Spondyloarthritis & psoriatic arthritis

A new instrument for the screening of psoriatic arthritis among psoriatic patients

Clin Exp RheumatolPublished Diagnostic accuracy study

Authors' conclusion

In this study, a dermatologist-filled-in questionnaire proved to be not inferior to patient-administered PsA screening tools and to be feasible.

Study context

Population
Adults with psoriasis, seven dermatology centres cooperating with rheumatology centres in Italy524 analysed
Participants
759 adults
Comparison
Dermatologist-filled-in 7-item HERACLES questionnaire vs patient-administered psoriatic arthritis (PsA) screening questionnaires (ToPAS, PASE, PEST, EARP)
Outcome
Screening performance for PsA (ROC AUC) vs rheumatologist diagnosis of PsA
Methodological detailsmulticentre, consecutive recruitment
  • Multicentre
  • Consecutive recruitment

Performance

As reported in the abstract

ROC AUC for PsA screening
Test or modelAUCSensitivity (score 2)Specificity (score 2)
HERACLES0.775 (CI: 0.722-0.828)92%47%
ToPAS0.757— not stated in the abstract— not stated in the abstract
PASE0.730— not stated in the abstract— not stated in the abstract
PEST0.741— not stated in the abstract— not stated in the abstract
EARP0.739— not stated in the abstract— not stated in the abstract

AUC

HERACLES0.775 (CI: 0.722-0.828)
ToPAS0.757
PASE0.730
PEST0.741
EARP0.739

Sensitivity (score 2)

HERACLES92%
ToPAS— not stated in the abstract
PASE— not stated in the abstract
PEST— not stated in the abstract
EARP— not stated in the abstract

Specificity (score 2)

HERACLES47%
ToPAS— not stated in the abstract
PASE— not stated in the abstract
PEST— not stated in the abstract
EARP— not stated in the abstract

— not stated in the abstract

Further findings

Prevalence of PsA diagnosed by rheumatologists

PsA diagnosed
73 (13.9%)

Original publication

A new instrument for the screening of psoriatic arthritis among psoriatic patients. Clin Exp Rheumatol. Published 29 March 2024. doi:10.55563/clinexprheumatol/ug6vti

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