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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The aims of this study were to determine the impact of psoriasis on patient quality of life&#44; to analyze differences in perception between patients and physicians regarding quality of life&#44; treatment satisfaction&#44; and patient needs&#44; and to assess the physician-patient relationship&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A multicenter&#44; observational&#44; cross-sectional study was undertaken in which a representative group of dermatologists&#8211;working in hospitals and outpatient clinics throughout Spain&#8211;and their patients with a diagnosis of psoriasis completed specifically designed questionnaires&#46; The questionnaires covered patient demographics&#44; disease characteristics&#44; impact of the disease on quality of life&#44; treatment of psoriasis&#44; and the relationship between patient and dermatologist&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A total of 151 dermatologists from throughout Spain included a mean of 5 patients each&#46; The analysis included 771 questionnaires completed by dermatologists and 732 completed by patients&#46; Two-thirds of patients had moderate-to-severe psoriasis with a major impact on quality of life&#44; particularly in relation to emotional wellbeing&#46; Nevertheless&#44; quality of life was only assessed routinely and systematically by 19&#46;9&#37; of dermatologists&#46; Overall&#44; 47&#37; of patients reported being quite satisfied or very satisfied with the treatment they received&#46; No significant differences were observed between patients and dermatologists on the aspects analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Our results highlight the substantial impact of psoriasis on patient quality of life and the consequent need for systematic quality-of-life assessment in affected patients&#46; Patients reported a high level of satisfaction with the care provided by dermatologists and the treatment received&#46; There was good agreement between patients and dermatologists in their assessment of the variables analyzed&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este estudio fue evaluar el impacto de la psoriasis en la calidad de vida del paciente&#44; las diferencias entre m&#233;dicos y pacientes en las percepciones sobre la calidad de vida&#44; los tratamientos y las necesidades de los pacientes y la relaci&#243;n m&#233;dico-paciente&#46;</p> <span class="elsevierStyleSectionTitle">Material and m&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio observacional&#44; multic&#233;ntrico&#44; de corte transversal&#44; en el cual un grupo de dermat&#243;logos representativos de toda la geograf&#237;a espa&#241;ola&#44; con ejercicio tanto en el &#225;mbito hospitalario como ambulatorio&#44; y de pacientes con diagn&#243;stico de psoriasis&#44; cumplimentaron una encuesta especialmente dise&#241;ada para el estudio&#46; La encuesta inclu&#237;a preguntas sobre datos demogr&#225;ficos del paciente&#44; caracter&#237;sticas de la enfermedad&#44; impacto de esta sobre la calidad de vida&#44; manejo terap&#233;utico de la psoriasis y relaci&#243;n paciente-dermat&#243;logo&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Un total de 151 dermat&#243;logos de toda Espa&#241;a incluyeron una media de 5 pacientes cada uno&#46; Se incluyeron en el an&#225;lisis un total de 771 encuestas cumplimentadas por los dermat&#243;logos y 732 encuestas cumplimentadas por los pacientes&#46; Dos terceras partes de los pacientes presentaban una enfermedad moderada a grave con una importante repercusi&#243;n en la calidad de vida&#44; en especial sobre el estado emocional&#46; No obstante&#44; la calidad de vida s&#243;lo era evaluada de forma sistem&#225;tica y rutinaria por el 19&#44;9&#37; de los dermat&#243;logos&#46; El 47&#37; de los pacientes estaba muy satisfecho o bastante satisfecho con el tratamiento que recib&#237;a&#46; No se encontraron diferencias relevantes entre las percepciones del paciente y del m&#233;dico sobre los aspectos evaluados&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Nuestros resultados se&#241;alan el importante impacto que tiene la psoriasis sobre la calidad de vida del paciente y la necesidad de evaluar este par&#225;metro de forma sistem&#225;tica&#46; Los pacientes refieren un buen grado de satisfacci&#243;n con la atenci&#243;n recibida por los dermat&#243;logos y los tratamientos administrados&#46; Existe bastante concordancia entre los pacientes y los dermat&#243;logos en la valoraci&#243;n de los par&#225;metros evaluados&#46;</p>"
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Original article
Physician and Patient Perception of Disease Severity, Quality of Life, and Treatment Satisfaction in Psoriasis: An Observational Study in Spain
Percepción del médico y paciente de la gravedad de la psoriasis, su impacto en la calidad de vida y satisfacción con la atención y el tratamiento recibido.Estudio observacional en España
E. Daudéna,
Autor para correspondencia
estebandauden@medynet.com

Corresponding author.
