Nazeer Mohammed, Ravindran Surya, Gangadharan Geethu, Criton Sebastian
Department of Dermatology, Amala Institute of Medical Sciences, Thrissur, Kerala, India.
Indian Dermatol Online J. 2019 Jul-Aug;10(4):437-440. doi: 10.4103/idoj.IDOJ_306_18.
The management of psoriasis is a daily challenge for dermatologists as most patients present with varied morphological presentations and exacerbations at every visit. This exerts a heightened responsibility on the dermatologists to tailor their treatments according to each patient.
This study was conducted to assess the variation in treatment practices in the management of psoriasis patients among dermatologists of Kerala.
A questionnaire-based survey was conducted among the practicing dermatologists of Kerala, South India.
At the end of this questionnaire-based study, we concluded that there is a wide variation in the treatment practices among practicing dermatologists of Kerala. Dermatology Life Quality Index (DLQI) is not assessed by majority of dermatologists while planning treatment. Most dermatologists rely on body surface area while planning treatment due to time constraints and did not perform PASI (Psoriasis Area and Severity Index) or PGA (Physician Global Assessment) scoring. Satisfaction and challenges related to current therapies also impact treatment rates. Our dermatologists adhered to their own individual guidelines while treating and expressed a dire need for a unified guideline.
银屑病的管理对皮肤科医生来说是一项日常挑战，因为大多数患者每次就诊时都有不同的形态表现和病情加重情况。这使得皮肤科医生有更大的责任根据每位患者的情况调整治疗方案。
本研究旨在评估喀拉拉邦皮肤科医生在银屑病患者管理中治疗方法的差异。
对印度南部喀拉拉邦的执业皮肤科医生进行了一项基于问卷的调查。
在这项基于问卷的研究结束时，我们得出结论，喀拉拉邦执业皮肤科医生的治疗方法存在很大差异。大多数皮肤科医生在制定治疗方案时未评估皮肤病生活质量指数（DLQI）。由于时间限制，大多数皮肤科医生在制定治疗方案时依赖体表面积，且未进行银屑病面积和严重程度指数（PASI）或医生整体评估（PGA）评分。与当前治疗相关的满意度和挑战也会影响治疗率。我们的皮肤科医生在治疗时遵循自己的个人指南，并表示迫切需要统一的指南。
