title: Quality of health care of rosacea in Germany from the patient's perspective: results of the national health care study Rosareal 2009.
abstract: OBJECTIVE
  To obtain reliable data on quality of care of rosacea and to compare care indicators with those found in atopic dermatitis and psoriasis.
  
  
  METHODS
  In this cross-sectional study, clinical history, health-related quality of life (HrQoL), medication and treatment benefit of patients with rosacea were assessed by standardized questionnaires. Data were compared to patients with atopic dermatitis and psoriasis.
  
  
  RESULTS
  Almost all 475 participants (96.4%) had received topical therapy. 24% had used cortisone ointments. The mean Dermatology Life Quality Index (DLQI) was 4.3 ± 4.6 (atopic dermatitis: 8.5 ± 6.0, psoriasis: 6.7 ± 6.2). The Patient Benefit Index (patient-defined therapeutic benefit) was 1.9 ± 1.2 (psoriasis: 2.3 ± 1.1, atopic dermatitis: 2.1 ± 1.1).
  
  
  CONCLUSIONS
  Only a small proportion of the rosacea patients had substantial impairments in HrQoL. Overall, their burden appears to be lower than in patients with atopic dermatitis or psoriasis. However, the lower therapeutic benefit and the high proportion of topical steroid use indicate a need for optimized therapy.
authors: German Center for Health Services Research in Dermatology, CVderm, Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. a.langenbruch @ uke.uni-hamburg.de
authors: A K
authors: AK
authors: Langenbruch
authors: E
authors: E
authors: Beket
authors: M
authors: M
authors: Augustin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003348:Cortisone / Q000627:therapeutic use; D003358:Cosmetics / Q000008:administration & dosage; D003430:Cross-Sectional Studies; D003876:Dermatitis, Atopic / Q000628:therapy; D005260:Female; D005858:Germany; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011565:Psoriasis / Q000628:therapy; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D011788:Quality of Life; D012393:Rosacea / Q000628:therapy*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
chemical_list: D000893:Anti-Inflammatory Agents; D003358:Cosmetics; D003348:Cortisone