Effectiveness of programmes focused on disease care or clinics of excellence versus conventional care programmes in treating psoriasis and psoriatic arthritis. A systematic review of the literature

• Published in: Revista Colombiana de Reumatología (English Edition) 2023-07, Vol.30, p.S43-S54
• Main Authors: Calixto, Omar-Javier, Meneses-Toro, María Alejandra, Vera-Parra, Edward Camilo, Castro, Luis A., Amador, Julio, Bello-Gualtero, Juan Manuel
• Format: Article
• Language: English
• Subjects: Artritis psoriásica; Atención multidisciplinaria; Integrated care intervention; Intervención de atención integral; Multidisciplinary care; Psoriasis; Psoriatic arthritis
• ISSN: 2444-4405; 2444-4405
• DOI: 10.1016/j.rcreue.2023.10.004

Psoriasis (PsO) and psoriatic arthritis (PsA) are chronic rheumatic diseases with a significant impact on quality of life. Consensus has been described in the literature to determine the preliminary points for implementing a centralized patient care programme. However, there is no clarity regarding its effectiveness in real-life conditions. To collect the evidence systematically and exhaustively that meets the search and eligibility criteria for effectiveness of centralized care programmes in the population diagnosed with PsO and PsA. A systematic review of the literature was carried out over 5 years using the electronic bases Medline, PubMed, Cochrane, Virtual Health Library, and Embase of models focused on disease care or clinics of excellence versus programmes of conventional care. A total of 8902 articles were identified, of which 16 studies were selected and grouped into 3 domains: multidisciplinary care, telemedicine, and training by health professional, and patient self-management, determining the programmes’ effectiveness through scales such as PASI, DAPSA, DAS28, EQ-5D-5L, DLQI, SF36, and MMAS-8, as well as adherence to medication, satisfaction levels, improvement perception, comorbidities assessment, and early diagnosis of joint involvement. The clinical evidence that supports the effectiveness of centralized patient care programme strategies is scarce. However, the information collected demonstrates the efficacy of these interventions using activity and quality of life outcomes, demonstrating the importance of their use and implementation in PsO and PsA care. La psoriasis (PsO) y la artritis psoriásica (APs) son condiciones reumáticas incurables, crónicas, con un impacto importante en la calidad de vida de las personas. En la literatura se encuentran consensos que determinan los puntos preliminares de la implementación de programas centralizados de atención de los pacientes, sin embargo, no existe claridad con respecto a su efectividad en condiciones de vida real. Reunir de forma sistemática y exhaustiva evidencia publicada que cumpla los criterios de búsqueda y elegibilidad de la efectividad de programas de atención centralizados en la población con diagnóstico de PsO y APs. Se realizó una revisión sistemática de la literatura en un periodo de 5 años, utilizando las bases electrónicas Medline, PubMed, Cochrane, Biblioteca Virtual de la Salud y EMBASE, con el propósito de encontrar modelos centrados en la atención de enfermedades o clínicas de e