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        "resumen" => "<span class="elsevierStyleSectionTitle">Background and objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">&#58;</span> Various treatment options are available for use in moderate-to-severe psoriasis and election is dependent upon the clinical criteria applied by the attending physician&#46; We undertook a survey among dermatologists to assess the treatment of moderate-to-severe psoriasis currently used in clinical practice in Spain&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional study was performed by sending a questionnaire to dermatologists in Spain who treat patients with moderate-to-severe psoriasis&#46; The questionnaire comprised 33 items distributed in 6 sections&#58; profile of the dermatologist&#44; case load&#44; patient profile&#44; follow-up and management of the disease&#44; treatment regimens&#44; and assessment of pharmacological treatments&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">According to the responses of the 164 dermatologists surveyed&#44; 6&#46;8&#37; of patients seen in their clinics have moderate-to-severe psoriasis&#59; of those&#44; 45&#46;8&#37; receive systemic treatment and 22&#46;9&#37; are treated with biologic drugs&#46; In many of those patients &#40;50&#46;2&#37;&#41;&#44; the dermatologist felt that a change in treatment was necessary&#59; in 51&#46;1&#37; of cases&#44; this change would be from systemic therapy to a biologic drug&#46; The principal reason for the change &#40;50&#46;8&#37;&#41; would be lack of efficacy or the appearance of adverse effects&#46; Efficacy and safety were considered essential criteria in the choice of an appropriate treatment &#40;82&#46;9&#37; and 28&#46;0&#37; of dermatologists&#44; respectively&#41;&#46; Patient quality of life was also considered an essential consideration in choice of treatment by 28&#46;0&#37; of dermatologists&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Optimal treatment for moderate-to-severe psoriasis should be effective and safe&#44; and improve patient quality of life&#46; This makes it essential to use drugs with an excellent efficacy and safety profile&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n y objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Las estrategias terap&#233;uticas existentes para la psoriasis moderada-grave son m&#250;ltiples&#44; siendo el criterio cl&#237;nico fundamental para su elecci&#243;n&#46; Para conocer la realidad terap&#233;utica de la psoriasis moderada-grave&#44; se realiz&#243; una encuesta de opini&#243;n basada en pr&#225;ctica cl&#237;nica habitual en Espa&#241;a&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal mediante encuesta a dermat&#243;logos que tratan a pacientes con psoriasis moderada-grave en Espa&#241;a&#46; La encuesta constaba de 33 &#237;tems distribuidos en 6 secciones&#58; perfil del dermat&#243;logo&#44; carga asistencial&#44; perfil de paciente&#44; seguimiento y manejo terap&#233;utico de la enfermedad&#44; pautas de tratamiento y valoraci&#243;n de f&#225;rmacos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Seg&#250;n los datos de opini&#243;n y experiencia de los 164 dermat&#243;logos encuestados&#44; el 6&#44;8&#37; de los pacientes atendidos en consulta presentar&#237;an psoriasis moderada-grave&#44; de los que el 45&#44;8&#37; estar&#237;an tratados con un f&#225;rmaco sist&#233;mico y el 22&#44;9&#37; con uno biol&#243;gico&#46; En muchos de estos pacientes &#40;50&#44;2&#37;&#41; se har&#237;a un cambio de tratamiento&#44; de sist&#233;mico a biol&#243;gico en el 51&#44;1&#37; de los casos&#46; El principal motivo de cambio &#40;50&#44;8&#37;&#41; ser&#237;a una falta de eficacia o aparici&#243;n de efectos adversos&#46; La eficacia y seguridad ser&#237;an criterios imprescindibles a considerar para la elecci&#243;n de un tratamiento &#243;ptimo &#40;82&#44;9 y 28&#44;0&#37; de los dermat&#243;logos&#44; respectivamente&#41;&#46; Un 28&#44;0&#37; de los dermat&#243;logos consider&#243; tambi&#233;n imprescindible la valoraci&#243;n de la calidad de vida de los pacientes para instaurar un tratamiento&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El tratamiento &#243;ptimo para la psoriasis moderada-grave deber&#237;a ser eficaz&#44; seguro y capaz de mejorar la calidad de vida del paciente&#46; Para ello&#44; es imprescindible el uso de f&#225;rmacos de elevada eficacia y seguridad&#46;</p>"
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Original article
Treatment of Moderate-to-Severe Psoriasis in Clinical Practice: A Survey of Spanish Dermatologists
Realidad terapéutica de la psoriasis moderada-grave en España. Encuesta de opinión
D. Moreno-Ramíreza,
Corresponding author
dmoreno@e-derma.org

Corresponding author.
