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dc.contributor.authorLopes, Nilcéiapt_BR
dc.contributor.authorDias, Leticia L. S.pt_BR
dc.contributor.authorAbulafia, Luna Azulaypt_BR
dc.contributor.authorOyafuso, Luiza Keiko Matsukapt_BR
dc.contributor.authorSuarez, Maria Victoriapt_BR
dc.contributor.authorFabrício, Lincoln Helder Zambaldipt_BR
dc.contributor.authorKobata, Clarice Mariept_BR
dc.contributor.authorCestari, Tania Ferreirapt_BR
dc.contributor.authorGontijo, Bernardopt_BR
dc.contributor.authorSabbag, Cid Y.pt_BR
dc.contributor.authorAntonio, João Robertopt_BR
dc.contributor.authorRomiti, Ricardopt_BR
dc.contributor.authorPertel, Patricia C.pt_BR
dc.date.accessioned2020-11-18T04:09:40Zpt_BR
dc.date.issued2019pt_BR
dc.identifier.issn0741-238Xpt_BR
dc.identifier.urihttp://hdl.handle.net/10183/215096pt_BR
dc.description.abstractIntroduction Psoriasis is an immune-mediated, chronic, inflammatory disease, which has a substantial humanistic and economic burden. This study aimed to assess the impact of this disease on health-related quality of life (HRQoL), work productivity, and direct and indirect costs from a societal perspective among Brazilian patients. Methods This is a cross-sectional, observational, multicenter study, enrolling patients with moderate to severe plaque psoriasis according to physician evaluation. Data collection was performed from December 2015 to November 2016 through face-to-face interviews using a structured questionnaire and five standardized patient-reported outcomes instruments. Direct costs were estimated by multiplying the amount of resources used (12-month recall period) by the corresponding unit cost. Indirect costs were grouped in two time horizons: annual costs (income reduction and absenteeism) and lifetime costs (demission and early retirement). Results A total of 188 patients with moderate to severe plaque psoriasis were included, with mean age of 48.0 (SD 13.1). “Anxiety and depression” and “pain and discomfort” were the most impaired dimensions, according to the EuroQol Five-Dimension-Three-Level (EQ-5D-3L). The highest effect was found for “symptoms and feelings” [mean (SD) 2.4 (1.7)] Dermatology Life Quality Index (DLQI) subscale. Psoriatic arthritis (PsA) presence and biologic-naïve status were associated with worse HRQoL. Presenteeism was more frequent than absenteeism, according to the Work Productivity and Activity Impairment questionnaire-General Health (WPAI-GH) [17.4% vs. 6.3%], while physical demands and time management were the most affected Work Limitations Questionnaire (WLQ) subscales [means (SD) 23.5 (28.5) and 17.7 (24.9), respectively]. The estimated annual cost per patient was USD 4034. Direct medical costs accounted for 87.7% of this estimate, direct non-medical costs for 2.4%, and indirect costs for 9.9%. Conclusions Results evidenced that moderate to severe plaque psoriasis imposes substantial costs to society. Our data showed that this disease negatively affects both work productivity and HRQoL of Brazilian patients. Subgroups with PsA and biologic-naïve patients presented lower HRQoL, showing the impact of this comorbidity and the relevance of biologics in psoriasis treatment.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofAdvances in therapy. New York. Vol. 36 (2019), p. 2849–2865pt_BR
dc.rightsOpen Accessen
dc.subjectPsoríasept_BR
dc.subjectAvaliação em saúdept_BR
dc.subjectEfeitos psicossociais da doençapt_BR
dc.subjectQualidade de vidapt_BR
dc.subjectBrasilpt_BR
dc.titleHumanistic and economic impact of moderate to severe plaque psoriasis in Brazilpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001118209pt_BR
dc.type.originEstrangeiropt_BR


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