A systematic literature review on quality of life in adult patients with psoriasis
DOI:
https://doi.org/10.66344/jpad.v30i2.1474Keywords:
Quality of Life, Heath Related Quality of Life, Psoriasis, Systematic Literature ReviewAbstract
Background Systematic literature reviews play a significant role in health-related decision making providing valuable information to the research community on effectiveness, the patient reported outcomes, and the cost of treatment if conducted properly. In this study, we conducted a systematic review with the aim to summaries research reported on psoriasis patient'ss quality of life and investigating the social and psychological impairment of patients with psoriasis.
Methods A systematic literature search on the electronic databases (PubMed, EMBASE, and Web of Science) was conducted to identify research carried on quality of life impairment in patients with psoriasis during the period 1st January 2007 till 30th September 2017. Selection criteria were defined, and studies were included accordingly. All the editorials, letters to the editor, and commentaries were excluded from the study.
Results 128 articles were found that met the inclusion criteria and only 30 articles were included in this systematic literature review. Studies showed that psoriatic patients reported low self-esteem, pain/discomfort, and limited daily and social activities along with impaired sexual life.
Conclusion Quality of life is significantly impaired by psoriasis and disease severity was associated with lower quality of life. Different dimensions including sexual functioning, work productivity, economic burden, and psychosocial activities are broadly addressed in the research and have been found to be significantly impaired by psoriasis.
References
1. National Psoriasis Foundation. Psoriasis overview and psoriasis statistics 2015 [Available from: https://www.psoriasis.org/.
2. Bronckers I, Paller A, Van Geel M, van de Kerkhof P, Seyger M. Psoriasis in children and adolescents: diagnosis, management and comorbidities. Paediatr Drugs. 2015; 17(5): 373-84.
3. Perera GK, Meglio PD, Nestle FO. Psoriasis. Annu Rev Pathol. 2012; 7(1): 385-422.
4. National Institute for Health and Clinical Excellence. Atopic eczema in under 12s: diagnosis and management. [Available from: https://www.nice.org.uk/guidance/cg57.
5. National Institute for Health and Clinical Excellence. Psoriasis: assessment and management [Available from: www.nice.org.uk/guidance/cg153.
6. Neill S, Tatnall F, Cox N. Guidelines for the management of lichen sclerosus. Br J Dermatol. 2002; 147(4): 640-9.
7. Torpy JM, Lynm C, Glass RM. Psoriasis. JAMA. 2003; 290(23): 3160-.
8. Carroll CL, Balkrishnan R, Feldman SR, Fleischer AB, Manuel JC. The burden of atopic dermatitis: impact on the patient, family, and society. Pediatr Dermatol. 2005; 22(3): 192-9.
9. Evers A, Lu Y, Duller P, Van Der Valk P, Kraaimaat FW, Van De Kerkhof P. Common burden of chronic skin diseases? Contributors to psychological distress in adults with psoriasis and atopic dermatitis. Br J Dermatol. 2005; 152(6): 1275-81.
10. Yosipovitch G, Papoiu AD. What causes itch in atopic dermatitis? Curr Allergy Asthma Rep. 2008; 8(4): 306-11.
11. Purdy S, de Berker D. Acne. BMJ : Br Med J. 2006; 333(7575): 949-53.
12. Bhosle MJ, Kulkarni A, Feldman SR, Balkrishnan R. Quality of life in patients with psoriasis. Health Qual Life Outcomes. 2006; 4(1): 35.
13. Lewis‐Jones S. Quality of life and childhood atopic dermatitis: the misery of living with childhood eczema. Int J Clin Pract 2006; 60(8): 984-92.
14. Sampogna F, Tabolli S, Abeni D. Living with psoriasis: prevalence of shame, anger, worry, and problems in daily activities and social life. Acta dermato-venereologica. 2012; 92(3): 299-303.
15. Langley R, Krueger G, Griffiths C. Psoriasis: epidemiology, clinical features, and quality of life. Ann. Rheum. Dis. 2005; 64: ii18-ii23.
