Adherencia al tratamiento tópico en pacientes con psoriasis en España: resultados de una encuesta nacional

Q4 Medicine

Piel Pub Date : 2026-10-01 Epub Date: 2026-08-06 DOI:10.1016/j.piel.2026.06.004

Miquel Ribera Pibernat, Santiago Alfonso Zamora, Maria del Mar Ballester Torrens, Sandra Ros Abarca, Francisca Moreno Fernández, Elena Violeta Iborra

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引用次数: 0

Abstract

Introduction

Adherence to topical treatment for psoriasis is a key determinant of therapeutic effectiveness in real-world clinical practice. However, it is often suboptimal and influenced by multiple patient- and treatment-related factors. The aim of this study was to analyze adherence, perceptions, and needs associated with topical treatment in patients with psoriasis in Spain.

Material and method

An observational, descriptive, cross-sectional study was conducted based on a survey of adult patients living in Spain (n = 963). Information was collected on treatment habits and adherence, evaluation of topical treatment, and disease monitoring. Adherence was assessed using two variables: compliance with medical instructions and frequency of missed applications. A comparative analysis of adherence was performed according to age, perceived improvement, number of topical treatments used, receipt of specific information, and fear of corticosteroid use.

Results

A total of 73.9% of patients reported applying topical treatment for psoriasis according to medical instructions, and 53.9% stated they never or almost never forgot to apply it. Additionally, 43.5% acknowledged discontinuing treatment when they felt well. Clinical improvement since treatment initiation was reported by 46.0% of participants. Dissatisfaction with treatment outcomes and certain cosmetic characteristics were the most common barriers to adherence. Furthermore, 52.3% of respondents expressed fear of topical corticosteroids, and 74.9% had not participated in choosing the treatment texture. Adherence was higher among patients over 60 years of age, those who perceived improvement with topical treatment, and those who had received specific information about its application.

Conclusions

Adherence to topical treatment for psoriasis remains a significant clinical challenge. There are discrepancies between self-perceived adherence and certain patterns of use. Strengthening communication between healthcare professionals and patients, improving therapeutic education, and promoting shared decision-making may help optimize adherence and, consequently, improve clinical outcomes.

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西班牙银屑病患者对局部治疗的依从性：全国调查结果

在现实世界的临床实践中，坚持局部治疗牛皮癣是治疗效果的关键决定因素。然而，它往往是次优的，并受到多种患者和治疗相关因素的影响。本研究的目的是分析西班牙银屑病患者与局部治疗相关的依从性、认知和需求。材料和方法对居住在西班牙的成年患者进行了一项观察性、描述性、横断面研究（n = 963）。收集有关治疗习惯和依从性、局部治疗评估和疾病监测的信息。依从性评估使用两个变量：遵守医疗指示和错过应用的频率。根据年龄、感知改善、使用局部治疗次数、接受特定信息和对使用皮质类固醇的恐惧进行依从性比较分析。结果73.9%的患者按照医嘱使用了银屑病局部治疗，53.9%的患者从未或几乎从未忘记使用过。此外，43.5%的人承认在感觉良好时停止治疗。自治疗开始以来，46.0%的参与者报告了临床改善。对治疗结果的不满意和某些美容特征是坚持治疗的最常见障碍。此外，52.3%的受访者表示害怕外用皮质类固醇，74.9%的受访者没有参与选择治疗质地。在60岁以上 岁的患者中，那些认为局部治疗有改善的患者，以及那些接受了有关其应用的具体信息的患者中，依从性更高。结论银屑病局部治疗的依从性仍然是一个重大的临床挑战。自我认知的依从性与某些使用模式之间存在差异。加强医疗保健专业人员和患者之间的沟通，改善治疗教育，促进共同决策，可能有助于优化依从性，从而改善临床结果。

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

Piel Medicine-Dermatology

CiteScore

0.10

自引率

0.00%

发文量

179

审稿时长

47 days

期刊介绍： La mejor revista para incrementar eficazmente sus habilidades diagnósticas y clínicas en dermatología, por la alta calidad de sus imágenes e iconografías, por el prestigio de sus colaboradores y por la actualidad de sus temas. Una publicación de máxima utilidad práctica para Especialistas y Profesionales de Atención Primaria.