Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Shared Decision Making in Psoriasis Evaluated

Am J Clin Dermatol; ePub 2018 Oct 15; Larsen, et al

There appears to be a need to strengthen the relationship between medical doctors and patients with psoriasis, according to a recent study. The evident lack of knowledge about each other’s competence and the lack of self-efficacy for both patients and providers challenges the basic principles of shared decision making. Researchers searched 6 electronic databases up to January 2018. A total of 23 studies were included in the review. Of these, they included 18 studies (19 papers) to describe what was illuminated with regard to shared decision making in psoriasis research. 4 major themes emerged:

  1. interpersonal communication,
  2. exchange of competence and knowledge,
  3. different world view, and
  4. involvement and preference, organized under 2 analytical themes; “Co-creation of decisions” and “Organization of treatment and treatment needs.”

Larsen MH, Hagen KB, Krogstad AL, Klopstad Wahl A. Shared decision making in psoriasis: A systematic review of quantitative and qualitative studies. [Published online ahead of print October 15, 2018]. Am J Clin Dermatol. doi:10.1007/s40257-018-0390-5.