Medición de la calidad de vida por medio del Dermatology Life Quality Index en pacientes con psoriasis: una revisión sistemática

Ordóñez, Jaime; Palacios, Árlex; Londoño, Ángela; Jiménez, Sol Beatriz

doi:10.29176/2590843x.250

Cited by 3 publications

(2 citation statements)

References 37 publications

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“…That component alone can have an impact on the labor sphere of the patients, as Mansouri et al showed in their study about work and sickness absence among psoriasis patients, where the majority of patients (68%) had PASI levels under 10. 18 , 19…”

Section: Discussionmentioning

confidence: 99%

Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service

Maya-Rico¹,

Londoño-García²,

Palacios-Barahona³

et al. 2021

Anais Brasileiros de Dermatologia

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Background Psoriasis is a chronic disease that derives great costs to the health care system. In Colombia, due to deficiencies in this system, patients are more likely to incur in out-of-pocket expenses; money that has never been quantified in this country. Objectives To quantify out-of-pocket expenses and to analyze their relation to patients' clinical and labor characteristics in a cohort of psoriatic patients. Methods A single-center, cross-sectional study was performed, evaluating psoriasis patients. Results A total of 100 psoriasis patients were analyzed. We identified that patients with higher dermatology life quality index and in phototherapy treatment were the ones that had higher out-of-pocket costs (p = 0.006 and 0.005, respectively). We found no correlation between out-of-pocket costs and occupational status, psoriasis area severity index or other types of treatment. The largest amount of money was used to buy medications and bus transportation with a maximum up to 440.50 and 528.60 USD, respectively. Among the 100 participants the total expense was 11131.90 USD in a 6-month period. Study limitations Lack of measurement of the labor productivity and labor absenteeism secondary to sick leave. Conclusion Out-of-pocket costs are similar with what was shown in previous studies. We found statistically significant differences for the DLQI in comparison with out-of-pocket expenses, regardless of the PASI level. Phototherapy treatment also had statistically significant differences in relationship with out-of-pocket expenses, when compared to other treatments, because it requires higher expenses in transportation, copayments, and alimentation during appointment assistance.

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Section: Discussionmentioning

confidence: 99%

Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service

Maya-Rico¹,

Londoño-García²,

Palacios-Barahona³

et al. 2021

Anais Brasileiros de Dermatologia

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“…Afecta a personas de todas las edades, principalmente adultos, sin diferencias según el sexo, con dos picos de incidencia: el primero, alrededor de los 20 años, y el segundo, entre los 50 y los 60 años 1 . Las manifestaciones clínicas de la enfermedad dificultan las actividades básicas de los pacientes y disminuyen su calidad de vida, lo cual se refleja en baja autoestima, sensación de rechazo y preocupaciones psicosexuales 4,5 .…”

Section: Introductionunclassified

Características clínicas, recursos utilizados y costos de la psoriasis en pacientes de una IPS de referencia del Valle de Aburrá, 2014

Palacios-Barahona¹,

Orozco²,

Jiménez³

2016

rev. asoc. colomb. dermatol. cir. dematol.

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Introducción. La caracterización de los pacientes con psoriasis es importante porque permite conocer las formas clínicas más frecuentes y la gravedad de la enfermedad, y además, determinar su impacto en los costos para el sector salud. Objetivo. Determinar las características clínicas, los recursos utilizados y los costos de los pacientes con psoriasis atendidos en un centro de referencia del área metropolitana del Valle de Aburrá en el 2014. Metodología. Se llevó a cabo un estudio descriptivo de pacientes con psoriasis que asistieron al Centro Dermatológico CES, Sabaneta, entre el 1° de enero y el 30 de noviembre de 2014. Los recursos utilizados, como citas, tratamientos, exámenes paraclínicos y procedimientos, se consultaron en las historias clínicas. Para calcular las tarifas de consultas y procedimientos, se usaron las establecidas en el manual tarifario ISS 2001 más el 30 % y en el Seguro Obligatorio de Accidentes de Tránsito (SOAT) 2014; en medicamentos, se utilizó el sistema de información de precios de medicamentos (SISMED). Resultados. Se incluyeron 95 pacientes, cuya media de edad fue de 47,2 años (desviación estándar, DE=15,5 años); el 47 eran mujeres. El promedio del índice DLQI (Dermatology Life Quality Index) fue de 8,2 (DE=7,2) y el del PASI (Psoriasis Area and Severity Index) fue de 5,7 (DE=4,7). Los costos mínimo y máximo, según el manual ISS + 30 %, fueron de COP$ 21.710 y COP$ 13’803.505 para la psoriasis leve, y de COP$ 402.610 y COP$ 36’643.757 para la moderada a grave; cuando se utilizó terapia biológica, fueron de COP$ 15’608.272 y COP$ 36’643.757. Según el manual SOAT, los costos oscilaron entre COP$ 536.987 y COP$ 39’312.273 en casos de psoriasis entre moderada a grave y, entre COP$ 17’286.259 y COP$ 39’312.272, cuando se utilizó terapia biológica. Conclusión. La psoriasis es una enfermedad que acarrea costos elevados de tratamiento en relación con su gravedad y la eficacia del tratamiento.

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Rasch analysis of the dermatology life quality index (DLQI) in patients with mild to moderate-severe psoriasis

Madrigal-Cadavid,

Estrada-Acevedo,

Maria Jaramillo

et al. 2024

IJDVL

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Background The Dermatology Life Quality Index (DLQI) is a valuable tool for assessing the quality of life in adult patients with psoriasis. Aims To analyse the reliability and validity of the DLQI to measure the quality of life in patients with mild to moderate-severe psoriasis. Methods This was a secondary validation study nested in a follow-up study. The Rasch-Andrich model was utilised to perform response function, item and person fit, differential item functioning, dimensionality, and reliability analyses. Results A total of 1439 patients were analysed, 52.1% male, mean age of 48.7 years (SD 16.1). Psoriasis vulgaris was the phenotype in 43.1% of patients, and 86% had a mild Psoriasis Area Severity Index (PASI). Adequate adjustment of the response function and the items was observed in the best-fit sample, except for item 7 (work and study). The measure explained 60.9% of the variance and presented a reliability of 0.86. Differential item functioning was identified by age, with a relevant bias in the estimation for older adults. Item-person maps are provided. Limitations This study was performed at a single centre, with most patients presenting a mild PASI score, limiting generalisation of the findings. Conclusion The validity evidence favours the use of the DLQI in moderate-severe psoriasis. However, the instrument biases the estimate of older adults. This population group should consider a specific version of the instrument.

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Medición de la calidad de vida por medio del Dermatology Life Quality Index en pacientes con psoriasis: una revisión sistemática

Cited by 3 publications

References 37 publications

Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service

Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service

Características clínicas, recursos utilizados y costos de la psoriasis en pacientes de una IPS de referencia del Valle de Aburrá, 2014

Rasch analysis of the dermatology life quality index (DLQI) in patients with mild to moderate-severe psoriasis

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