ARP Rheumatology
ARP Rheumatology
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Article

ARP Rheumatology
Clinical practice, rules or action protocols

A multidisciplinary approach in psoriatic disease: the different models of dermatology-rheumatology collaborations in Portugal

Authors

Mendes-Bastos P, Nero P, Ferreira P, Bernardo A, Barcelos A, Santos FPd, Sousa J, Loureiro MM, Magina S, Alpalhão M, Antunes J, Vieira-Sousa E

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 manifestations 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.

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Publication:

2021-06-20

Pubmed:

Cite:

Pedro Mendes-Bastos, Patrícia Nero, Paulo Ferreira, Alexandra Bernardo, Anabela Barcelos, Fernando Pimentel dos Santos, João Sousa, Maria Manuela Loureiro, Sofia Magina, Miguel Alpalhão, Joana Antunes, Elsa Vieira-Sousa. A multidisciplinary approach in psoriatic disease: the different models of dermatology-rheumatology collaborations in Portugal. ARP, Vol 46, nº4 2021:333-341. PMID: 34962248
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