Evidence map›Paper›PMID 23925466›Full record

ArticleJAMA dermatology2013

Psoriasis severity and the prevalence of major medical comorbidity: a population-based study.

Howa Yeung, Junko Takeshita, Nehal N Mehta, Stephen E Kimmel, Alexis Ogdie, David J Margolis, Daniel B Shin, Rosemary Attor, Andrea B Troxel, Joel M Gelfand

Registry-linked trialAbstract read
In one paragraph

Article in JAMA dermatology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04410237 (Triamcinolone Acetonide Injections in Mild-to-moderate Chronic Plaque Psoriasis With a Novel Needle-free Drug-delivery System), which is not on this map. Cited by 209 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
209citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04410237 early_phase1completednot on this mapstarted 2020, after this paper: background citation

Triamcinolone Acetonide Injections in Mild-to-moderate Chronic Plaque Psoriasis With a Novel Needle-free Drug-delivery System: an Observational Pilot Study

TypeinterventionalSponsorUniversity Hospitals Cleveland Medical CenterRan2020 to 2023Enrolled13ConditionsPsoriasisArmsMed-Jet, Traditional Syringe
3 · Its place in the literature

Who cites it

209 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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149 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Howa YeungDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia.
Junko Takeshita
Nehal N Mehta
Stephen E Kimmel
Alexis Ogdie
David J Margolis
Daniel B Shin
Rosemary Attor
Andrea B Troxel
Joel M Gelfand

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Susan M Domchek · 1985 to 2026
$222.3M
Penn Dermatology Research Training ProgramT32AR007465 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice, David Joel Margolis · 1986 to 2026
$9.0M
Clinical Pharmacoepidemiology Training ProgramT32GM075766 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Sean Hennessy, Charles Edward Leonard · 2006 to 2026
$8.4M
The Risk of Myocardial Infarction in Patients with PsoriasisR01HL089744 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GELFAND, JOEL M · 2009 to 2013
$3.8M
Understanding molecular mechanisms underlying the formation of the blue nevus andP30AR057217 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI COTSARELIS, GEORGE · 2009 to 2013
$3.2M
Psoriasis and the Risk of DiabetesK24AR064310 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI GELFAND, JOEL M · 2013 to 2017
$870k
NCI NIH HHS P30 CA016520NHLBI NIH HHS R01 HL089744NHLBI NIH HHS R01-HL089744NIAMS NIH HHS K24 AR064310NIAMS NIH HHS P30 AR057217NIAMS NIH HHS T32 AR007465NIAMS NIH HHS T32-AR07465NIGMS NIH HHS T32 GM075766NIGMS NIH HHS T32-GM075766-6
6 · The paper itself

Abstract

importanceDespite the growing literature on comorbidity risks in psoriasis, there remains a critical knowledge gap on the degree to which objectively measured psoriasis severity may affect the prevalence of major medical comorbidity.

objectiveTo examine the prevalence of major medical comorbidity in patients with mild, moderate, or severe psoriasis, classified objectively based on body surface area involvement, compared with that in patients without psoriasis. DESIGN, SETTING, AND

participantsPopulation-based cross-sectional study of patient data from United Kingdom-based electronic medical records; analysis included 9035 patients aged 25 to 64 years with psoriasis and 90,350 age- and practice-matched patients without psoriasis. MAIN OUTCOMES AND MEASURES: Prevalence of major medical comorbidity included in the Charlson comorbidity index.

resultsAmong patients with psoriasis, 51.8%, 35.8%, and 12.4%, respectively, had mild, moderate, or severe disease based on body surface area criteria. The mean Charlson comorbidity index was increasingly higher in patients with mild (0.375 vs 0.347), moderate (0.398 vs 0.342), or severe psoriasis (0.450 vs 0.348) (each P < .05). Psoriasis overall was associated with higher prevalence of chronic pulmonary disease (adjusted odds ratio, 1.08; 95% CI, 1.02-1.15), diabetes mellitus (1.22; 1.11-1.35), diabetes with systemic complications (1.34; 1.11-1.62), mild liver disease (1.41; 1.12-1.76), myocardial infarction (1.34; 1.07-1.69), peptic ulcer disease (1.27; 1.03-1.58), peripheral vascular disease (1.38; 1.07-1.77), renal disease (1.28; 1.11-1.48), and rheumatologic disease (2.04; 1.71-2.42). Trend analysis revealed significant associations between psoriasis severity and each of the above comorbid diseases (each P < .05). CONCLUSIONS AND RELEVANCE: The burdens of overall medical comorbidity and of specific comorbid diseases increase with increasing disease severity among patients with psoriasis. Physicians should be aware of these associations in providing comprehensive care to patients with psoriasis, especially those presenting with more severe disease.

Indexed as

ComorbidityAdultBody Surface AreaCase-Control StudiesCross-Sectional StudiesElectronic Health RecordsFemaleHumansMaleMiddle AgedPrevalencePsoriasisSeverity of Illness IndexUnited Kingdom

Identifiers

PMID23925466
PMCPMC3800487

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.