16. Tan X, Feldman S, Balkrishnan R. Quality of life issues and measurement in patients with psoriasis. Psoriasis: targets and therapy. 2012; 2012(1): 13-23.
17. Bowling A. Measuring Disease. 2nd ed. Buckingham, UK: Open university press; 2001.
18. Fowler JF, Duh MS, Rovba L, Buteau S, Pinheiro L, Lobo F, et al. The impact of psoriasis on health care costs and patient work loss. J Am Acad Dermatol. 2008; 59(5): 772-80.
19. Hawro T, Zalewska A, Hawro M, Kaszuba A, Królikowska M, Maurer M. Impact of psoriasis severity on family income and quality of life. J. Eur. Acad. Dermatol. 2015; 29(3): 438-43.
20. Feldman S, Behnam SM, Behnam SE, Koo JY. Involving the patient: impact of inflammatory skin disease and patient-focused care. J Am Acad Dermatol. 2005; 53(1): S78-S85.
21. Lewis V, Finlay AY, editors. 10 years experience of the Dermatology Life Quality Index (DLQI). J Investig Dermatol Symp Proc; 2004: Elsevier.
22. Shikiar R, Willian MK, Okun MM, Thompson CS, Revicki DA. The validity and responsiveness of three quality of life measures in the assessment of psoriasis patients: results of a phase II study. Health Qual Life Out. 2006; 4(1): 71.
23. Higgins JP, Green S. Cochrane handbook for systematic reviews of interventions: John Wiley & Sons; 2011.
24. Jankovic S, Raznatovic M, Marinkovic J, Jankovic J, Kocev N, Tomic-Spiric V, et al. Health-related quality of life in patients with psoriasis. J Cutan Med Surg. 2011; 15(1): 29-36.
25. Ljosaa TM, Mork C, Stubhaug A, Moum T, Wahl A. Skin pain and skin discomfort is associated with quality of life in patients with psoriasis. J Eur Acad Dermatol Venereol. 2012; 26(1): 29-35.
26. Kotsis K, Voulgari PV, Tsifetaki N, Machado MO, Carvalho AF, Creed F, et al. Anxiety and depressive symptoms and illness perceptions in psoriatic arthritis and associations with physical health‐related quality of life. Arthritis Care Res. 2012; 64(10):1 593-601.
27. Chan B, Hales B, Shear N, Ho V, Lynde C, Poulin Y, et al. Work-related lost productivity and its economic impact on Canadian patients with moderate to severe psoriasis. J Cutan Med Surg. 2009; 13(4): 192-7.
28. Meeuwis K, De Hullu J, Van de Nieuwenhof H, Evers A, Massuger L, Van de Kerkhof P, et al. Quality of life and sexual health in patients with genital psoriasis. Br J Dermatol. 2011; 164(6): 1247-55.
29. Sato R, Milligan G, Molta C, Singh A. Health‐related quality of life and healthcare resource use in European patients with plaque psoriasis: an association independent of observed disease severity. Clin Exp Dermatol. 2011; 36(1): 24-8.
30. Balogh O, Brodszky V, Gulácsi L, Herédi E, Herszényi K, Jókai H, et al. Cost-of-illness in patients with moderate to severe psoriasis: a cross-sectional survey in Hungarian dermatological centres. Eur J Health Econ. 2014; 15(1): 101-9.
31. Tang MM, Chang CC, Chan LC, Heng A. Quality of life and cost of illness in patients with psoriasis in Malaysia: a multicenter study. Int J Dermatol. 2013; 52(3): 314-22.
32. Korman N, Zhao Y, Pike J, Roberts J. Relationship between psoriasis severity, clinical symptoms, quality of life and work productivity among patients in the USA. Clin Exp Dermatol. 2016; 41(5): 514-21.
33. Çakmur H, Derviş E. The relationship between quality of life and the severity of psoriasis in Turkey. Eur J Dermatol. 2015; 25(2): 169-76.
