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Baseline patient‐reported outcomes from UNITE : an observational, international, multicentre registry to evaluate hidradenitis suppurativa in clinical practice
Author(s) -
Kimball A.B.,
Crowley J.J.,
Papp K.,
Calimlim B.,
Duan Y.,
Fleischer A.B.,
Sobell J.
Publication year - 2020
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1111/jdv.16132
Subject(s) - medicine , hidradenitis suppurativa , observational study , quality of life (healthcare) , depression (economics) , anxiety , dermatology life quality index , young adult , disease , psychiatry , nursing , economics , macroeconomics
Abstract Background Hidradenitis suppurativa ( HS ) is a chronic, inflammatory, skin condition associated with many comorbidities and often has a substantial impact on patients’ lives. Objectives To evaluate symptom burden and health‐related quality of life ( HRQ oL) at baseline in patients with HS in an observational, real‐world, clinical setting using several tools including a validated HS ‐specific instrument. Methods This study evaluated HRQ oL data from the international UNITE HS disease registry. Administration of patient‐reported outcome ( PRO ) instruments and collection of data were executed per local regulations. All data were assessed using descriptive statistical methods. Results PRO data from 529 adults and 65 adolescents were evaluated. Most adults (64.5%) and adolescents (73.8%) were classified as Hurley Stage II with substantial disease burden at baseline. HS had a large effect (mean DLQI = 12.6) and moderate effect (mean CDLQI = 6.9) on the lives of adults and adolescents, respectively. Approximately 58% of adults and 41% of adolescents had anxiety scores beyond the normal range; 30% of adults and 16% of adolescents exhibited symptoms of depression. Based on HSSA and HSIA scores, approximately 30% of adults reported a substantial burden of multiple HS clinical symptoms and more than 45% reported a significant emotional impact of HS that adversely affected their intimate relationships. Only 60% of adults were employed and of those, 64% reported at least some degree of impairment while working because of HS . Conclusions Based on PRO s collected from patients enrolled in the UNITE registry, a real‐world, clinical setting, HS has a significant negative impact on the everyday lives of patients affected by this disease.