Inpatient hospital care for psoriasis: A vanishing practice in the United States

Journal Article

Background: Inpatient hospital care was a traditional approach to treat severe psoriasis. Since 1980, only modest innovations in psoriasis therapy have been introduced, but regulation and financing of inpatient hospital care have changed greatly. Objective: We documented changes in the use of inpatient care in acute care hospitals for psoriasis in a cohort of individuals with severe psoriasis and nationally. Methods: Using interviews, we quantified hospitalizations for psoriasis and other reasons among the PUVA Follow-up Study cohort. We used National Hospital Discharge Survey data to determine national trends in hospitalization rates. Results: In 2 decades, national rates of hospitalization primarily for psoriasis decreased more than 80%. Among our cohort of persons with severe psoriasis, the age-adjusted rate of hospital days for psoriasis decreased more than 60% during this period. Conclusion: Currently, hospitalization in acute care hospitals is seldom used to care for persons with psoriasis.

Full Text

Duke Authors

Cited Authors

  • Stern, RS; Bauer, E; Epstein, JH; Koo, J; Wolf, J; Niagra, TP; Anderson, TF; Prystowsky, J; McEvoy, M; Taylor, JR; Zaias, N; Urbach, F; Stern, R; Baughman, RD; Braverman, IM; Murray, J; Werth, V; Parrish, J; Sober, A

Published Date

  • 2003

Published In

  • Journal of the American Academy of Dermatology

Volume / Issue

  • 49 / 3

Start / End Page

  • 445 - 450

PubMed ID

  • 12963908

Digital Object Identifier (DOI)

  • 10.1067/S0190-9622(03)00858-2