OBJECTIVE: To describe patient's characteristics, the activity and patient's satisfaction with a multidisciplinary care unit in patients with psoriasis and psoriatic arthritis (PsA). METHODS: A retrospective medical records review of patients with psoriasis or PsA attended in a multidisciplinary care unit was performed. Included patients were contacted to fulfill a satisfaction questionnaire. A specific electronic database was set up. Data regarding to patients and their baseline characteristics and the activity of the unit were collected. Descriptive analysis were performed. RESULTS: A total of 112 patients with 154 visits were included in almost 3 years, 54% women, with a mean age of 51 years, 43.7% presented hyperlipidemia and 30.4% arterial hypertension. Half of patients were referred due to diagnostic doubts and the other half for therapeutic problems. After the evaluation of the patients, 66 patients (58.9%) met diagnostic criteria for PsA, and 13 (11.6%) of an inflammatory disease other than PsA, and 95% came back to their usual physician. The most ordered test were laboratory tests (75.6% of patients), followed by X-rays in 57 patients (51.3%). In general the number of patients with different treatments increased, and 55.4% and 42% of patients changed their topic and systemic treatments respectively. The level of satisfaction was very high and all of patients considered that their disease was better controlled in this multidisciplinary care unit. CONCLUSIONS: This multidisciplinary care unit has improved the care and satisfaction of patients with psoriasis or PsA, and increased collaboration between rheumatology and dermatology departments.
OBJECTIVE: To describe patient's characteristics, the activity and patient's satisfaction with a multidisciplinary care unit in patients with psoriasis and psoriatic arthritis (PsA). METHODS: A retrospective medical records review of patients with psoriasis or PsA attended in a multidisciplinary care unit was performed. Included patients were contacted to fulfill a satisfaction questionnaire. A specific electronic database was set up. Data regarding to patients and their baseline characteristics and the activity of the unit were collected. Descriptive analysis were performed. RESULTS: A total of 112 patients with 154 visits were included in almost 3 years, 54% women, with a mean age of 51 years, 43.7% presented hyperlipidemia and 30.4% arterial hypertension. Half of patients were referred due to diagnostic doubts and the other half for therapeutic problems. After the evaluation of the patients, 66 patients (58.9%) met diagnostic criteria for PsA, and 13 (11.6%) of an inflammatory disease other than PsA, and 95% came back to their usual physician. The most ordered test were laboratory tests (75.6% of patients), followed by X-rays in 57 patients (51.3%). In general the number of patients with different treatments increased, and 55.4% and 42% of patients changed their topic and systemic treatments respectively. The level of satisfaction was very high and all of patients considered that their disease was better controlled in this multidisciplinary care unit. CONCLUSIONS: This multidisciplinary care unit has improved the care and satisfaction of patients with psoriasis or PsA, and increased collaboration between rheumatology and dermatology departments.
Authors: Anna Kotulska; Eugeniusz J Kucharz; Piotr Wiland; Marzena Olesińska; Anna Felis-Giemza; Magdalena Kopeć-Mędrek; Aleksandra Zoń-Giebel; Wojciech Romanowski; Lucyna Szymczak-Bartz; Małgorzata Tłustochowicz; Jolanta Lewandowicz; Joanna Kowalska-Majka; Jolanta Bucka; Maria Majdan; Zofia Kiełbik; Mariusz Korkosz; Aneta Bielińska; Piotr Leszczyński; Katarzyna Pawlak-Buś; Mariusz J Puszczewicz; Dominik Majewski; Katarzyna Smolik; Teresa Migas-Kukla; Małgorzata Sochocka-Bykowska; Maria Szarecka; Bernadeta Luberda; Małgorzata Falenta-Hitnarowicz; Jadwiga Świkszcz-Gniadek; Wanda Lepiarz-Rusek; Grzegorz Rozwadowski; Barbara Chara; Jerzy Zajdel; Zbigniew Zdrojewski; Maria Maciejowska-Roge; Irena Rosmus-Kuczia Journal: Reumatologia Date: 2018-06-30