+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Psoriasis treatment in the United States at the end of the 20th century



Psoriasis treatment in the United States at the end of the 20th century



International Journal of Dermatology 45(4): 370-374



Psoriasis presents many management complexities. A cornerstone of therapy has been topical corticosteroids, although over the past 10 years there have been many additions to the medication armamentarium. Furthermore, various combination regimens and approaches have been advocated. We sought to characterize various patterns of psoriasis health care delivery and the changes associated with these patterns from 1990 to 2001. Visits for psoriasis were identified using National Ambulatory Medical Care survey data, a representative survey of visits to physician offices in the United States. We determined basic demographic characteristics, specialty of the physician provider and medications listed at these visits over the 1990-2001 interval. There were more than 13.5 million visits for psoriasis during the 12-year study period. Dermatologists were responsible for the majority of the visits over the study interval (82%) although there was an overall decline in the proportion of psoriasis visits to dermatologists. As a category, the most common medications used for psoriasis were topical steroids. Topical calcipotriene was the single-most listed medication. There was no observed use of non-corticosteroid topical agents at visits to non-dermatologists. Non-dermatologists were as likely as dermatologists to list a systemic medication at a visit as well as use a systemic as monotherapy. In conclusion, the primary topical therapies for psoriasis remain clobetasol and calcipotriene. The decreasing role of dermatologists in the treatment of psoriasis is probably a complex issue, but may relate in part to the difficulty of obtaining access to dermatology care.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 050061439

Download citation: RISBibTeXText

PMID: 16650160

DOI: 10.1111/j.1365-4632.2006.02532.x


Related references

Significant floods in the United States during the 20th century. 2000

Decommodification and Homicide Rates in the 20th-Century United States. Homicide Studies 6(1): 6-38, 2002

The 20th century cooling trend over the southeastern United States. Climate Dynamics 40(1-2): 341-352, 2013

The scientific advance of gastroenterology in the United States during the 20th century. Journal of Clinical Gastroenterology 31(1): 3-5, 2000

Trends in 20th century drought over the continental United States. Geophysical Research Letters 33(10), 2006

The climate velocity of the contiguous United States during the 20th century. Global Change Biology 19(1): 241-251, 2013

Magnitudes, patterns, and causes of 20th century floods in the United States. Abstracts with Programs - Geological Society of America 32(7): 508, 2000

The longevity gap between Black and White men in the United States at the beginning and end of the 20th century. American Journal of Public Health 100(2): 357-363, 2010

Universal coverage in the United States: lessons from experience of the 20th century. Journal of Urban Health 78(1): 46-58, 2001

Epidemiologic characteristics of the United States elderly population in the 20th century. European Journal of Epidemiology 2(1): 15-25, 1986

Radiation oncology: contributions of the United States in the last years of the 20th century. Radiology 219(1): 1-5, 2001

The new circumstances of the medical profession in the United States at the beginning of the 20th century. Cuadernos Complutenses de Historia de la Medicina Y de la Ciencia 1: 187-202, 1993

What is marine biology?: Defining a science in the United States in the mid 20th century. History and Philosophy of the Life Sciences 29(4): 469-493, 2007

Soil conservation in Russia and the United States: Parallels of the 20th century. Pochvovedenie (5): 609-622, 2001

Trends in infectious disease mortality in the United States during the 20th century. JAMA 281(1): 61-66, 1999