, E. Fonsecab, P. Herranzc, M. Arad
a Servicio de Dermatología Médico-Quirúrgica y Venereología, Hospital Universitario Virgen Macarena de Sevilla, Sevilla, Spain
b Servicio de Dermatología, Complejo Hospitalario de A Coruña, A Coruña, Spain
c Servicio de Dermatología, Hospital Universitario La Paz, Madrid, Spain
d Servicio de Dermatología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background and objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">&#58;</span> Various treatment options are available for use in moderate-to-severe psoriasis and election is dependent upon the clinical criteria applied by the attending physician&#46; We undertook a survey among dermatologists to assess the treatment of moderate-to-severe psoriasis currently used in clinical practice in Spain&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional study was performed by sending a questionnaire to dermatologists in Spain who treat patients with moderate-to-severe psoriasis&#46; The questionnaire comprised 33 items distributed in 6 sections&#58; profile of the dermatologist&#44; case load&#44; patient profile&#44; follow-up and management of the disease&#44; treatment regimens&#44; and assessment of pharmacological treatments&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">According to the responses of the 164 dermatologists surveyed&#44; 6&#46;8&#37; of patients seen in their clinics have moderate-to-severe psoriasis&#59; of those&#44; 45&#46;8&#37; receive systemic treatment and 22&#46;9&#37; are treated with biologic drugs&#46; In many of those patients &#40;50&#46;2&#37;&#41;&#44; the dermatologist felt that a change in treatment was necessary&#59; in 51&#46;1&#37; of cases&#44; this change would be from systemic therapy to a biologic drug&#46; The principal reason for the change &#40;50&#46;8&#37;&#41; would be lack of efficacy or the appearance of adverse effects&#46; Efficacy and safety were considered essential criteria in the choice of an appropriate treatment &#40;82&#46;9&#37; and 28&#46;0&#37; of dermatologists&#44; respectively&#41;&#46; Patient quality of life was also considered an essential consideration in choice of treatment by 28&#46;0&#37; of dermatologists&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Optimal treatment for moderate-to-severe psoriasis should be effective and safe&#44; and improve patient quality of life&#46; This makes it essential to use drugs with an excellent efficacy and safety profile&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n y objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Las estrategias terap&#233;uticas existentes para la psoriasis moderada-grave son m&#250;ltiples&#44; siendo el criterio cl&#237;nico fundamental para su elecci&#243;n&#46; Para conocer la realidad terap&#233;utica de la psoriasis moderada-grave&#44; se realiz&#243; una encuesta de opini&#243;n basada en pr&#225;ctica cl&#237;nica habitual en Espa&#241;a&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal mediante encuesta a dermat&#243;logos que tratan a pacientes con psoriasis moderada-grave en Espa&#241;a&#46; La encuesta constaba de 33 &#237;tems distribuidos en 6 secciones&#58; perfil del dermat&#243;logo&#44; carga asistencial&#44; perfil de paciente&#44; seguimiento y manejo terap&#233;utico de la enfermedad&#44; pautas de tratamiento y valoraci&#243;n de f&#225;rmacos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Seg&#250;n los datos de opini&#243;n y experiencia de los 164 dermat&#243;logos encuestados&#44; el 6&#44;8&#37; de los pacientes atendidos en consulta presentar&#237;an psoriasis moderada-grave&#44; de los que el 45&#44;8&#37; estar&#237;an tratados con un f&#225;rmaco sist&#233;mico y el 22&#44;9&#37; con uno biol&#243;gico&#46; En muchos de estos pacientes &#40;50&#44;2&#37;&#41; se har&#237;a un cambio de tratamiento&#44; de sist&#233;mico a biol&#243;gico en el 51&#44;1&#37; de los casos&#46; El principal motivo de cambio &#40;50&#44;8&#37;&#41; ser&#237;a una falta de eficacia o aparici&#243;n de efectos adversos&#46; La eficacia y seguridad ser&#237;an criterios imprescindibles a considerar para la elecci&#243;n de un tratamiento &#243;ptimo &#40;82&#44;9 y 28&#44;0&#37; de los dermat&#243;logos&#44; respectivamente&#41;&#46; Un 28&#44;0&#37; de los dermat&#243;logos consider&#243; tambi&#233;n imprescindible la valoraci&#243;n de la calidad de vida de los pacientes para instaurar un tratamiento&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El tratamiento &#243;ptimo para la psoriasis moderada-grave deber&#237;a ser eficaz&#44; seguro y capaz de mejorar la calidad de vida del paciente&#46; Para ello&#44; es imprescindible el uso de f&#225;rmacos de elevada eficacia y seguridad&#46;</p>"
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ISSN: 15782190
Original language: English
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2013 November 31 13 44
2013 October 30 16 46
2013 September 20 21 41
2013 August 25 29 54
2013 July 18 35 53
2013 June 19 34 53
2013 May 15 17 32
2013 April 20 22 42
2013 March 23 21 44
2013 February 9 13 22
2013 January 3 1 4
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Idiomas
Actas Dermo-Sifiliográficas
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¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?