Table IV.
Discontinuation Reasons, OR (95% CI) | Systemic Treatment | Biologics | Phototherapy | |||||
---|---|---|---|---|---|---|---|---|
| ||||||||
Methotrexate | Acitretin | Cyclosporine | Etanercept | Adalimumab | Infliximab | UVB | PUVA | |
Did not work well enougha | 1.00 [ref.] | 1.56 (0.97–2.46) | 0.75 (0.46–1.23) | 1.28 (0.89–1.83) | 1.74 (1.11–2.74) | 0.59 (0.30–1.15) | 0.90 (0.63–1.30) | 0.67 (0.39–1.17) |
Worked well at first but stopped working wellb | 1.00 [ref.] | 0.86 (0.46–1.62) | 1.43 (0.77–2.68) | 5.19 (3.23–8.33) | 2.10 (1.20–3.67) | 2.07 (0.95–4.51) | 0.88 (0.55–1.40) | 1.09 (0.56–2.12) |
Any side effectc,d | 1.00 [ref.] | 1.56 (1.08–2.25) | 1.08 (0.70–1.67) | 0.34 (0.23–0.49) | 0.48 (0.30–0.75) | 1.30 (0.78–2.17) | 0.21 (0.14–0.31) | 0.66 (0.41–1.06) |
Cannot afford treatmente | 1.00 [ref.] | 2.06 (0.76–5.61) | 1.47 (0.51–4.20) | 1.45 (0.68–3.10) | 0.83 (0.29–2.32) | 0.89 (0.21–3.82) | 7.03 (3.14–15.72) | 2.40 (0.75–7.61) |
OR, odds ratio; CI, confidence interval; UVB, ultraviolet B; PUVA, oral psoralen plus ultraviolet A
Adjusted for duration of psoriasis diagnosis, heavy drinking, time of last treatment use, treatment duration, and number of past treatments
Adjusted for treatment duration and number of past treatments.
Includes non-life threatening side effects and/or life threatening side effects
Adjusted for age, sex, marital status, household income level, and health insurance status.
Adjusted for age, health insurance status, heavy drinking, psoriatic arthritis, and time of last treatment