Quality of psoriasis care in Germany -: results of the national study PsoHealth 2007

Background: Many different forms of treatment are available for psoriasis. The German standard is the national AWMF S3 guideline. A national survey on psoriasis care in 2005 indicated deficits in psoriasis care in Germany. Aim: Assessment of the health care situation of patients with psoriasis in Germany. Methods: Nation-wide cross-sectional study, in 142 dermatological practices and clinics. The following data were documented: a) Doctor Questionnaire: Treatment, illnesses, clinical characteristics and severity (PASI). b) Patient Questionnaire: Quality of life (QoL), patient relevant therapeutic benefits and satisfaction with the quality of the care. A panel of experts developed and analyzed 8 criteria as indicators of the quality of care. Results: Of the 2009 evaluated patients, 11.6 % suffered from severe psoriasis (PASI > 20) and 27.4 % from moderate psoriasis (PASI 10-20).The average PASI value was 10.1, and the DLQI 7.5. 32.2 % of patients had a serious reduction in their QoL (DLQI > 10).The share of patients with preceding systemic therapy was 47.3 %, in severe psoriasis 62.1 %,while 20.1 % of the patients had received inpatient treatment. The average number of days absent from work was 3.4. Compared to 2005, all 8 indicators improved. Conclusion: Significant numbers of psoriasis patients show serious quality of life reductions and high grades of clinical severity. In comparison to 2005, there has been a notable, nation-wide improvement in psoriasis care.