BURDEN OF DISEASE FOR PSORIASIS IN ARGENTINA, BRAZIL, COLOMBIA AND MEXICO

Author(s)

Papadimitropoulos M1, Romiti R2, Guerra MA3, Vorstenbosch E4, Brnabic A5, Haynes G6, Goncalves L7, Leonardi Reyes F8, Garcia EG9, Burge R10
1Eli Lilly and Company, Canada; University of Toronto, Toronto, ON, Canada, 2Hospital das Clínicas University of São Paulo (USP), São Paulo, Brazil, 3Monterrey, Nuevo Leon, Mexico, 4Parc Sanitari Sant Joan de Deu, Barcelona, Spain, 5Eli Lilly and Company, Sydney, Australia, 6Eli Lilly and Company, Indianapolis, IN, USA, 7Eli Lilly and Company, São Paulo, Brazil, 8Eli Lilly, Bogota, Colombia, 9Elil Lilly and Co, Mexico City, Mexico, 10Eli Lilly and Company, Indianapolis, USA; Division of Pharmaceutical Sciences, University of Cincinnati, Cincinnati, OH, USA

OBJECTIVES: Psoriasis is a common, chronic skin disease, affecting approximately 2% of the population. There is much variability in prevalence and impact studies across the world, and few numbers are known from Latin-America. The objective of this study is to conduct a systematic review on disease burden for psoriasis (PS) and psoriatic arthritis (PsA) in the four most populated Latin-American countries, namely Argentina, Brazil, Colombia and Mexico.

METHODS: PubMed/Medline, Web of Science and grey literature databases (BASE, MediGraphic and PDF Search Engine) were searched for publications in English, Spanish or Portuguese at January 21st

RESULTS: Out of 565 records, 317 unique records met the predetermined inclusion criteria. The estimated age-standardized prevalence of psoriasis for these countries ranged from 1.27% to 1.56%. Concerning the prevalence of moderate/severe psoriasis, no epidemiology studies were identified. Prevalence estimations came from single-centre studies with heterogeneity in study samples and severity classifications, data varied between 19% (Mexico) and 90% (Argentina). Treatment forms varied per country and institution being most prevalent topical therapy (22%-100%) and conventional systemic therapy (32%-62%) whereas few used biological therapy (2%-12%). The most frequent co-morbid disorders were obesity, metabolic and cardiovascular problems, and anxiety and depression. Impact in terms of health related quality of life was higher than in other dermatological diseases. Most cost analyses focused on the cost-effectiveness of treatment interventions. A cost-of-illness study from Colombia found that total annual cost per patient was $12,595 for private practice and $10,895 for the public sector.

CONCLUSIONS: The burden of psoriasis in Latin America is large. However, evidence is still scarce and more studies are needed to evaluate the full cost and impact of the disorder in Latin American countries.

Conference/Value in Health Info

2017-09, ISPOR Latin America 2017, Sao Paulo, Brazil

Value in Health, Vol. 20, No. 9 (October 2017)

Code

PSY9

Topic

Epidemiology & Public Health

Topic Subcategory

Safety & Pharmacoepidemiology

Disease

Systemic Disorders/Conditions

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