Spondyloarthritis & psoriatic arthritis
A new instrument for the screening of psoriatic arthritis among psoriatic patients
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 model | AUC | Sensitivity (score 2) | Specificity (score 2) |
|---|---|---|---|
| HERACLES | 0.775 (CI: 0.722-0.828) | 92% | 47% |
| ToPAS | 0.757 | — not stated in the abstract | — not stated in the abstract |
| PASE | 0.730 | — not stated in the abstract | — not stated in the abstract |
| PEST | 0.741 | — not stated in the abstract | — not stated in the abstract |
| EARP | 0.739 | — 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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