title: Translating psoriasis guidelines into practice: Important gaps revealed.
abstract: BACKGROUND
  There is a well-established lack of adherence to evidence-based clinical guidelines. The American Academy of Dermatology (AAD) developed educational sessions entitled Translating Evidence into Practice based on the published guidelines for psoriasis and psoriatic arthritis.
  
  
  OBJECTIVE
  We sought to determine the effectiveness of Translating Evidence into Practice sessions in improving patient care.
  
  
  METHODS
  Pre- and post-session surveys were administered at Translating Evidence into Practice sessions. A follow-up was administered 6 months after completion of the most recent session, which was 2.5 years after the first session.
  
  
  RESULTS
  At both post-session and follow-up, more than 92% of participants believed the sessions had improved their knowledge. The proportion of participants that self-reported assessing disease severity, comorbidities, and quality of life increased at follow-up. Participants' self-reported counseling of patients and confidence in treating psoriasis and psoriatic arthritis also increased at post-session and follow-up. Greater than 97% of participants thought the sessions would have a positive impact on their practice whereas 50% reported making a change in practice.
  
  
  CONCLUSIONS
  Lack of a control group, the self-reported nature of the data, and potential participant bias are limitations.
  
  
  CONCLUSIONS
  The AAD's Translating Evidence into Practice sessions are effective and well received for improving knowledge and practice and can be useful to determine self-reported practice gaps.
authors.affiliation: American Academy of Dermatology, Schaumburg, Illinois. Electronic address: rbhushan@aad.org.
authors.forename: Reva
authors.initials: R
authors.lastname: Bhushan
authors.affiliation: Mount Sinai Hospital, New York, New York.
authors.forename: Mark G
authors.initials: MG
authors.lastname: Lebwohl
authors.affiliation: Tufts Medical Center, Boston, Massachusetts.
authors.forename: Alice B
authors.initials: AB
authors.lastname: Gottlieb
authors.affiliation: American Academy of Dermatology, Schaumburg, Illinois.
authors.forename: Kevin
authors.initials: K
authors.lastname: Boyer
authors.affiliation: American Academy of Dermatology, Schaumburg, Illinois.
authors.forename: Elaine
authors.initials: E
authors.lastname: Hamarstrom
authors.affiliation: University Hospitals Case Medical Center, Cleveland, Ohio.
authors.forename: Neil J
authors.initials: NJ
authors.lastname: Korman
authors.affiliation: University of Miami, Miami, Florida.
authors.forename: Robert S
authors.initials: RS
authors.lastname: Kirsner
authors.affiliation: Harvard Medical School, Boston, Massachusetts.
authors.forename: Arthur J
authors.initials: AJ
authors.lastname: Sober
authors.affiliation: Baylor University Medical Center, Dallas, Texas.
authors.forename: Alan
authors.initials: A
authors.lastname: Menter
mesh_terms: D015535:Arthritis, Psoriatic / Q000628:therapy*; D003880:Dermatology / Q000592:standards*; D019983:Guideline Adherence; D006801:Humans; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'
keywords: assessment of severity; cardiovascular disease; guidelines; metabolic syndrome; practice gaps; psoriasis; psoriatic arthritis; quality of life