TY - JOUR T1 - Multidisciplinary Psoriasis and Psoriactic Arthritis Unit: Report of 4 years’ Experience JO - Actas Dermo-Sifiliográficas T2 - AU - Luelmo,J. AU - Gratacos,J. AU - Moreno Martínez-Losa,M. AU - Ribera,M. AU - Romaní,J. AU - Calvet,J. AU - Leal,L. AU - Larrosa,M. SN - 15782190 M3 - 10.1016/j.adengl.2013.10.010 DO - 10.1016/j.adengl.2013.10.010 UR - https://www.actasdermo.org/es-multidisciplinary-psoriasis-psoriactic-arthritis-unit-articulo-S157821901400081X AB - Introduction and objectivesUp to 30% of patients with psoriasis develop joint disease, the course of which can be improved by early diagnosis and treatment. The aim of this study was to describe our experience with a new multidisciplinary psoriasis and psoriatic arthritis unit over a period of 4 years (2009-2012). Material and methodsImplementation of a PSOriasis Rheumatology and Dermatology unit (PSORD) to provide patient care and physician training. In the first phase of the project, referral criteria for the unit were defined and several meetings were organized to train and prepare the specialists involved in the program. In the second phase, a schedule was drawn up for monthly patient visits with the PSORD team. Starting in 2011, training was offered to dermatologists and rheumatologists from other hospitals interested in implementing a similar model. ResultsA total of 259 visits (71% first visits, 8% no-shows) were scheduled during the period analyzed, with a median of 8 visits (range, 2-14 visits) per session. Sixty-three percent of the patients were referred from the rheumatology department. Diagnosis and treatment were modified in 32% and 47% of cases, respectively. Three training courses were held with 15 physicians from 6 hospitals, 3 of which created similar units. ConclusionsThe PSORD model improved the management of difficult-to-diagnose and/or uncontrolled disease, the early diagnosis and treatment of psoriatic arthritis, and collaboration between dermatologists and rheumatologists. Finally, the model lends itself to being exported to other settings. ER -