دورية أكاديمية
أعرض في EDS

Psoriasis and vascular disease-risk factors and outcomes: a systematic review of the literature.

التفاصيل البيبلوغرافية
العنوان: Psoriasis and vascular disease-risk factors and outcomes: a systematic review of the literature.
المؤلفون: Patel RV; Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, 1600 N.W. 10th Avenue, Miami, FL 33136, USA., Shelling ML, Prodanovich S, Federman DG, Kirsner RS
المصدر: Journal of general internal medicine [J Gen Intern Med] 2011 Sep; Vol. 26 (9), pp. 1036-49. Date of Electronic Publication: 2011 Apr 07.
نوع المنشور: Journal Article; Review; Systematic Review
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: United States NLM ID: 8605834 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1525-1497 (Electronic) Linking ISSN: 08848734 NLM ISO Abbreviation: J Gen Intern Med Subsets: MEDLINE
أسماء مطبوعة: Publication: Secaucus, NJ : Springer
Original Publication: [Philadelphia, PA] : Hanley & Belfus, [c1986-
مواضيع طبية MeSH: Psoriasis/*epidemiology , Psoriasis/*therapy , Vascular Diseases/*epidemiology , Vascular Diseases/*therapy, Case-Control Studies ; Cohort Studies ; Humans ; Prospective Studies ; Psoriasis/diagnosis ; Randomized Controlled Trials as Topic/methods ; Risk Factors ; Treatment Outcome ; Vascular Diseases/diagnosis
مستخلص: Background: Psoriasis afflicts 2-3% of the world's population. Affected patients commonly have risk factors for cardiovascular disease (CVD). In addition, psoriasis is independently associated with CVD and mortality.
Purpose: To determine which CVD risk factors are associated with psoriasis independent of confounders, whether psoriasis is associated with CVD independent of CVD risk factors, and whether there is increased mortality among patients with psoriasis.
Data Sources: MEDLINE, Embase, and Cochrane Collaborations from inception through October 2009. We reviewed bibliographies of retrieved articles for additional references.
Study Selection: Cross-sectional, cohort-based, case-control, and randomized controlled trials which involved patients with psoriasis.
Data Extraction: Two investigators independently reviewed studies and resolved any discrepancies by consensus.
Data Synthesis: Of the 2,303 articles identified by literature search, 90 studies met inclusion criteria for this review; 15 were cohort-based studies, 45 were case-control, and 30 were cross-sectional.
Limitations: The quality of evidence was limited by study heterogeneity and lack of large scale prospective studies with long-term follow-up.
Conclusions: Patients with psoriasis demonstrate a higher prevalence of cardiovascular risk factors and appear to be at increased risk for ischemic heart disease, cerebrovascular disease, and peripheral arterial disease. This increase in vascular disease may be independent of shared risk factors and may contribute to the increase in all-cause mortality. Future research should aim to more confidently distinguish between a true causal relationship or merely an association resulting from multiple shared risk factors. Physicians should screen for and aggressively treat modifiable risk factors for CVD in patients with psoriasis.
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تواريخ الأحداث: Date Created: 20110408 Date Completed: 20120606 Latest Revision: 20220409
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC3157521
DOI: 10.1007/s11606-011-1698-5
PMID: 21472501
قاعدة البيانات: MEDLINE
الوصف
تدمد:1525-1497
DOI:10.1007/s11606-011-1698-5