A multidisciplinary approach in psoriatic disease: the different models of Dermatology-Rheumatology collaborations in Portugal

P. Mendes-Bastos, P. Nero, P. Ferreira, A. Bernardo, A. Barcelos, F. M.Pimentel dos Santos, J. Sousa, M. M. Loureiro, S. Magina, M. Alpalhão, J. Antunes, E. Vieira-Sousa

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Psoriatic disease (psoriasis and psoriatic arthritis, PsD) is a condition that affects the skin, the musculoskeletal system, and beyond, impairing patients' quality of life. A multidisciplinary approach of combined dermatology– rheumatology clinics is recommended and valuable to respond to PsD diagnosis, management, and treatment challenges. In Portugal, five Hospitals have implemented a multidisciplinary clinic for PsD assessment. This report aims to describe how these multidisciplinary clinics were developed, their characteristics, and the main obstacles to their implementation. Although the different hospitals adopted distinct functional models, a consensus respecting the minimal core set assessment for PsD in Multidisciplinary Dermatology/ Rheumatology Clinics should comprise all disease domains and, if possible, quality of life. The main objective of these clinics is to achieve remission/ minimal disease activity. Limitations to these multidisciplinary approaches are discussed, namely financial, time management, and human resources obstacles that can be a handicap in their implementation, despite the benefits of PsD integrated care.

Original languageEnglish
Pages (from-to)333-341
Number of pages9
JournalActa Reumatológica Portuguesa
Volume46
Issue number4
Publication statusPublished - 2021

Keywords

  • Dermatology
  • Management
  • Multidisciplinary
  • Portugal
  • Psoriatic disease
  • Rheumatology

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