Evaluation of the effect of a dermatology-oriented spa therapy at 4.5 months on the quality of life of patients suffering from psoriasis
BAREGES is a: prospective, before/after, cohort follow-up study with repeated measurements monocentric study with the dispensation of a 3-week dermatolgy-oriented spa therapy in Barèges
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
70
Thermal treatments among the following: Filiform shower, simple bath, aerated bath, general shower, compresses, nebulization inhalation, multiple local mud applications, and drinking cure.
Centre Hospitalier Victor Dupouy
Argenteuil, France
RECRUITINGCabinet Luz Saint Sauveur
Pierrefitte-Nestalas, France
RECRUITINGTo evaluate the effect of a complete thermal treatment (moderate impact) for a dermatological indication on the quality of life of patients with psoriasis
Percentage of patients with a score ≤ 10 (moderate impact) on the Dermatology Life Quality Index (DLQI) questionnaire at 4.5 months.The DLQI score is between 0 and 30 where a high score indicates a significant impairment of quality of life.
Time frame: 4.5 months
To evaluate the effect of a complete thermal treatment (low impact) for a dermatological indication on the quality of life of patients with psoriasis at 4.5 months, taking into account all the care provided
Percentage of patients with a score ≤ 5 (low impact) on the Dermatology Life Quality Index (DLQI) questionnaire at 4.5 months. The DLQI score is between 0 and 30 where a high score indicates a significant impairment of quality of life.
Time frame: 4.5 months
To evaluate dermatology-specific quality of life (quantitative DLQI score)
Comparison of the mean scores of the dermatology-specific quality of life questionnaire (DLQI) at inclusion (pre-thermal treatment), at 4.5 months (post-thermal treatment), and at 9 months after inclusion.The DLQI score is between 0 and 30 where a high score indicates a significant impairment of quality of life.
Time frame: 4.5 and 9 months
To evaluate overall quality of life using the EQ-5D-5L questionnaire.
Change in overall quality of life (EQ-5D-5L questionnaire) between inclusion, 4.5 months, and 9 months after inclusion. The EQ5D-5L essentially consists of the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). There are five dimensions assessed in the descriptive system: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. A higher score means better outcome. The EQ VAS records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement. Score from 0 to 100. A higher score means better outcome.
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Time frame: 4.5 and 9 months
To evaluate the clinical improvement of psoriasis in the short and medium term.
The PASI (Psoriasis Area and Severity Index) is a scale used to assess the clinical severity of psoriasis. The PASI will be measured at inclusion, 4.5 months, and 9 months. The minimum PASI score is 0, indicating no lesions. The maximum PASI score is 72, representing maximum involvement of all body areas with the highest severity.
Time frame: 4.5 and 9 months
To evaluate pain and pruritus.
A self-questionnaire (Visual Analog Scale) will be presented to the patients to measure pain and pruritus associated with skin lesions at inclusion, 4.5 months, and 9 months. These two results will be analyzed quantitatively. The minimum score is 0, indicating no pain or pruritus, while the maximum score is 10, representing the worst imaginable pain or intolerable pruritus.
Time frame: 4.5 and 9 months
Physician/Patient perception : The physician's and patient's opinion will be requested to assess the perceived benefit of the treatment.
This evaluation will be conducted at the investigator's office 4.5 months and 9 months after inclusion using a 5-point Likert scale.
Time frame: 4.5 and 9 months
Medication consumption
Collection of medication consumption to evaluate the benefit of the spa therapy (comparison of consumption before and after treatment)
Time frame: 4.5 and 9 months
Evolution of the general clinical criteria : Body Mass Index (BMI)
Comparison of the Body Mass Index between enrolment, and 4.5 months and 9 months after enrolment
Time frame: 4.5 and 9 months
Evolution of the general clinical criteria : systolic blood pressure
Comparison of the systolic blood pressure between enrolment, and 4.5 months and 9 months after enrolment
Time frame: 4.5 and 9 months
Evolution of the general clinical criteria : diastolic blood pressure
Comparison of the diastolic blood pressure between enrolment, and 4.5 months and 9 months after enrolment
Time frame: 4.5 and 9 months
Evolution of the general clinical criteria : heart rate
Comparison of the heart rate between enrolment, and 4.5 months and 9 months after enrolment
Time frame: 4.5 and 9 months
Evaluation of the use of care related or not to psoriasis at 4.5 and 9 months
Collection of medical events related or not to psoriasis (number of SAE, number of hospitalizations, number of medical and paramedical procedures)
Time frame: 4.5 and 9 months
Evaluation of compliance with the spa therapy
Comparison of the thermal treatments received by the patient during the spa therapy with the thermal treatments prescribed by the thermal doctor at the start of the spa therapy, collected in the spa treatment booklet
Time frame: 3 weeks