Spondyloarthritis & psoriatic arthritis

Comorbidities in Early Psoriatic Arthritis: Data From the Metabolic Disturbances in Psoriatic Arthritis Cohort Study

Arthritis Care Res (Hoboken)Published Prospective cohort study

Main finding · CV risk factorsResult — go to the resultOdds ratio 1.6 95% CI 1.14–2.0

Authors' conclusion

Our data imply that patients with PsA already have higher comorbidities and CV burden at early stages of the disease, suggesting that these are not only a consequence of long-lasting disease and chronic systemic inflammation.

Study context

Population
Treatment-naive patients with early psoriatic arthritis (PsA) and sex- and age-matched healthy volunteers
Participants
67 vs 61
Exposure
Treatment-naive early PsA vs sex- and age-matched healthy controls
  • Early psoriatic arthritis (ePsA)n = 67
  • Controlsn = 61reference
Outcome
Prevalence of comorbidities and CV risk factors
Follow-up
Baseline
Methodological detailsobservational, longitudinal, multicentre, sex- and age-matched controls
  • Observational
  • Longitudinal
  • Multicentre
  • Sex- and age-matched controls

Main finding

CV risk factors

Odds ratio

1.6

95% CI 1.14–2.0

By group

ePsAvs Healthy controls
OR 1.6 (95% CI 1.14–2.0)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeePsAControlsOR (95% CI)
Multiple (≥2) comorbidities · baseline1.9 (1.2–3.0)
Multiple CV RFs · baseline2.1 (1.3–3.2)
Obesity · baseline40.3%18.3%1.9 (1.1–3.2)
OutcomeePsAControls
BMI · baselineAbove normal on averagemean 28.82 (SD 4.5)— not stated in the abstract

— not stated in the abstract

Dyslipidemia (most prevalent comorbidity) · baseline

Dyslipidemia, PsA cohort vs controls
64.2% vs 39.3%; OR 1.7, 95% CI 1.2-2.5

Comorbidities or CV risk factors (RFs) by duration of skin psoriasis

Not influenced by duration of skin psoriasis

Comorbidities and CV RFs after 1 year

Proportion of patients with comorbidities and CV RFs did not increase or drop, although disease activity scores improved

Original publication

Comorbidities in Early Psoriatic Arthritis: Data From the Metabolic Disturbances in Psoriatic Arthritis Cohort Study. