Inpatient hospital care for psoriasis: A vanishing practice in the United States
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.
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
Journal of the American Academy of Dermatology
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