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Treatment preferences and treatment satisfaction among psoriasis patients: a systematic review

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Abstract

A critical gap exists in determining treatment preferences and treatment satisfaction from patient perspectives, which is paramount to achieving therapeutic success. The objective of this systematic review is to determine factors influencing treatment preferences and treatment satisfaction among psoriasis patients. PubMed, EMBASE, and Web of Science databases were searched between November 1, 2010, and December 1, 2017. Observational and interventional research studies published in the English language that discussed patient preferences and patient satisfaction in the treatment of psoriasis were reviewed and synthesized. We utilized data on treatment preferences and treatment satisfaction from 35,388 psoriasis patients based on 60 articles from the years 2010 to 2017. Treatment preferences were heterogeneous and changed over time among psoriasis patients. Across all treatment modalities, the most important treatment attributes were treatment location, probability of improvement, and delivery method. For biologics specifically, the most important attributes were risk of adverse events and probability of treatment benefit. Factors that influenced patients’ preferences for certain treatments included age, sex, comorbidities, disease duration, and prior treatments. Notably, some psoriasis patients placed higher importance on a treatment’s process attributes (e.g., access and delivery) over its outcome attributes (e.g., efficacy). Overall, patient satisfaction with existing therapies remains modest; however, those treated with biologic agents exhibited highest treatment satisfaction over oral therapy, phototherapy, and topical therapy.

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Acknowledgements

We thank Helena Winston for her efforts in the initiation portion of this project.

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AGF, CJW, and AWA had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: AWA and AGF. Acquisition, analysis, and interpretation of data: AWA, AGF, and CJW. Drafting of the manuscript: AWA, AGF, and CJW. Critical revision of the manuscript for intellectual content: AWA, AGF, and CJW. Statistical analysis: N/A. Obtained funding: N/A. Administrative, technical, or material support: N/A. Study supervision: AWA.

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Correspondence to April W. Armstrong.

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The authors have no relevant conflicts of interest to declare. AWA serves as investigator and/or consultant to Abbvie, Amgen, Janssen, Merck, Novartis, Lilly, Celgene, and Pfizer.

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Florek, A.G., Wang, C.J. & Armstrong, A.W. Treatment preferences and treatment satisfaction among psoriasis patients: a systematic review. Arch Dermatol Res 310, 271–319 (2018). https://doi.org/10.1007/s00403-018-1808-x

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