{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T20:27:50Z","timestamp":1785184070257,"version":"3.55.0"},"reference-count":30,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T00:00:00Z","timestamp":1614816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Anais Brasileiros de Dermatologia"],"published-print":{"date-parts":[[2021,5]]},"DOI":"10.1016\/j.abd.2020.09.004","type":"journal-article","created":{"date-parts":[[2021,3,7]],"date-time":"2021-03-07T04:20:49Z","timestamp":1615090849000},"page":"295-300","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service"],"prefix":"10.1016","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1609-4529","authenticated-orcid":false,"given":"Ana Mar\u00eda","family":"Maya-Rico","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2209-9972","authenticated-orcid":false,"given":"\u00c1ngela","family":"Londo\u00f1o-Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3740-0353","authenticated-orcid":false,"given":"Arlex Uriel","family":"Palacios-Barahona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6769-943X","authenticated-orcid":false,"given":"Sol Beatriz","family":"Jimenez-Tamayo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9247-3678","authenticated-orcid":false,"given":"Estefan\u00eda","family":"Muriel-Lopera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.abd.2020.09.004_bib0005","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1586\/14737167.2015.1067141","article-title":"The indirect costs of multiple sclerosis: systematic review and meta-analysis","volume":"15","author":"Stawowcyk","year":"2015","journal-title":"Expert Rev Pharmacoecon Outcomes Res"},{"key":"10.1016\/j.abd.2020.09.004_bib0010","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.jaad.2020.04.139","article-title":"The global, regional, and national burden of psoriasis in 195 countries and territories, 1990 to 2017: a systematic analysis from the Global Burden of Disease Study 2017","volume":"84","author":"Mehrmal","year":"2021","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.abd.2020.09.004_bib0015","doi-asserted-by":"crossref","first-page":"e3.585","DOI":"10.1016\/j.jaad.2015.06.049","article-title":"Health care resource use, productivity, and costs among patients with moderate to severe plaque psoriasis in the United States","volume":"73","author":"Schaefer","year":"2015","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.abd.2020.09.004_bib0020","first-page":"1","article-title":"Health care utilization and cost associated with biologic treatment patterns among patients with moderate to severe psoriasis: analyses from a large U.S. claims database","volume":"17","author":"Feldman","year":"2018","journal-title":"J Manag Care Spec Pharm"},{"key":"10.1016\/j.abd.2020.09.004_bib0025","doi-asserted-by":"crossref","first-page":"253","DOI":"10.29176\/2590843X.289","article-title":"Clinical characteristics, utilization of resources and costs of patients with psoriasis in a medical center referenced in el Valle de Aburr\u00e1, 2014","volume":"24","author":"Palacios-Barahona","year":"2014","journal-title":"Rev Asoc Colomb Dermatol"},{"key":"10.1016\/j.abd.2020.09.004_bib0030","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12939-016-0472-z","article-title":"Catastrophic expenditure due to out-of-pocket health payments and its determinants in Colombian households","volume":"15","author":"Amaya-Lara","year":"2016","journal-title":"Int J Equity Health"},{"key":"10.1016\/j.abd.2020.09.004_bib0035","series-title":"Una mirada a los gastos de bolsillo en salud para Colombia","first-page":"1","author":"P\u00e9rez","year":"2015"},{"key":"10.1016\/j.abd.2020.09.004_bib0040","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1001\/jamadermatol.2014.3593","article-title":"Economic burden of Psoriasis in the United States","volume":"151","author":"Brezinski","year":"2015","journal-title":"JAMA Dermatol"},{"key":"10.1016\/j.abd.2020.09.004_bib0045","unstructured":"dermnetnz.org [Internet]. PASI score [cited 2019 Dec 20]. Available from: https:\/\/www.dermnetnz.org\/topics\/pasi-score\/."},{"key":"10.1016\/j.abd.2020.09.004_bib0050","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.det.2011.11.006","article-title":"Quality-of-Life Instruments: evaluation of the impact of psoriasis on patients","volume":"30","author":"Heller","year":"2012","journal-title":"Dermatol Clin"},{"key":"10.1016\/j.abd.2020.09.004_bib0055","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1067\/mjd.2002.119669","article-title":"The direct cost of care for psoriasis and psoriatic arthritis in the United States","volume":"46","author":"Javitz","year":"2002","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.abd.2020.09.004_bib0060","doi-asserted-by":"crossref","first-page":"240","DOI":"10.3109\/09546634.2010.550911","article-title":"The direct healthcare insurer and out-of-pocket expenditures of psoriasis: Evidence from a United States national survey","volume":"23","author":"Gunnarsson","year":"2012","journal-title":"J Dermatolog Treat"},{"key":"10.1016\/j.abd.2020.09.004_bib0065","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1016\/j.jaad.2008.06.043","article-title":"The impact of psoriasis on health care costs and patient work loss","volume":"59","author":"Fowler","year":"2008","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.abd.2020.09.004_bib0070","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1159\/000093848","article-title":"Work limitations and productivity loss are associated with health-related quality of life but not with clinical severity in patients with psoriasis","volume":"213","author":"Schmitt","year":"2006","journal-title":"Dermatology"},{"key":"10.1016\/j.abd.2020.09.004_bib0075","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1684\/ejd.2011.1635","article-title":"Costs