Improving Cardiovascular Outcomes in the Psoriasis Cohort. Psoriasis and Cardiovascular Disease–Patient Knowledge, Perspectives and Practice

IF 1.8 4区医学 Q2 DERMATOLOGY

Australasian Journal of Dermatology Pub Date : 2025-06-02 DOI:10.1111/ajd.14528

Annika Smith, Belinda Lai, Clara K. Chow, Sarah Zaman

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引用次数: 0

Abstract

Background and Study Aims

Patient perspectives on psoriasis as a systemic disease, with its heightened risk of cardiovascular disease (CVD), are unclear. Approaches to cardiovascular risk factor screening and management vary in this cohort. This study aimed to ascertain knowledge, practice and perceptions of patients with respect to psoriasis and CVD, CV risk factor screening and management.

Methods

This cross-sectional study consisted of a self-administered questionnaire capturing demographic characteristics, knowledge of the association between psoriasis and CVD, and perspectives on cardiovascular risk factor screening and management. This was distributed to psoriasis patients in public and private clinic settings. The survey data was assessed with the use of descriptive statistics.

Results

A total of 102 patients with psoriasis were surveyed. The majority of respondents were male 52%, (53/102), 46–60 years old 30.4% (31/102), with longstanding psoriasis (> 20 years), 42.2.% (43/102). Most patients nominated a dermatologist in a public hospital setting as the primary clinician responsible for their psoriasis management 71.6% (73/102). A total of 20.6% (21/102) psoriasis patients surveyed indicated knowledge of the association between CVD and psoriasis, and 22.5% (23/102) agreed that psoriasis was associated with worse CVD outcomes compared to the general population. 63.7% (65/102) indicated they had undergone CV risk factor screening in the last year, with most nominating general practitioners (GPs) 38.4% (38/99), followed by cardiologists 14.1% (14/99), then dermatologists 9.1% (9/99), as the clinician who performed this CV RF screening. A total of 68.6% (70/102) responded they did not currently have a treating cardiologist, while 34.3% (35/102) nominated a Cardiologist as their preferred clinician to facilitate CVD risk factor screening/management, 23.5% (24/102) indicated a preference for a multidisciplinary team, 17.6% (18/102) nominated GPs and 6.9% (7/102) nominated the dermatologist.

Conclusion

There is a need for improved patient education regarding the relationship between psoriasis and CVD. Heightened awareness around cardiovascular risk may serve as an impetus for patients to seek relevant cardiovascular risk factor screening, management and pursue healthy lifestyle behaviours.

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改善银屑病队列的心血管结局。银屑病和心血管疾病——患者的知识、观点和实践。

背景和研究目的：目前尚不清楚患者对牛皮癣作为一种全身性疾病的看法，并伴有心血管疾病（CVD）的高风险。在这个队列中，心血管危险因素筛查和管理的方法各不相同。本研究旨在了解患者对牛皮癣和CVD、CV危险因素筛查和管理的认识、实践和看法。方法：本横断面研究包括一份自我管理的调查问卷，包括人口统计学特征、牛皮癣与CVD之间关系的知识，以及心血管危险因素筛查和管理的观点。这是分发给牛皮癣患者在公共和私人诊所设置。使用描述性统计对调查数据进行评估。结果：共调查102例银屑病患者。调查对象中男性占52%(53/102)，46-60岁占30.4%(31/102)，长期牛皮癣（bb0 - 20岁）占42.2。%(43/102)。71.6%（73/102）的患者指定公立医院皮肤科医生作为其银屑病治疗的主要临床医生。接受调查的20.6%（21/102）银屑病患者表示了解CVD与银屑病之间的关系，22.5%（23/102）的银屑病患者认为与普通人群相比，银屑病与更差的CVD结果相关。63.7%（65/102）的人表示他们在去年接受了CV危险因素筛查，其中大多数人提名全科医生（gp） 38.4%(38/99)，其次是心脏病医生14.1%(14/99)，然后是皮肤科医生9.1%（9/99）作为进行CV RF筛查的临床医生。共有68.6%（70/102）的受访者表示他们目前没有治疗心脏病的医生，而34.3%（35/102）的受访者表示他们首选心脏病专家作为促进心血管疾病危险因素筛查/管理的临床医生，23.5%（24/102）的受访者表示他们更喜欢多学科团队，17.6%（18/102）的受访者提名全科医生，6.9%（7/102）的受访者提名皮肤科医生。结论：有必要加强对银屑病与心血管疾病关系的教育。提高对心血管风险的认识可能会促使患者寻求相关的心血管风险因素筛查、管理和追求健康的生活方式行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Journal of Dermatology 医学-皮肤病学

CiteScore

3.20

自引率

5.00%

发文量

186

审稿时长

6-12 weeks

期刊介绍： Australasian Journal of Dermatology is the official journal of the Australasian College of Dermatologists and the New Zealand Dermatological Society, publishing peer-reviewed, original research articles, reviews and case reports dealing with all aspects of clinical practice and research in dermatology. Clinical presentations, medical and physical therapies and investigations, including dermatopathology and mycology, are covered. Short articles may be published under the headings ‘Signs, Syndromes and Diagnoses’, ‘Dermatopathology Presentation’, ‘Vignettes in Contact Dermatology’, ‘Surgery Corner’ or ‘Letters to the Editor’.