COVID-19 knowledge prevents biologics discontinuation: Data from an Italian multicenter survey during RED-ZONE declaration.


Journal

Dermatologic therapy
ISSN: 1529-8019
Titre abrégé: Dermatol Ther
Pays: United States
ID NLM: 9700070

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 15 04 2020
revised: 23 04 2020
accepted: 28 04 2020
pubmed: 18 5 2020
medline: 26 11 2020
entrez: 17 5 2020
Statut: ppublish

Résumé

SARS-CoV-2 become pandemics and there is still a dearth of data about its the potentially among dermatological patients under biologics. We aimed to assess health literacy, disease knowledge, treatment dissatisfaction and biologics attitudes toward COVID-19. We performed a cross-sectional, questionnaire-based survey on 98/105 consecutive dermatological patients treated with biologics-51 suffering from plaque psoriasis, 22 from atopic dermatitis, and 25 from hidradenitis suppurativa. An ad hoc, validated questionnaire has 44 items investigating the following domains: knowledge of COVID-19 related to (a) epidemiology, (b) pathogenesis, (c) clinical symptoms, (d) preventive measures, and (e) attitudes. Patients data and questionnaires were collected. Despite only 8.1% thought that biologics may increase the risk of COVID-19, 18.4% and 21.4% of the patients were evaluating the possibility to discontinue or modify the dosage of the current biologic therapy, respectively. Globally, male patients (P = .001) with higher scholarity level (P = .005) displayed higher knowledge of COVID-19. Patients with lower DLQI (P = .006), longer disease duration (P = .051) and lower scholarity (P = .007) have thought to discontinue/modify autonomously their biologic therapy. At the multivariate logistic regression, only the knowledge of epidemiology and preventive measures resulted independent predictors of continuation vs discontinuation and modification vs no modification, respectively. Dermatologists should promote COVID-19 knowledge to prevent biologics disruption.

Identifiants

pubmed: 32415727
doi: 10.1111/dth.13508
pmc: PMC7267153
doi:

Substances chimiques

Biological Products 0

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

e13508

Informations de copyright

© 2020 Wiley Periodicals LLC.

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Auteurs

Nicola Luigi Bragazzi (NL)

Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics and Statistics, York University, Toronto, Ontario, Canada.

Matteo Riccò (M)

Postgraduate School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.

Alessia Pacifico (A)

San Gallicano Dermatological Institute, IRCCS, Rome, Italy.

Piergiorgio Malagoli (P)

Dermatology Unit, Azienda Ospedaliera San Donato Milanese, Milan, Italy.

Khalaf Kridin (K)

Lűbeck Institute of Experimental Dermatology, University of Lűbeck, Lűbeck, Germany.

Paolo Pigatto (P)

Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.

Giovanni Damiani (G)

Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.

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