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The real world impact of adalimumab on quality of life and the physical and psychological effects of moderate-to-severe psoriasis: A UK prospective, multicenter, observational study
Abstract
Psoriasis can adversely affect quality of life (QoL) and emotional well-being. In this UK prospective observational study we evaluated the ‘real-world’ impact of adalimumab on QoL and the physical/psychological effects of moderate-to-severe psoriasis. Hundred and forty-three biologic-naïve patients with moderate-to-severe psoriasis, receiving adalimumab in clinical practice, were included. Patients completed a series of questionnaires at baseline (adalimumab initiation), 4 and 16-weeks and 6-months post-adalimumab initiation during routine visits. The main outcome measure was the proportion of Dermatology Life Quality Index (DLQI) ‘responders’ at 16 weeks, defined as ≥5 point reduction from baseline or DLQI = 0.90% (95% CI = 80.8%–94.6%) of evaluable patients were DLQI responders at 16-weeks. There were significant improvements at 16 weeks in patient-reported measures of QoL, mental and physical well-being, cutaneous body image, anxiety, depression and psoriasis severity, which were maintained at 6-months. Adalimumab treatment was associated with improvements in patients’ QoL and psychological functioning, which occurred contemporaneously with improvements in cutaneous disease.
							Authors
							J Leman, S Walton, A Layton, K A Ward, S McBride, S Cliff, A Downs, M Landeira, A Bewley
						
						
						
							Journal
							The Journal of Dermatological Treatment
						
						                            
                                Therapeutic Area
                                
                                    Dermatology                                
                            
						
                                                    
                                Center of Excellence
                                
                                    Real-world Evidence & Data Analytics                                
                            
                        						
						
							Year
                            2019
						
						
						
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