Telepharmacy follow-up using electronic patient-reported outcome measures in moderate-to-severe psoriasis

Psoriasis is a chronic immune-mediated disease with a substantial impact on health-related quality of life (HRQoL), particularly in moderate-to-severe cases requiring systemic treatment. The integration of electronic patient-reported outcome measures (ePROMs) into telepharmacy platforms has emerged as a valuable approach for longitudinal monitoring and patient-centered care. The TELEPROMpsoriasis study aimed to evaluate the 12-month evolution of HRQoL and symptom burden in patients with moderate-to-severe psoriasis treated with biologic or small-molecule inhibitors and followed through a telepharmacy program, to assess the achievement of predefined HRQoL targets (DLQI ≤1 and PSSD-7 days <20), and to explore differences according to treatment history and sex.

A multicenter, prospective study was conducted using the NAVETA telepharmacy platform within the Spanish National Health System. Adult patients with moderate-to-severe plaque psoriasis initiating or switching biologic or immunomodulatory therapy were included. HRQoL was assessed using the Dermatology Life Quality Index (DLQI) and the Psoriasis Symptoms and Signs Diary (PSSD-7 days) at baseline and at months 1, 3, 6, and 12. Longitudinal analyses were performed using non-parametric tests, accounting for variable response rates across follow-up visits.

A total of 210 patients were enrolled; 188 provided at least one validated ePROMs response and were eligible for longitudinal analyses. Both DLQI and PSSD-7 day scores showed significant and progressive improvement over 12 months, with a strong correlation between instruments throughout follow-up (r = 0.74 at month 12). Biologic-naïve patients achieved higher rates of clinically relevant HRQoL improvement than biologic-experienced patients, particularly at later follow-up visits. Women consistently reported higher symptom burden and lower HRQoL than men. No significant differences in HRQoL trajectories were observed across pharmacological classes. By month 12, more than half of the cohort achieved optimal HRQoL targets. Adherence to questionnaire completion was 71%, and overall satisfaction with the telepharmacy program was high (9/10).

Telepharmacy-supported monitoring using validated ePROMs effectively captures longitudinal changes in HRQoL and symptom burden in patients with moderate-to-severe psoriasis. The achievement of predefined HRQoL targets supports their clinical relevance in real-world settings. These findings highlight the value of PROM-based, patient-centered digital follow-up and suggest that biologic-experienced patients and women may benefit from more tailored monitoring strategies.