{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T05:41:19Z","timestamp":1696398079938},"reference-count":10,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,5,29]],"date-time":"2013-05-29T00:00:00Z","timestamp":1369785600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In Germany there is a lack of robust nationwide data on psoriasis therapy in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>Secondary data from the statutory health insurance Gmnder Ersatzkasse (GEK) of the year 2009 were analyzed. Continuously insured children with psoriasis vulgaris were identified by ICD\u201010 codes (L 40. X). Their treatment was determined on the basis of prescriptions according to ATC code.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>1,313 of 293,181 children and adolescents had psoriasis (0.45%). Of these, n = 651 (49.6%) received at least one medication during the observation period. Topical and systemic corticosteroids were most frequently prescribed (70.8% and 4.0% respectively). The relative frequency of prescription of systemic corticosteroids was higher in children treated by pediatricians and family physicians (by a factor of 3 and 5, respectively) than in those treated by dermatologists. Vitamin D analogs were the second most frequently prescribed drugs, used far more often by dermatologists (14.7%) than by general practitioners (1.7%) and pediatricians (0.9%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Drug supply for children with psoriasis in Germany appears to be inadequate. The consensus guidelines are not sufficiently considered and the use of systemic corticosteroids is still too high, even after adjustment for steroid\u2010dependent indications. The data underline the necessity of guideline\u2010oriented therapy and implementation of current therapeutic evidence in juvenile psoriasis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ddg.12102","type":"journal-article","created":{"date-parts":[[2013,5,29]],"date-time":"2013-05-29T15:44:56Z","timestamp":1369842296000},"page":"751-755","source":"Crossref","is-referenced-by-count":0,"title":["Drug supply for children with psoriasis in Germany"],"prefix":"10.1111","volume":"11","author":[{"given":"Matthias","family":"Augustin","sequence":"first","affiliation":[{"name":"Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristian","family":"Reich","sequence":"additional","affiliation":[{"name":"Dermatologikum Hamburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerd","family":"Glaeske","sequence":"additional","affiliation":[{"name":"Center for Social Policy Research, University of Bremen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susann","family":"K\u00e4mpfe","sequence":"additional","affiliation":[{"name":"Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc Alexander","family":"Radtke","sequence":"additional","affiliation":[{"name":"Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cornelia","family":"Gerdau\u2010Heitmann","sequence":"additional","affiliation":[{"name":"Center for Social Policy Research, University of Bremen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christel","family":"Schicktanz","sequence":"additional","affiliation":[{"name":"Center for Social Policy Research, University of Bremen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ines","family":"Sch\u00e4fer","sequence":"additional","affiliation":[{"name":"Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,29]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2009.09593.x"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00403-012-1214-8"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2011.07668_suppl.x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00638237"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2010.09831.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-0770"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2011.07713_suppl.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2011.263"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-012-2431-y"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2008.09023.x"}],"container-title":["JDDG: Journal der Deutschen Dermatologischen Gesellschaft"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fddg.12102","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ddg.12102","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T18:21:48Z","timestamp":1696357308000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ddg.12102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,29]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["10.1111\/ddg.12102"],"URL":"https:\/\/doi.org\/10.1111\/ddg.12102","archive":["Portico"],"relation":{},"ISSN":["1610-0379","1610-0387"],"issn-type":[{"value":"1610-0379","type":"print"},{"value":"1610-0387","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,29]]}}}