BACKGROUND: COVID-19 poses significant challenges for care of patients with chronic inflammatory skin diseases including psoriasis .
OBJECTIVES: To investigate changes in treatment and/or appointments for psoriasis patients in a German university hospital due to the pandemic . MATERIALS &
METHODS: A postal survey was conducted between May 15 and June 15 , 2020 . Potential determinants of changes were analysed with descriptive statistics and multivariate logistic regression .
RESULTS: Out of 205 respondents , 19.5% missed an appointment and 9.8% changed therapy due to the pandemic . Treatment alterations were encouraged by patients (50 %) and physicians (40 %), whereas cancellations of appointments mostly occurred on patients' request (70 %). Several patient-related key drivers of changes, including sociodemographic, disease- and health-related characteristics were identified . Changes in treatment and appointments were associated with higher psoriasis severity scores and more frequent disease aggravations .
CONCLUSION: It is particularly crucial to tailor psoriasis care to individual needs in order to protect the physical and mental well-being of patients during the pandemic.