The impact of psoriasis guidelines on appropriateness of referral from primary to secondary care: a randomized controlled trial

Griffiths, C.E.M.; Taylor, Helen; Collins, Stuart; Hobson, Jonathan; Collier, Phyllis; Chalmers, R.J.G.; Stewart, Edward; Dey, Paola

doi:10.1111/j.1365-2133.2006.07354.x

Cited by 30 publications

(23 citation statements)

References 15 publications

(21 reference statements)

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“…1 Therefore, how well ostomy patients adapt to their new life depends, to a great extent, on the preservation of peristomal skin integrity. 6,7 Assessment of disease severity is an integral part of any diagnostic and therapeutic decision. Skin disorders are recognized in dermatology and most often classified as simple inflammatory skin disorders related to mechanical, chemical, infectious, underlying disease or allergic factors.…”

Section: Discussionmentioning

confidence: 99%

Assessing peristomal skin changes in ostomy patients: validation of the Ostomy Skin Tool

Jemec

Martins

Claessens

et al. 2011

British Journal of Dermatology

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Section: Discussionmentioning

confidence: 99%

Assessing peristomal skin changes in ostomy patients: validation of the Ostomy Skin Tool

Jemec

Martins

Claessens

et al. 2011

British Journal of Dermatology

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“…The majority of patients with chronic plaque psoriasis have mild to moderate disease that is amenable to treatment with topical therapies in primary care . Nevertheless, the level of adherence to topical regimes for those with psoriasis has been found to be low.…”

Section: Introductionmentioning

confidence: 99%

The role of community pharmacists in supporting self-management in patients with psoriasis

Tucker

Stewart

2016

International Journal of Pharmacy Practice

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Background The majority of patients with psoriasis have mild to moderate disease which can be managed in primary care with topical therapies. The supportive role of pharmacists for patients with long‐term dermatological conditions is largely unknown. Objective To assess the impact of an educational intervention delivered by community pharmacists to improve self‐management for people with psoriasis. Method The study involved a pre‐ and post‐intervention design. Seven community pharmacies were selected based on their location (urban, rural etc.) and the pharmacists recruited via local comprehensive research networks. Patients with mild to moderate psoriasis were recruited either opportunistically or via a letter of invite by pharmacists who undertook a face‐to‐face consultation with one follow‐up visit after 6 weeks. The primary outcome was the change in person‐centred dermatology self‐care index (PEDESI) score and secondary outcomes were the self‐assessed psoriasis and severity index (SAPASI), measuring disease severity and the dermatology quality of life index (DLQI). Key findings A total of 47 patients were recruited. At 6 weeks, 42/47 (89.3%) patients completed the follow‐up consultation. There was a significant increase in mean PEDESI scores (25.15 versus 17.78, P < 0.001) at 6 weeks compared to baseline. Similarly, SAPASI (11.60 versus 7.74, P < 0.001) and DLQI (7.21 versus 4.14, P < 0.001) scores improved significantly. Conclusion Pharmacist‐assisted support for patients with psoriasis improved knowledge, reduced disease severity and the impact on quality of life. These results suggest that community pharmacists might have an important role to play in facilitating self‐management for patients with psoriasis.

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“…'s paper is timely, since there is a paucity of studies which has examined the effect of practice guidelines on the management of psoriasis. As the authors note, two of the most prominent studies have shown discrepant results [161,162], an outcome due possibly to suboptimal guideline dissemination and/or a lack of supporting educational interventions designed to encourage guideline use [160]. In analysing the results of their study, Nast et al.…”

Section: Part Ii: Clinical Attitudes To and Understanding Of Ebm And mentioning

confidence: 99%

Evidence‐based healthcare, clinical knowledge and the rise of personalised medicine

Miles

Loughlin

Polychronis

2008

Evaluation Clinical Practice

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The impact of psoriasis guidelines on appropriateness of referral from primary to secondary care: a randomized controlled trial

Abstract: Dissemination of guidelines on the management of psoriasis in primary care can significantly enhance the appropriateness of referral of patients to secondary care.

Cited by 30 publications

References 15 publications

Assessing peristomal skin changes in ostomy patients: validation of the Ostomy Skin Tool

Assessing peristomal skin changes in ostomy patients: validation of the Ostomy Skin Tool

The role of community pharmacists in supporting self-management in patients with psoriasis

Evidence‐based healthcare, clinical knowledge and the rise of personalised medicine

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