Spondyloarthritis & psoriatic arthritis

Characteristics Of Difficult-To-Treat Psoriatic Arthritis: A Comparative Analysis

Semin Arthritis RheumPublished Retrospective cohort study

Main finding · Characteristics of D2T PsA vs nD2T PsAResult — go to the resultOdds ratio 2.57 CI 1.16–5.69

Authors' conclusion

D2T PsA patients had a higher prevalence of axial involvement, peripheral structural damage and therapeutic discontinuation due to poor dermatological control whereas Very D2T PsA patients were more likely obese with axial involvement. Very D2T PsA represent a minim proportion among patients when applying a more stringent definition.

Study context

Population
Psoriatic arthritis (PsA) patients at a tertiary center, included 2004 to 2015
Participants
49 / 17 / 101
Exposure
D2T PsA and Very D2T PsA vs nD2T PsA
  • D2T PsAn = 49
  • Very D2T PsAn = 17
  • nD2T PsAn = 101reference
Outcome
Characteristics of D2T PsA patients using the EULAR definition
Methodological detailssingle-centre, tertiary center
  • Single-centre
  • Tertiary center

Main finding

Characteristics of D2T PsA vs nD2T PsA · baseline

Odds ratio

2.57

CI 1.16–5.69

P = 0.020

D2T PsAvs nD2T PsA
OR 2.57 (CI 1.16–5.69); P = 0.020

As reported in the abstract

Higher prevalence of axial involvement in D2T PsA
P = 0.030
Higher prevalence of axial and/or peripheral structural damage at baseline in D2T PsA
P = 0.007
More bDMARD discontinuation due to poor dermatological control in D2T PsA
P = 0.005

Observational data: associations, not effects.

Further findings

Very D2T PsA (more stringent definition with temporal criterion) vs nD2T PsA — Very D2T PsA
11.3%
Very D2T PsA (more stringent definition with temporal criterion) vs nD2T PsA — Higher proportion of obesity in Very D2T PsA
p=0.015
Very D2T PsA (more stringent definition with temporal criterion) vs nD2T PsA — Axial involvement more prevalent in Very D2T PsA
p=0.020

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Characteristics Of Difficult-To-Treat Psoriatic Arthritis: A Comparative Analysis. Semin Arthritis Rheum. Published 5 October 2023. doi:10.1016/j.semarthrit.2023.152275

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