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Giornale Italiano di Dermatologia e Venereologia 2019 Nov 18

DOI: 10.23736/S0392-0488.19.06423-X


lingua: Inglese

Correlation between chronic skin ulcers dimension and burden of suffering evaluated with PRISM test

Paola MONARI 1, Marta FUSANO 1 , Ruggero MORO 1, Simone CARAVELLO 1, Cosimo MISCIALI 2, Carlotta BARALDI 2, Mario PUVIANI 3, Daniela OLEZZI 3, Stefano CACCAVALE 4, Alberico MOTOLESE 5, Giulio GUALDI 6

1 Dermatology Department, Spedali Civili of Brescia, University of Brescia, Brescia, Italy; 2 Dermatology Department, Policlinico S. Orsola Malpighi, University of Bologna, Bologna, Italy; 3 Dermatology Department, Sassuolo Hospital, Sassuolo, Modena, Italy; 4 Dermatology Department, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy; 5 Dermatology Department, Ospedale di Circolo e Fondazione Macchi, Varese, Italy; 6 Dermatology Department, University of Chieti and Pescara, Chieti, Italy


BACKGROUND: In the practice of dermatology, many tools are available to help the physician measure the patient’s quality of life. "Pictorial Representation of Illness and Self Measure" (PRISM) is a novel and simple method to measure personal suffering.
METHODS: The aim of our study is to evaluate, through the use of PRISM, whether the reduction of the ulcers' size positively correlates with an improvement of the patients' suffering. This is a multicenter national prospective study. 143 patients from five dermatological centers were enrolled in the study. At times T0 and T1 (after 1 month), the size of the ulcers was collected for each patient. At the same time, the PRISM test was also administered, in order to calculate the Self-Illness-Separation (SIS).
RESULTS: First, a substantial decrement of the size of the ulcer seems to correlate with a significant difference between the SIS score obtained at T0 and T1. On the contrary, the duration of the wound doesn't seem to influence the SIS value. No relationship between the age of the patient and the SIS value was found either.
CONCLUSIONS: Our study shows that the decrease in the wound dimension positively affects the patient's suffering. In fact, ulcer’s size reduction is correlated with an improvement in the patient’s disease perception.

KEY WORDS: Chronic skin ulcers; PRISM test; Chronic wounds

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