Optimization of the diabetes screening questionnaire for patients with psoriasis

Background. Psoriasis is a common immune-mediated chronic inflammatory skin disease that affects 1-3% of the population. It is known that psoriasis is closely associated with comorbid diseases such as diabetes mellitus (DM), metabolic syndrome, arterial hypertension and myocardial infarction. To identify and establish patterns between risk factors and new cases of diseases, «Diabetes screening in patients with psoriasis» questionnaire was developed. Objective. Evaluation of the effectiveness of the developed questionnaire «Diabetes screening in patients with psoriasis» for early detection of diabetes in patients with psoriasis and the possibility of its application in practical healthcare as a tool for routing of patients. Methods. The study involved 410 patients with various forms of psoriasis. All patients were divided into two groups. The first group included patients with psoriasis without previously diagnosed carbohydrate metabolism disorders, and the second group included patients with psoriasis and previously diagnosed disorders of carbohydrate metabolism. All patients were asked to complete the «Diabetes screening in patients with psoriasis» questionnaire. Results. The study showed that patients with psoriasis occurring against the background of diabetes mellitus have a more severe course, which significantly reduces the quality of life and negatively affects the prognosis of diseases. Also, a developed model of organizing specialized care for patients with psoriasis and patients with psoriasis against the background of DM has been proposed for implementation in practical healthcare. Conclusion. The «Diabetes screening in patients with psoriasis» questionnaire allows early detection of possible carbohydrate metabolism disorders and, therefore, to prevent serious complications.

diabetes mellitus, psoriasis, comorbidity, diabetes screening questionnaire, metabolic syndrome, routing of patients, diabetes mellitus markers