Abstract
Hidradenitis suppurativa (HS) has a considerable impact on quality of life. Despite comparisons of health status between HS patients and the general population have been done, there is a need to make more meaningful comparisons, such as age-specific ones. The objective of the study was to compare age-specific physical and mental health status in Italian patients with HS to that of a representative sample of the Italian general population. We conducted a cross-sectional, observational study on consecutive HS patients. Patients’ health status was measured using the 36-item Short Form Health Survey (SF-36) and in the general population using the 12-item version (SF-12). The mean scores of the physical component summary (PCS) and the mental component summary (MCS) from the two instruments were graphically compared in different age categories according to sex and clinical severity. Data were complete for 298 HS patients. Young patients with HS reported a physical and mental health status similar to that of elderly people from the general population. Even HS patients with mild-to-moderate clinical severity had a consistently worse health status than the reference population. In conclusion, HS deeply affects patients’ physical and mental status, starting from a very young age. An early intervention is advisable, not only with pharmacological treatment, but also with an appropriate discussion and interaction with the patient to focus on the aspects that would reduce the psychosocial impact of their condition.
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References
Revuz JE, Jemec GBE (2016) Diagnosing hidradenitis suppurativa. Dermatol Clin 34:1–5
Kouris A, Platsidaki E, Christodoulou C et al (2016) Quality of life and psychosocial implications in patients with hidradenitis suppurativa. Dermatology 232:687–691
Sampogna F, Fania L, Mazzanti C et al (2019) The broad-spectrum impact of hidradenitis suppurativa on quality of life: a comparison with psoriasis. Dermatology 235:308–314
Wolkenstein P, Loundou A, Barrau K et al (2007) Quality of life impairment in hidradenitis suppurativa: a study of 61 cases. J Am Acad Dermatol 56:621–623
Onderdijk AJ, van der Zee HH, Esmann S et al (2013) Depression in patients with hidradenitis suppurativa. J Eur Acad Dermatol Venereol 27:473–478
Matusiak Ł (2018) Profound consequences of hidradenitis suppurativa: a review. Br J Dermatol. https://doi.org/10.1111/bjd.16603
Revuz JE, Canoui-Poitrine F, Wolkenstein P et al (2008) Prevalence and factors associated with hidradenitis suppurativa: Results from two case-control studies. J Am Acad Dermatol 59:596–601
Riis PT, Vinding GR, Ring HC, Jemec GBE (2016) Disutility in patients with hidradenitis suppurativa: a cross-sectional study using EuroQoL-5D. Acta Derm Venereol 96:222–226
Bettoli V, Naldi L, Cazzaniga S et al (2016) Overweight, diabetes and disease duration influence clinical severity in hidradenitis suppurativa-acne inversa: evidence from the national Italian registry. Br J Dermatol 174:195–197
Ware JE, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483
Ware J, Kosinski M, Keller SD (1996) A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233
Ware JE, Kosinksi M, Turner-Bowker DM, Gandek B (eds) (2002) User’s manual for the SF-12v2 health survey with a supplement documenting SF-12 health survey. QualityMetric Incorporated, Lincoln
Failde I, Medina P, Ramírez C, Arana R (2009) Assessing health-related quality of life among coronary patients: SF-36 vs SF-12. Public Health 123:615–617
Gandek B, Ware JE, Aaronson NK et al (1998) Cross-validation of item selection and scoring for the SF-12 health survey in nine countries: results from the IQOLA project. International quality of life assessment. J Clin Epidemiol 51:1171–1178
Wukich DK, Sambenedetto TL, Mota NM et al (2016) Correlation of SF-36 and SF-12 component scores in patients with diabetic foot disease. J Foot Ankle Surg 55:693–696
Zouboulis CC, Tzellos T, Kyrgidis A et al (2017) Development and validation of the international hidradenitis suppurativa severity score system (IHS4), a novel dynamic scoring system to assess HS severity. Br J Dermatol 177:1401–1409
Freedman VA, Martin LG, Schoeni RF (2002) Recent trends in disability and functioning among older adults in the United States: a systematic review. JAMA 288:3137–3146
Gill TM, Kurland B (2003) The burden and patterns of disability in activities of daily living among community-living older persons. J Gerontol A Biol Sci Med Sci 58:70–75
Werth J von der, Williams H (2000) The natural history of hidradenitis suppurativa-PubMed-NCBI. J Eur Acad Dermatol Venereol 14:389–392
Harrison B, Hughes L (1991) Characterization of the endocrine ‘lesion’ in hidradenitis suppurativa. In: Marks R, Plewig G (eds) Acne and related disorders. Martin Dunitz, London, pp 361–363
Kimball AB, Gieler U, Linder D et al (2010) Psoriasis: Is the impairment to a patient’s life cumulative? J Eur Acad Dermatology Venereol 24:989–1004
Sampogna F, Sera F, Abeni D (2004) Measures of clinical severity, quality of life, and psychological distress in patients with psoriasis: a cluster analysis. J Invest Dermatol 122:602–607
Sampogna F, Mastroeni S, Pallotta S et al (2019) General health status in psoriasis patients, as assessed by the 12-item short form (SF-12) health survey, is poorly associated with psoriasis area severity index. J Eur Acad Dermatol Venereol 33:e233–e235
Sampogna F, Tabolli S, Abeni D et al (2007) The impact of changes in clinical severity on psychiatric morbidity in patients with psoriasis: a follow-up study. Br J Dermatol 157:508–513
Tuckman A (2017) The potential psychological impact of skin conditions. Dermatol Ther (Heidelb) 7:53–57
Bettoli V, Pasquinucci S, Caracciolo S et al (2016) The Hidradenitis suppurativa patient journey in Italy: current status, unmet needs and opportunities. J Eur Acad Dermatol Venereol 30:1965–1970
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This study was supported in part by the “Progetto Ricerca Corrente 2018” of the Italian Ministry of Health, Rome, Italy.
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Sampogna, F., Fania, L., Mastroeni, S. et al. Age-specific physical and mental health status in Italian patients with hidradenitis suppurativa: a comparison with the general population. Arch Dermatol Res 313, 41–47 (2021). https://doi.org/10.1007/s00403-020-02063-4
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DOI: https://doi.org/10.1007/s00403-020-02063-4