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Patients’ demographic and socioeconomic characteristics influence the therapeutic decision-making process in psoriasis

Author

Listed:
  • Emanuele Scala
  • Matteo Megna
  • Paolo Amerio
  • Giuseppe Argenziano
  • Graziella Babino
  • Federico Bardazzi
  • Luca Bianchi
  • Giacomo Caldarola
  • Anna Campanati
  • Serafinella Patrizia Cannavò
  • Andrea Chiricozzi
  • Andrea Conti
  • Giovanni Damiani
  • Paolo Dapavo
  • Clara De Simone
  • Maria Esposito
  • Gabriella Fabbrocini
  • Maria Concetta Fargnoli
  • Francesca Ferrara
  • Rosaria Fidanza
  • Giulio Gualdi
  • Claudio Guarneri
  • Katharina Hansel
  • Piergiorgio Malagoli
  • Giovanna Malara
  • Giuseppe Micali
  • Cristina Mugheddu
  • Maria Letizia Musumeci
  • Giulia Odorici
  • Annamaria Offidani
  • Leonardo Pescitelli
  • Francesca Prignano
  • Annunziata Raimondo
  • Simone Ribero
  • Franco Rongioletti
  • Luca Stingeni
  • Caterina Trifirò
  • Salvatore Zanframundo
  • Anna Balato

Abstract

Background: Knowledge regarding differences in care for psoriatic patients is limited. The aim of this study was to investigate factors influencing prescription of systemic treatments for patients with psoriasis with a special focus on socioeconomic factors. Methods and findings: This was a non-interventional, cross-sectional study, conducted in 18 Italian University and/or hospital centers with psoriasis-specialized units. Questionnaires evaluating demographic and socioeconomic characteristics were administered to participants. Overall, 1880 consecutive patients affected by mild-to-severe psoriasis were recruited. Univariate and multivariable logistic regression analyses of systemic therapy prescription, with a special focus on biologics, accounting for the above mentioned characteristics were performed. Our analysis showed that all analyzed patients’ characteristics were significantly associated with biological therapy compared to non-biological systemic one. Particularly, women were less likely to receive biologics than men (OR = 0.66; 95% CI, 0.57–0.77). Elderly patients (≥65 years) and subjects with a BMI ≥30 had lower odds to receive biologics respect to adults (≥35–64 years) (OR = 0.33; 95% CI, 0.25–0.40), and subjects with BMI≥25

Suggested Citation

  • Emanuele Scala & Matteo Megna & Paolo Amerio & Giuseppe Argenziano & Graziella Babino & Federico Bardazzi & Luca Bianchi & Giacomo Caldarola & Anna Campanati & Serafinella Patrizia Cannavò & Andrea Ch, 2020. "Patients’ demographic and socioeconomic characteristics influence the therapeutic decision-making process in psoriasis," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-14, August.
    • Handle: RePEc:plo:pone00:0237267
    DOI: 10.1371/journal.pone.0237267
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    References listed on IDEAS

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    1. George France & Francesco Taroni & Andrea Donatini, 2005. "The Italian health‐care system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 187-202, September.
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