, J. Conejob, C. García-Calvoc
a Sección de Dermatología, Hospital Universitario de la Princesa, Madrid, Spain
b Unidad de Gestión Clínica de Dermatología, Hospital Universitario Virgen del Rocío, Sevilla, Spain
c Departamento Médico, Pfizer, S.L., Spain
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      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec84886"
          "palabras" => array:4 [
            0 => "Psoriasis"
            1 => "Quality of life"
            2 => "Physician-patient relationship"
            3 => "Treatment satisfaction"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec84887"
          "palabras" => array:4 [
            0 => "Psoriasis"
            1 => "Calidad de vida"
            2 => "Relaci&#243;n m&#233;dico paciente"
            3 => "Satisfacci&#243;n"
          ]
        ]
      ]
    ]
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    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The aims of this study were to determine the impact of psoriasis on patient quality of life&#44; to analyze differences in perception between patients and physicians regarding quality of life&#44; treatment satisfaction&#44; and patient needs&#44; and to assess the physician-patient relationship&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A multicenter&#44; observational&#44; cross-sectional study was undertaken in which a representative group of dermatologists&#8211;working in hospitals and outpatient clinics throughout Spain&#8211;and their patients with a diagnosis of psoriasis completed specifically designed questionnaires&#46; The questionnaires covered patient demographics&#44; disease characteristics&#44; impact of the disease on quality of life&#44; treatment of psoriasis&#44; and the relationship between patient and dermatologist&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A total of 151 dermatologists from throughout Spain included a mean of 5 patients each&#46; The analysis included 771 questionnaires completed by dermatologists and 732 completed by patients&#46; Two-thirds of patients had moderate-to-severe psoriasis with a major impact on quality of life&#44; particularly in relation to emotional wellbeing&#46; Nevertheless&#44; quality of life was only assessed routinely and systematically by 19&#46;9&#37; of dermatologists&#46; Overall&#44; 47&#37; of patients reported being quite satisfied or very satisfied with the treatment they received&#46; No significant differences were observed between patients and dermatologists on the aspects analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Our results highlight the substantial impact of psoriasis on patient quality of life and the consequent need for systematic quality-of-life assessment in affected patients&#46; Patients reported a high level of satisfaction with the care provided by dermatologists and the treatment received&#46; There was good agreement between patients and dermatologists in their assessment of the variables analyzed&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este estudio fue evaluar el impacto de la psoriasis en la calidad de vida del paciente&#44; las diferencias entre m&#233;dicos y pacientes en las percepciones sobre la calidad de vida&#44; los tratamientos y las necesidades de los pacientes y la relaci&#243;n m&#233;dico-paciente&#46;</p> <span class="elsevierStyleSectionTitle">Material and m&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio observacional&#44; multic&#233;ntrico&#44; de corte transversal&#44; en el cual un grupo de dermat&#243;logos representativos de toda la geograf&#237;a espa&#241;ola&#44; con ejercicio tanto en el &#225;mbito hospitalario como ambulatorio&#44; y de pacientes con diagn&#243;stico de psoriasis&#44; cumplimentaron una encuesta especialmente dise&#241;ada para el estudio&#46; La encuesta inclu&#237;a preguntas sobre datos demogr&#225;ficos del paciente&#44; caracter&#237;sticas de la enfermedad&#44; impacto de esta sobre la calidad de vida&#44; manejo terap&#233;utico de la psoriasis y relaci&#243;n paciente-dermat&#243;logo&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Un total de 151 dermat&#243;logos de toda Espa&#241;a incluyeron una media de 5 pacientes cada uno&#46; Se incluyeron en el an&#225;lisis un total de 771 encuestas cumplimentadas por los dermat&#243;logos y 732 encuestas cumplimentadas por los pacientes&#46; Dos terceras partes de los pacientes presentaban una enfermedad moderada a grave con una importante repercusi&#243;n en la calidad de vida&#44; en especial sobre el estado emocional&#46; No obstante&#44; la calidad de vida s&#243;lo era evaluada de forma sistem&#225;tica y rutinaria por el 19&#44;9&#37; de los dermat&#243;logos&#46; El 47&#37; de los pacientes estaba muy satisfecho o bastante satisfecho con el tratamiento que recib&#237;a&#46; No se encontraron diferencias relevantes entre las percepciones del paciente y del m&#233;dico sobre los aspectos evaluados&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Nuestros resultados se&#241;alan el importante impacto que tiene la psoriasis sobre la calidad de vida del paciente y la necesidad de evaluar este par&#225;metro de forma sistem&#225;tica&#46; Los pacientes refieren un buen grado de satisfacci&#243;n con la atenci&#243;n recibida por los dermat&#243;logos y los tratamientos administrados&#46; Existe bastante concordancia entre los pacientes y los dermat&#243;logos en la valoraci&#243;n de los par&#225;metros evaluados&#46;</p>"
      ]
    ]
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      "titulo" => "References"
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        0 => array:2 [
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            0 => array:3 [
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                          "etal" => false
