THERAPEUTIC SUCCESS OF POPULATION WITH MODERATE-SEVERE PSORIASIS EVALUATED IN A PSORIASIS INTEGRATED CLINIC (CLIPSO), MEDELLIN COLOMBIA

Author(s)

Londoño AM1, Madrigal Cadavid J2, Giraldo PA2, Serna JA2, Abad JM3, Estrada Acevedo JI2
1CES university, Medellin, Colombia, 2+helPharma IPS, Medellin, Colombia, 3SURA EPS, Medellin, Colombia

OBJECTIVES: describe the results of therapeutic success CLIPSO's patients based on the Psoriasis Area Severity Index (PASI). METHODS: a retrospective observational cross-sectional study in patients treated from May-2018 to November-2019. To measure therapeutic success we used the delta PASI and absolute PASI and stratified the population in two groups according to begin therapy time. The first group was one who the patient began their pharmacological therapy before their enrollment in CLIPSO (prevalent) and the second group the one who started therapy in CLIPSO (incident). For the first group, we used the absolute PASI <5 (because we did not have previous information of PASI) and for second group, we used the delta PASI ≥75% and/or an absolute PASI <5. A univariate analysis and normality test (Shapiro Wilk) were performed. Association test (Spearman's correlation) to define differences between initial and final PASI and the proportion of patients who achieve therapeutic success were calculated. R Core Team statistical package (2019) was used. RESULTS: 1007 patients were evaluated (28% incidents patients with a median time of 43 days [ICR 27-56] and 72% prevalent patients with a median time of 157 days [RIC 89-290]), with a mean age of 50±15 years, the youngest was 6 and the oldest 89. The male:female ratio was 1:1. 48% were treated with non-biologic systemic therapy, 37% with biological and 14% with topical. The therapies used were Methotrexate (37.2%), Daivobet (10.7%), Adalimumab (9.4%), Ustekinumab (9%), Secukinumab (7.7%), Chemophototherapy (7.6%), Etanercept (7.3%), Acitretin (3.2 %), Ixekizumab (2.3%), Clobetasol (2.2%). 93% of the population achieved therapeutic success, with a rho between the initial and final PASI of 0.313 (p-value: 6.826e-08). CONCLUSIONS: the scope of the therapeutic success of CLIPSO's patients had a clinically relevant and statistically significant improvement.

Conference/Value in Health Info

2020-05, ISPOR 2020, Orlando, FL, USA

Value in Health, Volume 23, Issue 5, S1 (May 2020)

Code

PSY3

Topic

Clinical Outcomes, Health Service Delivery & Process of Care, Real World Data & Information Systems

Topic Subcategory

Clinical Outcomes Assessment, Disease Management, Health & Insurance Records Systems, Quality of Care Measurement

Disease

Systemic Disorders/Conditions

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