Evidence map›Paper›PMID 31005939›Full record

ArticleBMJ open2019

Impact of psoriasis severity on patient-reported clinical symptoms, health-related quality of life and work productivity among US patients: real-world data from the Corrona Psoriasis Registry.

Bruce Strober, Jeffrey D Greenberg, Chitra Karki, Marc Mason, Ning Guo, Peter Hur, Yang Zhao, Vivian Herrera, Feng Lin, Mark Lebwohl

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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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 at 4 institutions in 2 countries.

Bruce StroberDepartment of Dermatology, University of Connecticut Health Center, Farmington, Connecticut, USA.
Jeffrey D GreenbergCorrona, LLC, Waltham, Massachusetts, USA.
Chitra KarkiCorrona, LLC, Waltham, Massachusetts, USA.
Marc MasonCorrona, LLC, Waltham, Massachusetts, USA.
Ning GuoCorrona, LLC, Waltham, Massachusetts, USA.
Peter HurNovartis Pharmaceuticals Corporation, East Hanover, New Jersey, USA.
Yang ZhaoNovartis Pharmaceuticals Corporation, East Hanover, New Jersey, USA.
Vivian HerreraNovartis Pharmaceuticals Corporation, East Hanover, New Jersey, USA.
Feng LinNovartis Pharmaceuticals Corporation, East Hanover, New Jersey, USA.
Mark LebwohlDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA.
Novartis (United States) · USIcahn School of Medicine at Mount Sinai · USNew York University · USProbity Medical Research · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis analysis examined the association between psoriasis severity, assessed by body surface area (BSA) and the Investigator's Global Assessment (IGA; previously used only in clinical trials), and patient-reported outcomes (PROs) in a real-world setting.

designCross-sectional analysis within the Corrona Psoriasis Registry, an independent, prospective registry.

setting70 dermatology practices in the USA.

participants1529 adult patients with psoriasis being treated with biological or non-biological systemic psoriasis treatment by 31 May 2016. PRIMARY AND SECONDARY OUTCOME MEASURES: Psoriasis severity was assessed by percentage of affected BSA (mild (0%-5%), moderate (>5%-10%), severe (>10%-15%), very severe (>15%)) and IGA scores (clear/almost clear (0-1), mild (2), moderate (3), severe (4)). PROs (pain, itch, fatigue; Dermatology Life Quality Index [DLQI]; EuroQoL Visual Analogue Scale [EQ-VAS]; Work Productivity and Activity Impairment [WPAI]) were compared across BSA and IGA levels using analysis of variance and X

resultsThe mean age was 50.6 years and 47% of patients were female. Consistently with more severe psoriasis, symptoms worsened, DLQI scores increased (p<0.05 for each level of BSA and IGA), EQ-VAS decreased (p<0.05 for each level of BSA and IGA) and WPAI scores increased. By BSA score, moderate to very severe psoriasis was associated with poorer outcomes for the 'impairment while working' and 'daily activities impaired' WPAI domains (all p<0.05 vs mild psoriasis). Very severe psoriasis was associated with increased 'work hours missed' and 'work hours affected' (both p<0.05 vs mild psoriasis) Findings were similar by IGA. Results were confirmed by multivariable regression analyses.

conclusionsIn a real-world setting, more severe psoriasis, assessed by BSA and IGA, was consistently associated with worse PROs.

Indexed as

EfficiencyPatient Reported Outcome MeasuresQuality of LifeAdultBiological ProductsBody Surface AreaCross-Sectional StudiesFemaleHumansLinear ModelsMaleMiddle AgedMultivariate AnalysisPainPain MeasurementPsoriasisBiological Productsdisease severityhealth-related quality of lifepatient-reported outcomespsoriasiswork productivity

Identifiers

PMID31005939
PMCPMC6500315
OpenAlexW2938286893

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.