Abstract
Background and objectives: Evaluation of patients included in the registry of biological/targeted therapy BIOREP in the Czech Republic. Methods: We performed a retrospective evaluation of patients enrolled in the registry BIOREP to date 31. 12. 2019.
The aim of our study was to evaluate patients on biological/targeted treatment in the given period in individual categories and to analyse the population of patients with psoriasis. Results: To 31 December 2019, a total of 2,568 patients were enrolled in the BIOREP registry, 94.7 % were patients with psoriasis, 5.1 % with hidradenitis and 0.3% were patients with off label treatment.
Of the psoriasis group, 62.9 % of patients were men. The average patient age at the end of 2019 was 51.9 years, the mean age at the time of diagnosis was 24.7 years, and the age at first biological/targeted treatment was 46.2 years.
More than 75% of patients were overweight or obese and 28.9% of patients were smokers. The comorbidities occurred in 71.2% of patients, the most common disorder was metabolic/endocrine disease (53.5%) and cardiovascular disease (53.4% of patients).
Of the different comorbidities, hypertension, dyslipidemia and diabetes mellitus were the most common. Psoriatic arthritis was observed in 37.1% of patients.
In 2019, the average time from diagnosis to the introduction of biological treatment was 21.5 years, the average duration of biological/targeted treatment was 5.4 years. A total of 331 patients have already discontinued treatment and the average duration of their treatment was 3.7 years.
On the average, the total duration of psoriasis was 27.2 years. Of the patients treated at the end of 2019, more than half (56.5%) were in the first line treatment.
Conclusion: BIOREP is the first registry of patients with psoriasis treated with biologics in Central and Eastern Europe. Our results found a similar or even higher prevalence of comorbidities and long disease duration before biological treatment introduction among patients included in European registries.