Psoriasis guidelines sessions improve clinical outcome; reduce practice gaps

Translating Evidence into Practice: Psoriasis Guidelines Symposium: March 5, 9 a.m. to noon

In January, a study published in JAAD revealed that case-based educational sessions facilitate implementation of clinical guidelines into daily practice. The study, “Translating psoriasis guidelines into practice: Important gaps revealed,” found that the sessions improved knowledge of guidelines in the vast majority of attendees. Member to Member recently discussed the study with the senior author, Alan Menter, MD.

Member to Member: Why did you decide to conduct the study?

alan_menter.jpgDr. Menter: The AAD’s guidelines on psoriasis are in the process of being updated. In advance of publication, we were interested in learning how our colleagues use the guidelines. How well do they remember guidelines after reading them, and how do they use them in clinical practice?

We know that there is a lack of adherence to evidence-based guidelines. Very few dermatologists adhere to the guidelines completely, so our objective was to learn how to improve awareness about guidelines, reduce practice gaps, and improve clinical outcomes. So, the Academy developed educational sessions on the published guidelines for psoriasis and psoriatic arthritis (PsA). We sought to determine the effectiveness of the sessions, titled "Translating Evidence into Practice," in improving patient care.

We administered surveys before and after the sessions to gauge participants’ knowledge of the guidelines. And then we followed up with another survey two-and-a-half years after the initial sessions.

"At the 2016 Academy Annual Meeting, we’re holding a symposium: Translating Evidence into Practice: Psoriasis Guidelines. It will consist of eight presentations, focusing on the various treatment approaches discussed in the guidelines of care and recent advances in systemic treatments for psoriasis and psoriatic arthritis."

Member to Member: What were the findings of the study?

Dr. Menter: From the surveys we learned that 92 percent of participants felt the sessions had improved their knowledge about the guidelines and their confidence in treating patients with psoriasis and PsA. More than 97 percent said that the sessions would have a positive impact on their practice, and 50 percent reported making changes in their practice based on the sessions.

The results show that educational sessions on clinical guidelines help dermatologist better assess and treat psoriasis and PsA. As a result, we’ll see a reduction of practice gaps and health care costs, and, most importantly, an improvement of patient clinical outcomes.

Member to Member: How can Academy members get involved in future sessions?

Dr. Menter: At the 2016 Academy Annual Meeting, we’re holding a symposium: Translating Evidence into Practice: Psoriasis Guidelines. It will consist of eight presentations, focusing on the various treatment approaches discussed in the guidelines of care and recent advances in systemic treatments for psoriasis and psoriatic arthritis. The session is on Saturday, March 5 from 9 a.m. until noon in Room 147A.

It will be a dynamic symposium featuring leading experts in psoriasis and PsA. I encourage my colleagues to attend the session. Your participation will not only benefit your clinical practice, but will give us valuable insights as we reshape the psoriasis guidelines this year.

Dr. Menter is chief of the division of dermatology at Baylor University Medical Center in Dallas. He is chair of the Academy’s new 2016 Clinical Guidelines Committee.