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Vol. 15. Issue 4.
Pages 237-241 (July - August 2019)
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Vol. 15. Issue 4.
Pages 237-241 (July - August 2019)
Original Article
DOI: 10.1016/j.reumae.2017.07.012
Experience and satisfaction with a multidisciplinary care unit for patients with psoriasis an psoriatic arthritis
Experiencia y satisfacción en una unidad de atención multidisciplinaria para pacientes con psoriasis y artritis psoriásica
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Ana Urruticoechea-Aranaa, Marta Serra Torresb, Mercedes Hergueta Diazb, María Eugenia González Guerreroc, Leslie Fariñas Padronc, Sara Navarro Martínc, Kelly Vargas Osorioc, Andrés Palacios Abufónb, María Jesús García de Yébenesd, Estíbaliz Lozad,
Corresponding author
estibaliz.loza@inmusc.eu

Corresponding author.
a Servicio de Reumatología, Hospital Can Misses, Ibiza, Spain
b Servicio de Dermatología, Hospital Can Misses, Ibiza, Spain
c Medicina Familiar y Comunitaria, Hospital Can Misses, Ibiza, Spain
d Instituto de Salud Musculoesquelética, InMusc, Madrid, Spain
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Tables (5)
Table 1. Baseline Characteristics of Study Sample.a
Table 2. Referral Reasons and Final Diagnosis of Patients Attended in the Multidisciplinary Care Clinic.
Table 3. Patients With Laboratory Tests, Imaging Techniques and Others Required in the Multidisciplinary Care Clinic During the study Period.a
Table 4. Treatment Changes in the Multidisciplinary Care Clinic.a
Table 5. Satisfaction Questionnaire Results.a
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Abstract
Objective

To describe patient's characteristics, the activity and patient's satisfaction with a multidisciplinary care unit in patients with psoriasis and psoriatic arthritis (PsA).

Methods

A retrospective medical records review of patients with psoriasis or PsA attended in a multidisciplinary care unit was performed. Included patients were contacted to fulfill a satisfaction questionnaire. A specific electronic database was set up. Data regarding to patients and their baseline characteristics and the activity of the unit were collected. Descriptive analysis were performed.

Results

A total of 112 patients with 154 visits were included in almost 3 years, 54% women, with a mean age of 51 years, 43.7% presented hyperlipidemia and 30.4% arterial hypertension. Half of patients were referred due to diagnostic doubts and the other half for therapeutic problems. After the evaluation of the patients, 66 patients (58.9%) met diagnostic criteria for PsA, and 13 (11.6%) of an inflammatory disease other than PsA, and 95% came back to their usual physician. The most ordered test were laboratory tests (75.6% of patients), followed by X-rays in 57 patients (51.3%). In general the number of patients with different treatments increased, and 55.4% and 42% of patients changed their topic and systemic treatments respectively. The level of satisfaction was very high and all of patients considered that their disease was better controlled in this multidisciplinary care unit.

Conclusions

This multidisciplinary care unit has improved the care and satisfaction of patients with psoriasis or PsA, and increased collaboration between rheumatology and dermatology departments.

Keywords:
Psosiasis
Psoriatic arthritis
Multidisciplinary care
Satisfaction
Resumen
Objetivo

Describir las características de los pacientes, la actividad registrada, así como la satisfacción percibida, de una consulta de atención multidisciplinar para pacientes con psoriasis o artritis psoriásica (APs).

Métodos

Estudio observacional retrospectivo con revisión de historias clínicas de todos los pacientes atendidos en la consulta de atención multidisciplinar. Se contactó con todos ellos para que contestasen una encuesta de satisfacción. Varios investigadores recogieron datos sociodemográficos y clínicos, así como administrativos incluyendo el número de visitas en una base de datos especialmente generada para este proyecto. Se realizó un análisis descriptivo.

Resultados

Se incluyó a 112 pacientes con 154 visitas en casi 3 años, 54% mujeres, y una edad media de 51 años; el 43,7% presentó hiperlipidemia y el 30,4% hipertensión arterial. La mitad fueron referidos por dudas diagnósticas y la otra por problemas terapéuticos. Tras su evaluación, 66 pacientes (58,9%) cumplieron los criterios diagnósticos de APs y 13 (11,6%) de una enfermedad inflamatoria distinta. El 95% regresó a su médico habitual. La pruebas complementarias más solicitadas fueron analíticas (75,6%) y radiografías simples (51,3%). En general, el número de pacientes con nuevos tratamientos aumentó y el 55,4 y el 42% de los pacientes cambiaron sus tratamientos tópico y sistémico, respectivamente. El nivel de satisfacción fue muy alto y todos los pacientes consideraron que su enfermedad estaba mejor controlada en esta unidad.

Conclusiones

Esta consulta de atención multidisciplinar ha mejorado el manejo y satisfacción de pacientes con psoriasis o APs y ha incrementado la colaboración entre los servicios de Reumatología y Dermatología.

Palabras clave:
Psoriasis
Artritis psoriásica
Cuidado multidisciplinar
Satisfacción

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