Seguimiento clínico y sociodemográfico de pacientes con psoriasis en una cohorte de población cautiva controlada en el Hospital Militar Central en Colombia.

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Title: Seguimiento clínico y sociodemográfico de pacientes con psoriasis en una cohorte de población cautiva controlada en el Hospital Militar Central en Colombia.
Alternate Title: CLINICAL AND SOCIODEMOGRAPHIC FOLLOW-UP OF PATIENTS WITH PSORIASIS IN A COHORT OF CONTROLLED CAPTIVE POPULATION AT THE CENTRAL MILITARY HOSPITAL IN COLOMBIA.
Authors: Castro-Gómez, Luis Antonio1,2, Rojas, Juan Pablo3, Morales, Constanza Neri4 conny2207@gmail.com, Amador-Patarroyo, Julio Roberto5,6
Source: Revista de la Asociación Colombiana de Dermatología y Cirugía Dermatológica. ene-mar2026, Vol. 34 Issue 1, p1-12. 12p.
Subjects: PSORIASIS, SOCIODEMOGRAPHIC factors, COMORBIDITY, TREATMENT effectiveness, MILITARY hospitals, PATIENT monitoring, SKIN inflammation
Geographic Terms: COLOMBIA
Abstract (English): Introduction: Psoriasis is a chronic inflammatory skin disease that significantly impacts patients' quality of life, making comprehensive and individualized management for these patients essential. In Colombia, the psoriasis clinic at the Central Military Hospital (HOMIL) is the national referral center for the Military Forces health system. Few studies exist on the clinical and sociodemographic characteristics of psoriasis in such cohorts. This study aims to characterize the clinical and sociodemographic profile of patients followed up at the psoriasis clinic of HOMIL. Materials and methods: A descriptive observational cross-sectional study of a retrospective cohort of 189 patients with psoriasis treated at HOMIL between 2007 and 2023. Data were obtained from clinical records. Univariate and bivariate analyses were performed using SPSS version 25. Results: A total of 189 patients were included, with a median age of 57.7 years, 57.7% were male; 58.2% were married; and 47.7% belonged to socioeconomic level 3. Treatment rates were topical (97.9%), non-biological systemic (28.6%), biological (24.9%), and phototherapy (13.7%). Mild PASI increased from 56% to 91%, while moderate to severe PASI decreased from 44% to 9%. Overall, 90.9% had mild PASI, and 88.2% had a DLQI <5. The most common phenotype was psoriasis vulgaris (95.8%). Cardiovascular comorbidities were present in 35.4%, metabolic comorbidities in 34.9%, and psoriatic arthritis in 31.2%. Conclusions: Knowing the characteristics of psoriasis patients is essential for their management. The multidisciplinary approach and continuous training make the HOMIL psoriasis clinic a health care group with the appropriate conditions to become part of a center of excellence. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: la psoriasis es una enfermedad inflamatoria crónica de la piel que afecta la calidad de vida y requiere un manejo integral e individualizado. En Colombia, la Clínica de Psoriasis del Hospital Militar Central (HOMIL) es el centro de remisión nacional para el sistema de salud de las Fuerzas Militares. Existen pocos estudios sobre las características clínicas y sociodemográficas de la psoriasis en este tipo de cohortes. Este estudio tiene como objetivo caracterizar clínica y sociodemográficamente a los pacientes en seguimiento en la Clínica de Psoriasis del HOMIL. Materiales y métodos: estudio observacional descriptivo, corte transversal, de una cohorte retrospectiva de 189 pacientes con psoriasis atendidos en el HOMIL entre 2007 y 2023. Los datos se obtuvieron de la historia clínica. Se utilizaron análisis univariado y bivariado en SPSS 25. Resultados: se incluyeron 189 pacientes, mediana de edad 57,7 años, 57,7% hombres; 58,2% casados; 47,7% en estrato 3. Los porcentajes de tratamiento fueron tópico (97,9%), sistémico no biológico (28,6%), biológico (24,9%) y fototerapia (13,7%). El PASI leve pasó del 56% al 91%, mientras que el moderado a severo disminuyó del 44% al 9%. El 90,9% presentó PASI leve y 88,2% tenía DLQI <5. La psoriasis vulgar fue el fenotipo más común (95,8%). El 35,4% tenía comorbilidades cardiovasculares, 34,9% metabólicas y 31,2% artritis psoriásica. Conclusiones: conocer las características de los pacientes con psoriasis es esencial para su manejo. El enfoque multidisciplinario y la capacitación continua hacen de la Clínica de Psoriasis del HOMIL un grupo de atención en salud con las condiciones adecuadas para convertirse en parte de un centro de excelencia. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
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Abstract:Introduction: Psoriasis is a chronic inflammatory skin disease that significantly impacts patients' quality of life, making comprehensive and individualized management for these patients essential. In Colombia, the psoriasis clinic at the Central Military Hospital (HOMIL) is the national referral center for the Military Forces health system. Few studies exist on the clinical and sociodemographic characteristics of psoriasis in such cohorts. This study aims to characterize the clinical and sociodemographic profile of patients followed up at the psoriasis clinic of HOMIL. Materials and methods: A descriptive observational cross-sectional study of a retrospective cohort of 189 patients with psoriasis treated at HOMIL between 2007 and 2023. Data were obtained from clinical records. Univariate and bivariate analyses were performed using SPSS version 25. Results: A total of 189 patients were included, with a median age of 57.7 years, 57.7% were male; 58.2% were married; and 47.7% belonged to socioeconomic level 3. Treatment rates were topical (97.9%), non-biological systemic (28.6%), biological (24.9%), and phototherapy (13.7%). Mild PASI increased from 56% to 91%, while moderate to severe PASI decreased from 44% to 9%. Overall, 90.9% had mild PASI, and 88.2% had a DLQI <5. The most common phenotype was psoriasis vulgaris (95.8%). Cardiovascular comorbidities were present in 35.4%, metabolic comorbidities in 34.9%, and psoriatic arthritis in 31.2%. Conclusions: Knowing the characteristics of psoriasis patients is essential for their management. The multidisciplinary approach and continuous training make the HOMIL psoriasis clinic a health care group with the appropriate conditions to become part of a center of excellence. [ABSTRACT FROM AUTHOR]
ISSN:16570448
DOI:10.29176/2590843X.2037