34. Sanchez‐Carazo JL, López‐Estebaranz JL, Guisado C. Comorbidities and health‐related quality of life in Spanish patients with moderate to severe psoriasis: A cross‐sectional study (Arizona study). J Dermatol. 2014; 41(8): 673-8.
35. Daudén E, Pujol R, Sánchez-Carazo J, Toribio J, Vanaclocha F, Puig L, et al. Demographic characteristics and health-related quality of life of patients with moderate-to-severe psoriasis: The VACAP study. Actas Dermo-Sifiliográficas (English Edition). 2013; 104(9): 807-14.
36. Nyunt WWT, Low WY, Ismail R, Sockalingam S, Min AKK. Determinants of health-related quality of life in psoriasis patients in Malaysia. Asia Pac J Public Health. 2015; 27(2): NP662-NP73.
37. Petraškienė R, Valiukevičienė S, Macijauskienė J. Associations of the quality of life and psychoemotional state with sociodemographic factors in patients with psoriasis. Medicina. 2016; 52(4): 238-43.
38. Meyer N, Paul C, Feneron D, Bardoulat I, Thiriet C, Camara C, et al. Psoriasis: an epidemiological evaluation of disease burden in 590 patients. J Eur Acad Dermatol Venereol. 2010; 24(9): 1075-82.
39. López‐Estebaranz JL, Sánchez‐Carazo JL, Sulleiro S. Effect of a family history of psoriasis and age on comorbidities and quality of life in patients with moderate to severe psoriasis: results from the ARIZONA study. J Dermatol. 2016; 43(4): 395-401.
40. Fernández‐Torres RM, Pita‐Fernández S, Fonseca E. Quality of life and related factors in a cohort of plaque‐type psoriasis patients in La Coruña, Spain. Int J Dermatol. 2014; 53(11).
41. Van Der Velden HM, Klaassen KM, Van De Kerkhof PC, Pasch MC. The impact of fingernail psoriasis on patients' health-related and disease-specific quality of life. J Dermatol. 2014; 229(2): 76-82.
42. Ryan C, Sadlier M, De Vol E, Patel M, Lloyd AA, Day A, et al. Genital psoriasis is associated with significant impairment in quality of life and sexual functioning. J Am Acad Dermatol. 2015; 72(6): 978-83.
43. Sampogna F, Abeni D, Gieler U, Tomas-Aragones L, Lien L, Titeca G, et al. Impairment of Sexual Life in 3,485 Dermatological Outpatients From a Multicentre Study in 13 European Countries. Acta dermato-venereologica. 2017; 97(4): 478-82.
44. Campolmi E, Zanieri F, Santosuosso U, D’Erme A, Betti S, Lotti T, et al. The importance of stressful family events in psoriatic patients: a retrospective study. J Eur Acad Dermatol Venereol. 2012; 26(10): 1236-9.
45. Kouris A, Christodoulou C, Stefanaki C, Livaditis M, Tsatovidou R, Kouskoukis C, et al. Quality of life and psychosocial aspects in Greek patients with psoriasis: a cross-sectional study. Anais Brasileiros De Dermatologia. 2015; 90(6): 841-5.
46. Fanni Rencz M, Ahmad Moradi M, Gulácsi L. Health status and quality of life in patients with psoriasis: an Iranian cross-sectional survey. Arch Iran Med. 2015; 18(3): 153.
47. Ng CY, Yang YW, Liu SH, Lu JFR, Yang LC, Yang CH, et al. SF‐36 healty survey on psoriasis quality‐of‐life: A study of 414 Taiwanese patients. J Dermatol. 2015; 42(2): 159-65.
48. Vinding G, Knudsen K, Ellervik C, Olesen A, Jemec G. Self-reported skin morbidities and health-related quality of life: a population-based nested case-control study. J Dermatol. 2014; 228(3): 261-8.
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Copyright (c) 2020 Saima Rahman, Nisar udddin, Shahbaz Aman, Nadia Sultan, Ghazala Butt, Anila Rahman, Aafaque Ahmad
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