{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:36:48Z","timestamp":1787791008580,"version":"build-2784847793"},"reference-count":22,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Shared decision-making (SDM) refers to a collaborative process in which clinicians assist patients in making medically informed, evidence-based decisions that align with their values and preferences. There is a paucity of literature on SDM in dermatology.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objective<\/jats:title>\n<jats:p>We aim to assess whether male and female psoriasis patients evaluate their clinicians\u2019 engagement in SDM differently across different age groups.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Cross-sectional study using data from the 2014\u20132017 and 2019 Medical Expenditure Panel Surveys (MEPS).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>A weighted total of 7,795,608 psoriasis patients were identified. SDM Scores ranged from 1 to 4, with 4 representing the most favorable patient evaluation of their clinicians\u2019 engagement in SDM. We conducted multivariate linear regression to compare mean SDM Scores in male psoriasis patients versus female psoriasis patients across different patient age groups. Female patients ages 60\u201369 perceived significantly greater clinician engagement in SDM compared to age-matched male patients (female patient perception of SDM <jats:bold>3.65<\/jats:bold> [95%CI:3.61\u20133.69] vs. male patient perception of SDM <jats:bold>3.50<\/jats:bold> [95%CI:3.43\u20133.58], p&lt;0.005). The same trend of older female patients evaluating their clinicians\u2019 engagement in SDM significantly higher than their age-matched male counterparts exists for the age group &gt;70 (p&lt;0.005). No significant differences between male and female patients\u2019 evaluations of their clinicians\u2019 engagement in SDM were demonstrated in subjects younger than 60. All calculations were adjusted for demographic and clinical factors.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Compared to older male psoriasis patients, older female psoriasis patients evaluated their clinicians to be more engaged in shared decision-making.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0303058","type":"journal-article","created":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T17:30:47Z","timestamp":1715362247000},"page":"e0303058","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":6,"title":["Shared decision-making in psoriasis care: Evaluation of how patients\u2019 perception of clinicians\u2019 delivery of care changes by age and sex"],"prefix":"10.1371","volume":"19","author":[{"given":"Robin","family":"Kikuchi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paige","family":"Kingston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3327-1261","authenticated-orcid":true,"given":"Audrey","family":"Hao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaviyon","family":"Sadrolashrafi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4854-9128","authenticated-orcid":true,"given":"Rebecca K.","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Tolson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara N.","family":"Bilimoria","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Yee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria T.","family":"Ochoa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0064-8707","authenticated-orcid":true,"given":"April W.","family":"Armstrong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"issue":"8","key":"pone.0303058.ref001","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1001\/jamadermatol.2021.2007","article-title":"Psoriasis prevalence in adults in the United States","volume":"157","author":"AW Armstrong","year":"2021","journal-title":"JAMA dermatology"},{"issue":"10","key":"pone.0303058.ref002","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1001\/jamadermatol.2013.5264","article-title":"Undertreatment, treatment trends, and treatment dissatisfaction among patients with psoriasis and psoriatic arthritis in the United States: findings from the National Psoriasis Foundation surveys, 2003\u20132011","volume":"149","author":"AW Armstrong","year":"2013","journal-title":"JAMA dermatology"},{"key":"pone.0303058.ref003","doi-asserted-by":"crossref","first-page":"2357","DOI":"10.2147\/PPA.S117006","article-title":"Adherence, satisfaction and preferences for treatment in patients with psoriasis in the European Union: a systematic review of the literature","author":"I Belinch\u00f3n","year":"2016","journal-title":"Patient preference and adherence"},{"key":"pone.0303058.ref004","doi-asserted-by":"crossref","unstructured":"Levit LA, Balogh E, Nass SJ, Ganz P. 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