Home phototherapy for psoriasis: a review and update

Abstract

A 2006 survey of dermatologists showed that home phototherapy should be used with caution, and that general, nonevidence-based opinions were widespread about this form of therapy. This led to a randomized controlled trial to assess the safety and efficacy of home phototherapy vs. outpatient phototherapy by the same authors in 2009, which concluded that a lower burden of treatment and increased patient satisfaction were associated with home phototherapy. In the UK National Health Service, with a single exception, phototherapy is currently carried out exclusively in hospital. This contrasts with the Netherlands, where home phototherapy is now widely available. NHS dermatology services in the UK have yet to adopt home phototherapy as a treatment option, despite the strong evidence base and robust service models established elsewhere. In this review, we discuss evidence-based papers on home phototherapy, its advantages and disadvantages, economic effectiveness, and a suggested model for service sustainability.

Current Approach to Phototherapy Applications in Dermatology Practice: Part 2. Phototherapy in Vitiligo, Mycosis Fungoides, Atopic Dermatitis, Sclerosing Diseases and Psoriasis

“…Bu alanda öncü bir çalışma olarak kabul edilebilecek PLUTO çalışmasında, psoriasis hastalarında evde uygulanan dar bant UVB tedavisinin, hastanede uygulanan fototerapi ile benzer etkinlikte olduğu ve benzer yan etki profiline sahip olduğu gösterilmiştir (113). İngiltere, Hollanda ve Amerika'da evde fototerapi uygulanması ile ilgili farklı düzenlemeler bulunmaktadır (114). İngiltere'de, evde fototerapi için kullanılacak fototerapi cihazları, merkez fototerapi ünitesinde tutulmaktadır.…”

Home phototherapy in the U.K.'s National Health Service: time to reach out

“…It can be used for all the conditions treated with phototherapy, although the single most frequent indication is psoriasis. Training and remote monitoring of patients are provided by expert phototherapy nurses . In recent years, home phototherapy has become more widely available around the world .…”

“…Training and remote monitoring of patients are provided by expert phototherapy nurses . In recent years, home phototherapy has become more widely available around the world . A questionnaire survey in 2006 revealed that dermatologists in 33 countries expressed worries about the safety and efficacy of home phototherapy .…”

“…1,2 In recent years, home phototherapy has become more widely available around the world. 1,3 A questionnaire survey in 2006 revealed that dermatologists in 33 countries expressed worries about the safety and efficacy of home phototherapy. 4 However, concerns were subsequently allayed by a randomized controlled study comparing home with hospitalbased phototherapy for psoriasis (PLUTO study), which included a cost-effectiveness economic evaluation.…”

Creation and assessment of a computerized modelling tool for optimizing planning of home and hospital-based phototherapy

“…Two of these (HB‐A and HB‐B) had existing phototherapy services located in hospitals in secondary care; the third (HB‐C) served a rural community with no current phototherapy services. Thus, two options for new phototherapy services were available: new fixed phototherapy hubs located in urban areas or home phototherapy, where patients treat themselves in their own homes . The location and number of new hospital‐based phototherapy hubs was identified as being a location analysis problem.…”