CHARACTERISTICS OF PSORIASIS PATIENTS IN LATIN AMERICA
Author(s)
Burge R1, Galimberti R2, Goncalves L3, Lucas J4, Wang X5, Botello BS6, Brnabic A7
1Eli Lilly and Company, Indianapolis, USA; Division of Pharmaceutical Sciences, University of Cincinnati, Cincinnati, OH, USA, 2Universidad de Buenos Aires, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina, 3Eli Lilly and Company, São Paulo, Brazil, 4Adelphi Real World, Bollington, UK, 5University of Toronto, Toronto, ON, Canada, 6Eli Lilly and Company, Mexico City, Mexico, 7Eli Lilly and Company, Sydney, Australia
OBJECTIVES:: To present demographics and characteristics of Latin American psoriasis patients. METHODS:: Data was obtained from the Adelphi Psoriasis Latin America Disease Specific Programme. Dermatologists completed patient record forms related to treatment practice, demographics and clinical characteristics for patients >18 years old diagnosed with moderate-severe psoriasis for over 1 year who had received at least one systemic treatment. Patients provided consent prior to completing forms related to their symptoms. RESULTS:: Dermatologists (n=144) from Brazil (n=40), Colombia (n=30), Argentina (n=35) and Mexico (n=39) had a mean (SD) of 17.6 (9.6) practice years and on average saw 118.5 patients/5-day week. The analysis included 941 patients from Brazil (n=320), Colombia (n=179), Argentina (n=209) and Mexico (n=233); 56.4% were male, with mean (SD) age 49.5 (13.8) years, mean (SD) BMI 27.4 (4.9), and mean (SD) disease duration 12.2 (10.8) years. At the time of survey 44.1% of patients were classified as moderate-severe, 63.4% had PGA score 2-5, 31.9% had BSA >10% and 31% were experiencing flare. Patients diagnosed as moderate-severe were undergoing treatment with biologic (32.7%), conventional systemic (53.4%) and combination therapy (12.6%); 48% moderate-severe patients were receiving a steroid and 13% phototherapy. Difficult to treat areas included scalp (40.0%), groin/genitals (11.5%) and palmar-plantar areas (20.8%). Most bothersome areas were scalp (29.2%), groin/genitals (9.9%), toes (8.1%) and soles of the feet (7.7%). Most common symptoms in patients regardless of severity were scaling (72.2%), inflamed skin (52.5%) and itching (44.5%). Comorbidities included hypertension (33.2%), hyperlipidemia (23.9%), anxiety (23.7%), depression (14.0%) and diabetes (18.1%). Approximately 60% were currently employed; of those unemployed or retired, 9% were unable to work due to psoriasis. CONCLUSIONS:: Psoriasis is a burdensome disease in Latin American patients due to its symptoms, impact on appearance, high incidence of comorbidities and presence of lesions in difficult to treat areas of the skin.
Conference/Value in Health Info
2017-09, ISPOR Latin America 2017, Sao Paulo, Brazil
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PSY8
Topic
Epidemiology & Public Health
Topic Subcategory
Safety & Pharmacoepidemiology
Disease
Systemic Disorders/Conditions
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