and quality of life for psoriatic patients at different degrees of severity in southern Sweden \u2013 a cross-sectional study","volume":"22","author":"Ghatnekar","year":"2012","journal-title":"Eur J Dermatol"},{"key":"10.1016\/j.abd.2020.09.004_bib0080","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1586\/14737167.2015.1001370","article-title":"The indirect costs of psoriatic arthritis: systematic review and meta-analysis","volume":"15","author":"Malinowski","year":"2015","journal-title":"Expert Rev PharmacoEcon Outcomes Res"},{"key":"10.1016\/j.abd.2020.09.004_bib0085","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1007\/s00296-016-3514-3","article-title":"Disease activity, quality of life and indirect costs of psoriatic arthritis in Poland","volume":"36","author":"Kawalec","year":"2016","journal-title":"Rheumatol Int"},{"key":"10.1016\/j.abd.2020.09.004_bib0090","doi-asserted-by":"crossref","first-page":"305","DOI":"10.29176\/2590843X.250","article-title":"Medici\u00f3n de la calidad de vida por medio del Dermatology Life Quality Index en pacientes con psoriasis: una revisi\u00f3n sistem\u00e1tica","volume":"21","author":"Ord\u00f3\u00f1ez","year":"2013","journal-title":"Rev la Asoc Colomb Dermatol"},{"key":"10.1016\/j.abd.2020.09.004_bib0095","first-page":"1506","article-title":"The Relationship between disease, work and sickness absence among Psoriasis patients","volume":"44","author":"Mansouri","year":"2015","journal-title":"Iran J Public Health"},{"key":"10.1016\/j.abd.2020.09.004_bib0100","doi-asserted-by":"crossref","first-page":"407","DOI":"10.2165\/11310440-000000000-00000","article-title":"Impact of Psoriasis on patients\u02bc work and productivity","volume":"10","author":"Wu","year":"2009","journal-title":"Am J Clin Dermatol"},{"key":"10.1016\/j.abd.2020.09.004_bib0105","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/bmjopen-2018-027535","article-title":"Impact of psoriasis severity on patient-reported clinical symptoms, health-related quality of life and work productivity among US patients: real-world data from the Corrona Psoriasis Registry","volume":"9","author":"Strober","year":"2019","journal-title":"BMJ Open"},{"key":"10.1016\/j.abd.2020.09.004_bib0110","first-page":"209","article-title":"Costs and quality of life in patients with moderate to severe plaque-type psoriasis in Germany: a multi-center study","volume":"5","author":"Sch\u00f6ffski","year":"2007","journal-title":"JDDG - J Ger Soc Dermatol"},{"key":"10.1016\/j.abd.2020.09.004_bib0115","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1111\/jdv.12572","article-title":"Impact of psoriasis severity on family income and quality of life","volume":"29","author":"Hawro","year":"2015","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"10.1016\/j.abd.2020.09.004_bib0120","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/S0190-9622(97)70172-5","article-title":"The economic impact of psoriasis increases with psoriasis severity","volume":"37","author":"Feldman","year":"1997","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.abd.2020.09.004_bib0125","doi-asserted-by":"crossref","first-page":"1623","DOI":"10.1111\/jdv.12233","article-title":"The impact of psoriasis on work-related problems: a multicenter cross-sectional survey","volume":"28","author":"Ayala","year":"2014","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"10.1016\/j.abd.2020.09.004_bib0130","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0078152","article-title":"Cost-of-Illness in Psoriasis: comparing inpatient and outpatient therapy","volume":"8","author":"Steinke","year":"2013","journal-title":"PLoS One"},{"key":"10.1016\/j.abd.2020.09.004_bib0135","first-page":"30","article-title":"The most important factors to patients in","volume":"7","author":"Secrest","year":"2014","journal-title":"J Clin Aesthet"},{"key":"10.1016\/j.abd.2020.09.004_bib0140","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1111\/bjd.18798","article-title":"A multinational assessment of work-related productivity loss and indirect costs from a survey of patients with psoriasis","volume":"183","author":"Villacorta","year":"2020","journal-title":"Br J Dermatol"},{"key":"10.1016\/j.abd.2020.09.004_bib0145","first-page":"617","article-title":"Higher Psoriasis skin clearance is associated with lower annual indirect costs in the United States: a post hoc analysis from the CLEAR Study","volume":"24","author":"Feldman","year":"2018","journal-title":"J Manag Care Spec Pharm"},{"key":"10.1016\/j.abd.2020.09.004_bib0150","doi-asserted-by":"crossref","first-page":"2849","DOI":"10.1007\/s12325-019-01049-7","article-title":"Humanistic and economic impact of moderate to severe plaque Psoriasis in Brazil","volume":"36","author":"Lopes","year":"2019","journal-title":"Adv Ther"}],"container-title":["Anais Brasileiros de Dermatologia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0365059621000507?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0365059621000507?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T23:40:13Z","timestamp":1759794013000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0365059621000507"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["S0365059621000507"],"URL":"https:\/\/doi.org\/10.1016\/j.abd.2020.09.004","relation":{},"ISSN":["0365-0596"],"issn-type":[{"value":"0365-0596","type":"print"}],"subject":[],"published":{"date-parts":[[2021,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service","name":"articletitle","label":"Article Title"},{"value":"Anais Brasileiros de Dermatologia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.abd.2020.09.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Sociedade Brasileira de Dermatologia. Published by Elsevier Espa\u00f1a, S.L.U.","name":"copyright","label":"Copyright"}]}}