{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:11:57Z","timestamp":1790604717905,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Photoderm Photoimm Photomed"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Home phototherapy for psoriasis is non\u2010inferior to office\u2010based care, yet adoption remains limited by implementation barriers, inconsistent patient selection, and underrecognized safety gaps. This narrative review synthesizes recent evidence to address these gaps and provide actionable clinical guidance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PubMed and Embase were searched for studies published between January 1, 2020, and March 1, 2026, yielding 12 included studies. Study types included randomized controlled trials (RCTs), observational studies, cost analyses, implementation reports, and technical device comparisons; findings are interpreted by study design without formal risk\u2010of\u2010bias assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The LITE randomized trial demonstrates that home narrowband ultraviolet B (NB\u2010UVB) phototherapy is non\u2010inferior to office\u2010based treatment in patients with plaque and guttate psoriasis, with high satisfaction, improved adherence, and reduced indirect costs. Erythema was the most common adverse event and rarely led to discontinuation; long\u2010term safety data remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Home phototherapy is safe and effective for appropriately selected patients with plaque or guttate psoriasis and represents an underutilized, cost\u2010effective alternative to office\u2010based care. This review identifies three gaps that must be addressed to realize its potential: absence of long\u2010term UV exposure and skin cancer data, equity barriers that may paradoxically limit access for the patients who stand to benefit most, and uncharacterized safety risks of over\u2010the\u2010counter devices. Closing these gaps through prospective safety studies, equity\u2010centered implementation, and regulatory oversight will be essential to establishing home phototherapy as a widely accessible, evidence\u2010based standard of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phpp.70117","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T04:49:33Z","timestamp":1785559773000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Home Phototherapy for Psoriasis: Evidence and Implementation"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1220-7949","authenticated-orcid":false,"given":"Dina","family":"Ghanim","sequence":"first","affiliation":[{"name":"Kaiser Permanente Bernard J. Tyson School of Medicine  Pasadena California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8110-1545","authenticated-orcid":false,"given":"Leah E.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Medicine  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dahyeon","family":"Kim","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Medicine  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9058-7160","authenticated-orcid":false,"given":"Mireya","family":"Cervantes","sequence":"additional","affiliation":[{"name":"Albany Medical College  Albany New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3314-1841","authenticated-orcid":false,"given":"Minka","family":"Gill","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5236-1987","authenticated-orcid":false,"given":"Seanna","family":"Yang","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4393-9511","authenticated-orcid":false,"given":"Nickoulet","family":"Babaei","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Medicine  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1722-1892","authenticated-orcid":false,"given":"Jashin J.","family":"Wu","sequence":"additional","affiliation":[{"name":"California Dermatology  Corona California USA"},{"name":"Department of Dermatology University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2020.04.095"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-56017-5_24"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1039\/b418378a"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257\u2010013\u20100015\u2010y"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/phpp.13008"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.04.042"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2018.3022"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.5070\/D3196018563"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2024.3897"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.36849\/JDD.7815"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.36849\/JDD.2021.5760"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.5114\/ada.2021.107931"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/phpp.13013"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.19100"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2025.6193"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2025.10.057"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2023.2332"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/phpp.12349"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.2147\/CCID.S408323"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.12788\/cutis.0674"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/JDN.0000000000000555"}],"container-title":["Photodermatology, Photoimmunology &amp; 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