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OHSU, PRP and Quality of Life Research
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The PRP Alliance joined forces with Oregon Health & Science University (OHSU) to recruit individuals 18-89 years of age with a personal history of pityriasis rubra pilaris (PRP) to participate in a focus group. The topic of the focus group was PRP’s effects on quality of life and will entail roughly a 2-hour time commitment.
A focus group is a research technique used to collect data through group interaction. A focus group is designed to identify feelings, perceptions, and thoughts about a particular topic.
The first PRP Focus Group took place on Tuesday, April 13, 2021. Subsequent focus groups were held on June 21, 23 and 25. A total of 39 PRP patients participated in one of the four ZOOM gatherings. Each participant is considered a subject matter expert for their unique version of PRP.
BACKGROUND
Abstract on the Dermatology Life Quality Index (DLQI) — Finley, A.Y.
The following five statements represent the ABSTRACT published in May 1994 that prefaced the introduction of the DLQI to the international community of dermatologists.
.statements are
Statement #1 – “The Dermatology Life Quality Index (DLQI) is a simple practical questionnaire technique for routine clinical use.”
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Comment: Some might say that the DLQI is “too simple ” and that the challenges of treating PRP should not be considered “routine clinical use”.
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Statement #2 – “One hundred and twenty patients with different skin diseases were asked about the impact of their disease and its treatment on their lives; a questionnaire, the DLQI, was developed based on their answers.”
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Comment : Considering the fact that there are over 3,000 skin disorders and nearly 600 “rare” skin disorders, a cohort of 120 seems woefully inadequate for a DLQI appropriate for pityriasis rubra pilaris.
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Statement #3 — “The DLQI was then completed by 200 consecutive new‐patients attending a dermatology clinic. This study confirmed that atopic eczema, psoriasis and generalized pruritus have a greater impact on quality of life than acne, basal cell carcinomas and viral warts.”
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Comment : A case could be made that patients diagnosed with PRP would have a greater impact on quality of life than eczema, psoriasis, generalized pruritus , acne, basal cell carcinomas and viral warts. The severity of atopic eczema and psoriasis is not noted.
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Statement #4 — “The DLQI was also completed by 100 healthy volunteers; their mean score was very low (1.6%, s.d. 3.5) compared with the mean score for the dermatology patients (24.2%, s.d. 20.9).”
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Comment : Could a case could be made that patients diagnosed with PRP would have reported a greater impact on quality of life than those diagnosed with atopic eczema, psoriasis, generalized pruritus , acne, basal cell carcinomas and viral warts?
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Statement #5 — The reliability of the DLQI was examined in 53 patients using a 1 week test‐retest method and reliability was found to be high (γs=0.99).
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Comment : Could a case could be made that patients diagnosed with PRP would have suffered a fan greater impact on their quality of life?