Demography, baseline disease characteristics and treatment history of patients with psoriasis enrolled in a multicentre, prospective, disease‐based registry (PSOLAR)
Open accessAbstract
BACKGROUND: Psoriasis is associated with several comorbidities and behavioural risk factors. OBJECTIVES: To evaluate demographic and disease characteristics in patients enrolled in the Psoriasis Longitudinal Assessment and Registry (PSOLAR). METHODS: PSOLAR is a global, prospective, longitudinal, disease-based registry that includes a postmarketing commitment to evaluate safety in patients with psoriasis. Enrolled patients had to be receiving, or be eligible to receive, conventional systemic or biological agents. Demographic/disease characteristics, medical histories, lifestyle risk factors and previous treatments are collected at enrolment. Efficacy and safety data are collected every 6 months for 8 years, and data are extracted annually. Selected parameters are evaluated by age quartile using post hoc analyses. RESULTS: As of 23 August 2012, 11 900 patients were enrolled at 301 sites in North America, Europe and Latin America. Over half of the PSOLAR population (54·7%) is male, with a mean age of 48·6 years and mean body mass index of 30·9 kg m(-2) at enrolment. Mean duration of disease at enrolment was 17·5 years, and mean Physician's Global Assessment score was 2·0. Psoriatic arthritis (35·5%) and cardiovascular diseases (38·2%) were highly prevalent. Diabetes mellitus type II was reported in 11·4% of patients. Depression and anxiety were noted in 14·7% and 11·1% of patients, respectively; 79·0% reported any alcohol use and 56·7% reported smoking or a history of smoking. The occurrence of most comorbidities, including cardiovascular disease and risk factors, increased with age. CONCLUSIONS: In the PSOLAR population, multiple and age-appropriate comorbidities are associated with psoriasis and may affect the selection of psoriasis treatments.
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The finding of anxiety in 17% of patients is higher than a global longitudinal study showing anxiety in 11% of psoriasis patients but in accordance with a Canadian study using the HADS.
“Our finding of anxiety in 17% of patients is higher compared with the findings of a global longitudinal study on psoriasis showing anxiety in 11% of patients (Kimball et al., 2014) but in accordance with a recent study of psoriasis patients from Canada using the HADS (McDonough et al., 2014).”
From The Psychological Burden of Skin Diseases: A Cross-Sectional Multicenter Study among Dermatological Out-Patients in 13 European Countries (2015) · cites this paper as Kimball et al., 2014
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- Authors
- Kimball, A. B., Leonardi, C., Stahle, M., Gulliver, W., Chevrier, M., Fakharzadeh, S., Goyal, K., Calabro, S., Langholff, W., Menter, A., & the PSOLAR Steering Committee
- Affiliations
- Harvard University (US)
- Saint Louis University (US)
- Karolinska Institutet Stockholm Sweden
- Memorial University of Newfoundland (CA)
- Janssen Scientific Affairs (United States) (US)
- Janssen Research & Development LLC Horsham PA U.S.A
- Baylor University Medical Center (US)
- Corresponding author
- Kimball, A.B.
- Venue
- British Journal of Dermatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-07
- Volume
- 171
- Issue
- 1
- Pages
- 137-147
- ISSN
- 0007-0963 (ISSN-L)
- 1365-2133
- PMC
- PMC4232924
- OpenAlex
- W2132923004
- Cited by
- 117
- References
- 55
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 8 · 2021: 10 · 2020: 15 · 2019: 17 · 2018: 11 · 2017: 14 · 2016: 11 · 2015: 9 · 2014: 4
- FWCI
- 5.79
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- British Journal of Dermatology (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Funders
- Janssen Biotech
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
- Health Sciences › Medicine › Rheumatology › Spondyloarthritis Studies and Treatments
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Keywords
- psoriasis, comorbidities, psoriatic arthritis, cardiovascular disease, type 2 diabetes, depression, anxiety, smoking, alcohol consumption, body mass index, disease duration, treatment history, biologic therapy, systemic therapy, patient demographics, risk factors
- MeSH terms
- Adolescent, Adult, Aged, Biological Products, Dermatologic Agents, Europe, Female, Humans, Latin America, Male, Middle Aged, North America, Obesity, Pedigree, Photochemotherapy, Prospective Studies, Psoriasis, Registries, Risk-Taking, Comorbidity, Body Mass Index, Photosensitizing Agents, Age Distribution, Young Adult
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