arthritis (46.4 vs 30.6) compared to psoriatic patients without nail involvement. Only 16.0% of patients received treatment for nail psoriasis. Systemic therapies were most frequently stated as effective for nail lesions.

Conclusion:
Nail manifestations seems to be more prevalent in psoriatic patients than previously thought. In addition, nail psoriasis shows to be associated with widespread and more severe forms of psoriasis and different treatment options are experienced as effective for nail psoriasis. Notwithstanding, nail psoriasis is still an often overlooked feature of the disease.