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In this study we investigated the real\u2010life utilization of the health care system and identified reasons for dissatisfaction in affected individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>This non\u2010interventional cross\u2010sectional study was conducted as an anonymous online survey from 12\/2018 to 01\/2019 in Germany. Participants with a self\u2010reported physician\u2010confirmed diagnosis of psoriasis and symptoms answered questions about their disease, its influence on daily life and their medical care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>649 participants with a mean age of 42.5 \u00b1\u00a013.7 years and equal gender distribution (male: 50.2\u00a0%) were evaluated. 54.1\u00a0% received medical treatment at the time of the study, 45.9\u00a0% did not. Among the participants with medical care, 59.3\u00a0% were only moderately or less satisfied with their treatment. Reasons for dissatisfaction with the medication included lack of efficacy and side effects. Participants without medical treatment specified a physician\u2019s lack of time as a main reason for not seeking medical help.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite the availability of efficient therapeutic options in Germany, many individuals with psoriasis are not satisfied. This under\u2010treated group was identified as a new target population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ddg.14387","type":"journal-article","created":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T04:55:06Z","timestamp":1620363306000},"page":"1003-1011","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Despite large choice of effective therapies: Individuals with psoriasis still seem undertreated"],"prefix":"10.1111","volume":"19","author":[{"given":"Anna Caroline","family":"Pilz","sequence":"first","affiliation":[{"name":"Department of Dermatology and Allergy School of Medicine Technical University of Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Zink","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy School of Medicine Technical University of Munich  Munich 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