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Dermatology and Therapy

, Volume 3, Issue 2, pp 169–177

First Online: 13 December 2013Received: 05 November 2013


IntroductionPsoriasis is a chronic disease, which contributes to the economic burden on health care. The distribution of psoriasis medication costs and the quality of life in these patients has been estimated to be around 20% of total costs.

ObjectivesTo estimate the economic distribution of medications and the impact of multiple treatment options on a patient’s quality of life.

Materials and methodsThe study was based on 236 Finnish psoriasis patients. The Finnish Social Insurance Institution had databases for all psoriasis related medications purchased. Each purchase, during the 1-year study period 1 October 2009–30 September 2010, was recorded and analyzed. The dermatological quality-of-life index was collected from the medical records.

ResultsTotal medication costs were €1,083 per year per patient. Topical treatments were the most often purchased medication and they comprised 18% of the total medication costs. Ten percent of the patients needed 3 or more medication changes during the 1-year study period. Biologics were used only by 5% of patients, but they produced 67% of total medication costs. Patients needing various treatments had higher medication costs and a poorer quality of life.

ConclusionA small number of patients generated a great sum of medication costs partly due to the need to change medications. These patients had the worst quality-of-life index scores. Biologics formed a major cost component.

KeywordsBiologics Cost Dermatology Dermatology Life Quality Index Pharmacotherapy Psoriasis Electronic supplementary materialThe online version of this article doi:10.1007-s13555-013-0040-z contains supplementary material, which is available to authorized users.

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Autor: Anssi Mustonen - Kalle Mattila - Mauri Leino - Leena Koulu - Risto Tuominen


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