Treatment of pyoderma gangrenosum: A multicenter survey‐based study assessing satisfaction and quality of life
- 4 January 2021
- journal article
- research article
- Published by Hindawi Limited in Dermatologic Therapy
- Vol. 34 (2), e14736
- https://doi.org/10.1111/dth.14736
Abstract
Pyoderma gangrenosum (PG) lacks consensus regarding treatment, and no prior studies assess treatment satisfaction in PG. The objective of this study was to determine patient‐reported satisfaction in the treatment of PG, and associations with satisfaction. Methodology was a multicenter cross‐sectional survey for patients who received systemic medication(s) to treat PG. Thirty‐five patients completed the survey (mean age: 54.0 years, 65.7% female, response rate: 81.4%). Mean (± SD) SATMED‐Q score was 75.0 (±16.2, range: 67.6‐85.3). Older patients (72.6 ± 23.6 for 18‐39 years, 74.4 ± 16.1 for 40‐59, 77.1 ± 11.6 for 60+), plus those with higher incomes (72.9 ± 20.3 for $0‐49 000; 74.0 ± 17.6 for $50 000‐99 000; 79.0 ± 14.6 for $100 000+) and education status (69.4 ± 14.3 for high school equivalent, 72.9 ± 15.9 for undergraduate, 91.7 ± 10.6 for graduate), were more satisfied with treatment. Ulcerative PG had higher SATMED‐Q scores (79.0 ± 13.2) than other subtypes (66.2 ± 19.3). For local therapy, wound care, or pain control, 63.2%, 100%, and 75% were satisfied, respectively. The mean DLQI was 8.6 (±7.6, range: 0‐29), and higher DLQI was associated with decreased satisfaction. Satisfaction with providers was positively correlated with global satisfaction (Pearson's r = 0.638). The presence of pain and/or depression influenced both SATMED‐Q (72.8 ± 18.8 with pain, 78.3 ± 11.2 without; 68.2 ± 18.8 with depression, 80.1 ± 12.2 without) and DLQI scores (12.1 ± 8.1 with pain, 3.9 ± 3.4 without; 10.3 ± 7.1 with depression, 7.4 ± 8.0 without). To optimize the patient experience, non‐modifiable associations should be individually considered, and potentially modifiable associations such as satisfaction with specific providers, pain, and depression, may be targeted for management.Keywords
This publication has 13 references indexed in Scilit:
- Patient-Centered Care in Dermatologic SurgeryDermatologic Clinics, 2019
- Pyoderma gangrenosum and its impact on quality of life: a multicentre, prospective studyBritish Journal of Dermatology, 2018
- Pyoderma Gangrenosum: What Do We Know Now?Current Dermatology Reports, 2018
- Patient-centeredness and its impact on patient satisfaction and treatment outcomes in medical rehabilitationPatient Education and Counseling, 2016
- Pain and pain management in dermatologyJDDG: Journal der Deutschen Dermatologischen Gesellschaft, 2015
- Pyoderma gangrenosum: a retrospective review of patient characteristics, comorbidities and therapy in 103 patientsBritish Journal of Dermatology, 2011
- Quality of life and satisfaction of patients with leg ulcers - results of a community-based studyVasa, 2011
- Doctor-patient relations in dermatology: obligations and rights for a mutual satisfactionJournal of the European Academy of Dermatology and Venereology, 2009
- Development and Validation of the “Treatment Satisfaction with Medicines Questionnaire” (SATMED-Q)©Value in Health, 2008
- Dermatology Life Quality Index (DLQI)-a simple practical measure for routine clinical useClinical and Experimental Dermatology, 1994