Dementia Risk in Psoriasis Patients Treated with Biologics: A Propensity Score-matched Population-based Cohort Study

  • 0Department of Dermatology, Emek Medical Center, Afula, Israel; Ruth and Bruce Rappaport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel. Jen.Levitt.Barak@gmail.com.

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Summary

This summary is machine-generated.

Biologic therapies for psoriasis, targeting tumor necrosis factor-alpha and interleukins, may significantly reduce dementia risk in older adults. This finding suggests potential neuroprotective benefits beyond skin health.

Area Of Science

  • Dermatology
  • Neurology
  • Pharmacology

Background

  • Psoriasis treatments, particularly biologics, show potential neuroprotective effects.
  • Translational research and animal models suggest a link between psoriasis therapies and reduced dementia risk.

Purpose Of The Study

  • To evaluate the association between biologic therapies for psoriasis and the incidence of dementia.
  • To investigate if specific biologic agents targeting inflammatory pathways impact dementia risk.

Main Methods

  • Retrospective cohort study of patients aged 65+ with psoriasis.
  • Comparison of patients receiving biologic therapy post-systemic treatment versus systemic treatment alone.
  • Propensity score matching used to create comparable groups (n=1766).

Main Results

  • Biologic therapy was associated with a 53% reduced risk of dementia (HR 0.47).
  • Multivariate Cox model confirmed a reduced dementia risk (aHR 0.52) after adjusting for confounders.
  • The association remained significant even after accounting for age and other factors.

Conclusions

  • Biologic therapies targeting tumor necrosis factor-alpha, interleukin-17, and interleukin-23 may reduce dementia risk.
  • These findings suggest potential neuroprotective benefits of psoriasis biologics.
  • Further research is warranted to confirm these neuroprotective effects in clinical practice.

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