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加拿大银屑病纵向评估和登记研究(PSOLAR)中患者的基线特征。

Baseline Characteristics of Canadian Patients in the Psoriasis Longitudinal Assessment and Registry (PSOLAR).

机构信息

SKiN Centre for Dermatology and Probity Medical Research, Peterborough, ON, Canada.

Innovaderm Research, Montreal, QC, Canada.

出版信息

J Cutan Med Surg. 2023 Nov;27(6):594-600. doi: 10.1177/12034754231191509. Epub 2023 Aug 11.

Abstract

BACKGROUND

The Psoriasis Longitudinal Assessment and Registry (PSOLAR) is a global, prospective, longitudinal, disease-based registry. It serves as a post-marketing safety commitment with a focus on patients with moderate to severe plaque psoriasis who are candidates for systemic therapy.

OBJECTIVES

To describe the baseline disease demographics and clinical characteristics of a Canadian subgroup of participants enrolled in PSOLAR.

METHODS

Baseline demographic/disease characteristics, medical histories, and previous psoriasis treatments for Canadian patients in PSOLAR were summarized using descriptive statistics.

RESULTS

There were 1896 patients analyzed in the Canadian subgroup at 37 clinical sites, accounting for 15.7% of the global PSOLAR population. Baseline disease and clinical characteristics were as expected for a moderate to severe psoriasis population and were generally similar to the global PSOLAR population. Two distinctions were noted in the Canadian subgroup versus those enrolled globally: a higher proportion of patients were overweight/obese (84.7% vs. 80.4%) and male (61.4% vs. 54.7%). In addition, the Canadian subgroup had numerically higher historical peak disease activity (PGA score 3.35 vs. 3.1) and longer disease duration (22.3 years vs. 17.5 years). Canadian PSOLAR patients reported a variety of comorbidities, including psoriatic arthritis (31.5%), hypertension (34.6%), hyperlipidemia (24.3%), mental illness (24.1%), and inflammatory bowel disease (1.6%).

CONCLUSION

The Canadian subgroup of PSOLAR patients was generally similar to those enrolled globally with respect to baseline disease demographics and clinical characteristics. Multiple comorbidities are noted in the Canadian subgroup, underscoring the need for a holistic approach to the treatment of psoriatic patients.

摘要

背景

银屑病纵向评估和登记(PSOLAR)是一个全球性的、前瞻性的、纵向的、基于疾病的登记处。它是一种上市后安全性承诺,重点关注适合接受系统治疗的中重度斑块状银屑病患者。

目的

描述参与 PSOLAR 的加拿大亚组患者的基线疾病人口统计学和临床特征。

方法

使用描述性统计方法总结了 PSOLAR 中加拿大患者的基线人口统计学/疾病特征、病史和以前的银屑病治疗情况。

结果

在 37 个临床站点中,有 1896 名加拿大患者被纳入加拿大亚组分析,占全球 PSOLAR 人群的 15.7%。基线疾病和临床特征与中重度银屑病人群预期相符,且总体上与全球 PSOLAR 人群相似。在加拿大亚组与全球入组患者之间有两个区别:超重/肥胖的患者比例更高(84.7% vs. 80.4%),男性比例更高(61.4% vs. 54.7%)。此外,加拿大亚组的历史疾病活动峰值(PGA 评分 3.35 vs. 3.1)和疾病病程(22.3 年 vs. 17.5 年)更长。加拿大 PSOLAR 患者报告了多种合并症,包括银屑病关节炎(31.5%)、高血压(34.6%)、高脂血症(24.3%)、精神疾病(24.1%)和炎症性肠病(1.6%)。

结论

就基线疾病人口统计学和临床特征而言,加拿大 PSOLAR 患者亚组与全球入组患者总体相似。加拿大亚组中存在多种合并症,突出了对银屑病患者进行整体治疗的必要性。

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