Pediatricians’ Awareness of Pediatric Psoriasis in the Makkah Region, Saudi Arabia

TL;DR

This study evaluates how well pediatricians in Saudi Arabia's Makkah region recognize and manage pediatric psoriasis.

Contribution

The study provides insights into pediatricians' knowledge and management practices of pediatric psoriasis in a specific region of Saudi Arabia.

Findings

Most participants had good knowledge of psoriasis, with 60.4% scoring above 60%.

Physician position and being in a general specialty were associated with higher knowledge levels.

Only 59% of participants referred patients to dermatologists, indicating room for improvement in management practices.

Abstract

Background

Psoriasis is an autoimmune disease characterized by the typical appearance of red, thickened, scaly patches on the skin (plaques). These plaques can vary in size and distribution from person to person. In some individuals, it may affect small areas of skin, while in others, large areas covering their body may be involved.

Patients with psoriasis might be identified by pediatricians before being seen by dermatologists, highlighting the need for pediatricians to be aware and knowledgeable about pediatric psoriasis.

Objective

To evaluate the knowledge and management of pediatric psoriasis among pediatricians and pediatric residents in the Makkah region, Saudi Arabia.

Methods

This was a cross-sectional study using a questionnaire targeted at pediatricians. It inquired about sociodemographic details, knowledge of psoriasis risk factors, diagnosis, management, comorbidity screening, and indications for consulting a dermatologist. The knowledge score cut-off was set at 60%, with scores below this threshold considered indicative of poor knowledge and scores above it reflecting good knowledge.

Results

A total of 139 participants completed the questionnaire; 103 (74.1%) were from Jeddah, 101 (72.7%) were pediatric residents, 118 (84.9%) were general pediatricians, and 18 (15.1%) were in subspecialties. About a third, 49 (35.3%), reported having seen a child with psoriasis. Most participants, 84 (60.4%), had a good knowledge level regarding psoriasis. The vast majority, 119 (85.6%), stated that topical therapies are the first-line treatment; 105 (75.5%) reported being confident in diagnosing psoriasis, and having previously seen a patient with psoriasis was associated with certainty in diagnosis (p-value=0.048); 82 (59%) referred patients to dermatologists. Physician position (p-value=0.049) and being in a general specialty (p-value=0.048) were associated with higher knowledge.

Conclusion

Overall, participants had good knowledge of pediatric psoriasis and its management. However, there is still a need for improvement.

Figures