title: Psoriasis disease severity affects patient satisfaction with treatment.
abstract: BACKGROUND
  Patients with psoriasis are often dissatisfied with available treatments, but contributing factors are not well defined.
  
  
  OBJECTIVE
  Examine relationships between psoriasis severity, patient characteristics, and treatment satisfaction.
  
  
  METHODS
  Patients with psoriasis were classified into mild and moderate-to-severe groups based on self-reported data. Demographics, comorbidities, symptoms, and multiple treatment satisfaction outcomes were compared between groups. Predictors of patient satisfaction with treatment were examined using linear regression models.
  
  
  RESULTS
  The analyses included 773 patients (407 mild; 366 moderate-to-severe). The percentage of patients reporting satisfaction with treatment was low overall, ranging from 8.6% to 61.7% for the mild and 13.9% to 49.5% for the moderate-to-severe group. Satisfaction among biologics users was also low (≤53%; 50% of satisfaction rates &lt;40%). Regression results consistently showed greater dissatisfaction with current treatment among moderately to severely affected patients.
  
  
  CONCLUSIONS
  Many psoriasis patients were dissatisfied with their treatment; moderate-to-severe patients expressed significantly less satisfaction than mild patients.
authors.affiliation: University Hospitals Case Medical Center. Neil.Korman@UHhospitals.org.
authors.forename: Neil J
authors.initials: NJ
authors.lastname: Korman
authors.forename: Yang
authors.initials: Y
authors.lastname: Zhao
authors.forename: Jackie
authors.initials: J
authors.lastname: Lu
authors.forename: Mary Helen
authors.initials: MH
authors.lastname: Tran
mesh_terms: D000328:Adult; D000368:Aged; D001688:Biological Products / Q000627:therapeutic use; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D003879:Dermatologic Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011701:PUVA Therapy / Q000379:methods; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D011565:Psoriasis / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D011788:Quality of Life; D057566:Self Report; D012720:Severity of Illness Index; D018434:Sickness Impact Profile; D016896:Treatment Outcome; D014481:United States; D055815:Young Adult
chemical_list: D001688:Biological Products; D003879:Dermatologic Agents