Esposito Maria, Faleri Sara, Babino Graziella, Messinese Serena, Mazzotta Annamaria, Schipani Caterina, Chimenti Maria Sole, Marchei Massimo, Rizza Stefano, Pandolfi Marta, Chimenti Sergio, Giunta Alessandro
Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
Department of Dermatology, University of Rome Tor Vergata, Rome, Italy.
J Int Med Res. 2016 Sep;44(1 suppl):95-99. doi: 10.1177/0300060515593265.
To evaluate results of the 'pSORRIDI' experience (which is a prevention campaign to evaluate the prevalence of comorbidities, multidisciplinary needs and appropriateness of the therapeutic approach for comorbidities) in patients already being treated for psoriasis.
Telephone interviews were conducted in patients with psoriasis, who then underwent comprehensive evaluation and investigation of comorbidities. If necessary, patients were referred to specialist cardiology, endocrinology and/or rheumatology services.
Overall, 72.0% (54/75) of patients required a multidisciplinary consultation. Among patients referred to cardiology, therapeutic adjustment was needed in 33.3% (five of 15) patients and a redefined diagnosis in 26.7% (four of 15) cases. Among patients undergoing endocrinology evaluations, therapeutic adjustment and a redefined diagnosis were needed in 61.1% (11/18) and 33.3% (six of 18) patients, respectively; for rheumatology evaluations, therapeutic adjustment and a redefined diagnosis were needed in 76.2% (16/21) and 19.0% (four of 21) of patients, respectively.
Among patients with psoriasis, there may be a need for an improvement in the diagnosis of underlying comorbid conditions, and in disease management of both psoriasis and any comorbid conditions.
评估“pSORRIDI”项目（一项评估合并症患病率、多学科需求及合并症治疗方法适宜性的预防活动）在已接受银屑病治疗的患者中的效果。
对银屑病患者进行电话访谈，随后对其合并症进行全面评估和调查。如有必要，将患者转诊至心脏科、内分泌科和/或风湿科专科服务。
总体而言，72.0%（54/75）的患者需要多学科会诊。在转诊至心脏科的患者中，33.3%（15例中的5例）患者需要调整治疗，26.7%（15例中的4例）病例需要重新明确诊断。在内分泌科评估的患者中，分别有61.1%（18例中的11例）和33.3%（18例中的6例）患者需要调整治疗和重新明确诊断；在风湿科评估的患者中，分别有76.2%（21例中的16例）和19.0%（21例中的4例）患者需要调整治疗和重新明确诊断。
在银屑病患者中，可能需要改善潜在合并症的诊断以及银屑病和任何合并症的疾病管理。
