Patient-centered approaches in psoriasis management: lessons from the past and future directions

INTRODUCTION: Psoriasis is a chronic immune-mediated disease with physical and psychosocial burden that is not fully captured by measures of skin lesion characteristics. Advances in therapies, including multiple biologic treatments, have improved disease control, but gaps remain in aligning treatment with patient-reported outcomes and preferences. AREAS COVERED: The purpose of this paper is to discuss how patient centered approaches to psoriasis treatment have changed over time and what methods have been used to provide this treatment. A PubMed search was performed to identify articles that could provide information for our review. EXPERT OPINION: Many current therapies are highly effective in improving skin clearance, but they vary in how well they address factors that matter to patients, such as symptom burden, convenience, and side effects. The literature highlights the importance of incorporating patient-reported outcomes and shared decision-making when selecting treatments. Tailoring therapy based on individual preferences, comorbidities, and lifestyle is increasingly emphasized. A more patient-centered approach to psoriasis treatment is needed. Incorporating patient perspectives into clinical decision-making can improve satisfaction, adherence, and overall outcomes.