Evidence map›Paper›PMID 36556415›Full record

ReviewLife (Basel, Switzerland)2022

Psoriasis Management Challenges Regarding Difficult-to-Treat Areas: Therapeutic Decision and Effectiveness.

Alin Codrut Nicolescu, Marius-Anton Ionescu, Maria Magdalena Constantin, Ioan Ancuta, Sinziana Ionescu, Elena Niculet, Alin Laurentiu Tatu, Henner Zirpel, Diamant Thaçi

Open access · goldAbstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Biological Treatment of Psoriasis-Data So Far.Pharmaceuticals (Basel, Switzerland) · 2026
    Review
  6. The Role of Elafin in the Pathogenesis of Psoriasis.International journal of molecular sciences · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Observational
  18. Review
  19. The impact of IL-17A inhibitors on scalp and gut microbiota in psoriasis.Frontiers in cellular and infection microbiology · 2025
    Article
  20. Review
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

9 authors at 5 institutions in 3 countries.

Alin Codrut NicolescuMedical Center "Roma" for Diagnosis and Treatment, 011773 Bucharest, Romania.ORCID 0000-0003-4828-464X
Marius-Anton IonescuDermatology Department, University Hospital "Saint Louis", University of Paris, 75014 Paris, France.
Maria Magdalena ConstantinDepartment of Dermatology II, "Carol Davila" University of Medicine and Pharmacy, Colentina Clinical Hospital, 020125 Bucharest, Romania.ORCID 0000-0001-9914-3236
Ioan AncutaDepartment of Rheumatology, "Carol Davila" University of Medicine and Pharmacy, "Dr. I. Cantacuzino" Clinical Hospital, 011437 Bucharest, Romania.ORCID 0000-0003-1848-7462
Sinziana IonescuGeneral Surgery and Surgical Oncology Clinic I of the Bucharest Oncology Institute, "Carol Davila" University of Medicine and Pharmacy, 022328 Bucharest, Romania.ORCID 0000-0002-0839-0651
Elena NiculetDepartment of Morphological and Functional Sciences, Faculty of Medicine and Pharmacy, "Dunarea de Jos" University of Medicine and Pharmacy, 800008 Galati, Romania.ORCID 0000-0001-9249-5247
Alin Laurentiu TatuClinical Medical Department, Faculty of Medicine and Pharmacy, "Dunarea de Jos" University of Medicine and Pharmacy, 800008 Galati, Romania.ORCID 0000-0003-4290-7068
Henner ZirpelResearch Institute and Comprehensive Center for Inflammation Medicine, University of Lübeck, 23538 Lübeck, Germany.ORCID 0000-0003-0053-4312
Diamant ThaçiComprehensive Center for Inflammation Medicine, University of Lübeck, 23538 Lübeck, Germany.ORCID 0000-0001-8513-550X
Carol Davila University of Medicine and Pharmacy · RO"Dunarea de Jos" University of Galati · ROUniversity of Lübeck · DEInstitute for Diagnosis and Animal Health · ROUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psoriasis is not optimally controlled in spite of newly developed treatments, possibly due to the difficulty of objectively quantifying the disease's severity, considering the limitations of the clinical scores used in clinical practice. A major challenge addresses difficult-to-treat areas, especially in the absence of significant body surface involvement. It is controversial whether the severity evaluation of patients with several affected areas (having at least one difficult-to-treat area) should be done differently from current methods. Scores used for special areas (PSSI, NAPSI and ESIF) allow an accurate assessment of disease severity in difficult-to-treat areas, but the issue of whether to integrate these scores into PASI, BSA or DLQI remains. The review's purpose resides in providing an overview of the main current issues in determining psoriasis severity in patients with psoriasis in difficult-to-treat areas and suggesting possible solutions for the optimal integration of the area assessment in current scores: severity can be either established according to the highest calculated score (PASI or PSSI or NAPSI or ESIF) or by adding a correction factor in the calculation of PASI for special areas.

Indexed as

difficult-to-treat areaspsoriasispsoriasis scores

Identifiers

PMID36556415
PMCPMC9785802
OpenAlexW4311939020

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.