Abstract
Psoriasis is one of the prevalent skin conditions in the United States. This chronic condition has a significant negative impact on patients' quality of life. Psoriasis has been linked to the depression and suicidal tendencies in the patients. The costs associated with decrements in quality of life, lost productivity, and work absenteeism may be enormous, increasing overall costs associated with the disease management. This review attempts to outline different quality of life measures available for psoriasis and describes their use in studies examining patient reported outcomes associated with pharmacological interventions for psoriasis. Factors associated with quality of life in psoriasis patients are described. It further describes physician's role in the psoriasis management to improve patients' overall well-being.
Highlights
Psoriasis: a growing problem Psoriasis affects approximately 2% of the world's population, with men and women being affected [1]
In a survey by the National Psoriasis Foundation almost 75% of patients believed that psoriasis had moderate to large negative impact on their quality of life (QoL), with alterations in their daily activities [9]
Absenteeism is a greater concern for people suffering from psoriasis than their coworkers without psoriasis with nearly 60% patients reporting missing an average of 26 days a year directly
Summary
Psoriasis is a serious condition and is associated with significantly lower QoL. Studies have utilized different measures available to assess QoL of psoriasis patients. Most commonly used measures were psoriasis specific such as PASI and DLQI followed by generic measures such as SF36. Pharmacological interventions along with patient counseling and education may be an effective strategy to improve QoL among psoriasis patients. Lack of head to head comparisons of available treatment options limits conclusions regarding superiority of one agent over another in improving QoL in psoriasis patients
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