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                            0 => "M&#46;A&#46; Gupta"
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                      "titulo" => "Prevalence and correlates of suicidal ideation among patients with skin disease"
                      "autores" => array:1 [
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                          "etal" => false
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                            0 => "A&#46; Picardi"
                            1 => "E&#46; Mazzotti"
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                      "titulo" => "Excess mortality related to alcohol and smoking among hospital-treated patients with psoriasis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46; Poikolainen"
                            1 => "J&#46; Karvonen"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Obesity&#44; smoking&#44; and psoriasis"
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                        0 => array:2 [
                          "etal" => false
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                            0 => "M&#46; Lebwhol"
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                  ]
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                    0 => array:1 [
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                        0 => array:2 [
                          "etal" => true
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                            0 => "L&#46; Mallbris"
                            1 => "O&#46; Akre"
                            2 => "F&#46; Granath"
                            3 => "L&#46; Yin"
                            4 => "B&#46; Lindel&#246;f"
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                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:1 [
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;G&#46; Fortune"
                            1 => "H&#46;L&#46; Richards"
                            2 => "B&#46; Kirby"
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                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
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                ]
              ]
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46;S&#46; Javitz"
                            1 => "M&#46;M&#46; Ward"
                            2 => "E&#46; Farber"
                            3 => "L&#46; Nail"
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                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:1 [
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                    ]
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                ]
              ]
            ]
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "D&#46;J&#46; Pearce"
                            1 => "S&#46; Singh"
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                          ]
                        ]
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                    ]
                  ]
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                        ]
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                ]
              ]
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                            0 => "J&#46; de Korte"
                            1 => "M&#46;A&#46; Sprangers"
                            2 => "F&#46;M&#46; Mombers"
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                      ]
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;Y&#46; Finlay"
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                        ]
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                  ]
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                    0 => array:1 [
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ISSN: 15782190
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2021 Enero 26 12 38
2020 Diciembre 31 17 48
2020 Noviembre 12 11 23
2020 Octubre 24 16 40
2020 Septiembre 33 9 42
2020 Agosto 16 27 43
2020 Julio 16 25 41
2020 Junio 43 21 64
2020 Mayo 44 23 67
2020 Abril 22 14 36
2020 Marzo 18 12 30
2020 Febrero 1 2 3
2020 Enero 0 3 3
2019 Diciembre 0 12 12
2019 Octubre 0 4 4
2019 Agosto 0 2 2
2019 Julio 0 15 15
2019 Junio 0 2 2
2019 Mayo 0 39 39
2019 Marzo 0 11 11
2018 Octubre 1 0 1
2018 Septiembre 1 0 1
2018 Febrero 18 3 21
2018 Enero 14 7 21
2017 Diciembre 16 7 23
2017 Noviembre 15 4 19
2017 Octubre 12 2 14
2017 Septiembre 14 5 19
2017 Agosto 16 19 35
2017 Julio 16 2 18
2017 Junio 18 5 23
2017 Mayo 23 4 27
2017 Abril 14 7 21
2017 Marzo 21 6 27
2017 Febrero 30 7 37
2017 Enero 12 8 20
2016 Diciembre 23 8 31
2016 Noviembre 33 4 37
2016 Octubre 31 13 44
2016 Septiembre 34 11 45
2016 Agosto 35 9 44
2016 Julio 21 8 29
2016 Junio 8 15 23
2016 Mayo 12 0 12
2016 Abril 6 7 13
2016 Marzo 5 0 5
2016 Febrero 8 3 11
2016 Enero 6 5 11
2015 Diciembre 10 0 10
2015 Noviembre 4 1 5
2015 Octubre 6 1 7
2015 Septiembre 5 1 6
2015 Agosto 14 6 20
2015 Julio 33 6 39
2015 Junio 44 3 47
2015 Mayo 78 19 97
2015 Abril 33 6 39
2015 Marzo 29 10 39
2015 Febrero 29 5 34
2015 Enero 28 6 34
2014 Diciembre 43 6 49
2014 Noviembre 29 18 47
2014 Octubre 25 14 39
2014 Septiembre 28 12 40
2014 Agosto 29 12 41
2014 Julio 33 21 54
2014 Junio 38 14 52
2014 Mayo 44 14 58
2014 Abril 50 14 64
2014 Marzo 46 16 62
2014 Febrero 26 19 45
2014 Enero 34 15 49
2013 Diciembre 46 29 75
2013 Noviembre 21 11 32
2013 Octubre 35 17 52
2013 Septiembre 30 18 48
2013 Agosto 21 20 41
2013 Julio 24 27 51
2013 Junio 22 26 48
2013 Mayo 12 31 43
2013 Abril 10 18 28
2013 Marzo 7 13 20
2013 Febrero 6 7 13
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