title: Treatment decision needs of psoriasis patients: cross-sectional survey.
abstract: BACKGROUND
  Informed shared decision making is a mutual process engaging both doctor and patient and informed by best medical evidence and patient values and preferences.
  
  
  OBJECTIVE
  Our aim was to identify the needs of psoriasis patients in decisions on selecting treatment.
  
  
  METHODS
  Psoriasis subjects participated in an online survey on decisional role, postdecisional conflict, and treatment awareness.
  
  
  RESULTS
  Of 2,622 people invited to participate, 248 completed surveys. Their most recent treatment decision was either made by subjects alone (42%) or physicians alone (28%) or was shared (29%). Subjects perceived that their doctors lacked time to stay abreast of treatments, to provide counseling, and to access appropriate treatments. Deficiencies most frequently identified were information on options, clarification of values, access to physicians, and decision-making skills. Those with a body surface area (BSA) ≥ 3% more frequently indicated that having the skill or ability to make treatment decisions was important.
  
  
  CONCLUSIONS
  The limitations of this study include sampling, recall, and reporting bias. Percent BSA was not verified.
  
  
  CONCLUSIONS
  The multiple deficiencies in support of psoriasis patients in treatment decisions may preclude informed shared decision making.
authors.affiliation: Department of Medicine, University of Western Ontario, London, ON, Canada. jerrytan@bellnet.ca
authors.forename: Jerry
authors.initials: J
authors.lastname: Tan
authors.forename: Dawn
authors.initials: D
authors.lastname: Stacey
authors.forename: Karen
authors.initials: K
authors.lastname: Fung
authors.forename: Benjamin
authors.initials: B
authors.lastname: Barankin
authors.forename: Robert
authors.initials: R
authors.lastname: Bissonnette
authors.forename: Wayne
authors.initials: W
authors.lastname: Gulliver
authors.forename: Harvey
authors.initials: H
authors.lastname: Lui
authors.forename: Neil
authors.initials: N
authors.lastname: Shear
authors.forename: Christine
authors.initials: C
authors.lastname: Jackson
authors.forename: Xuemao
authors.initials: X
authors.lastname: Zhang
mesh_terms: D003430:Cross-Sectional Studies; D003657:Decision Making; D006801:Humans; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D011565:Psoriasis / Q000628:therapy*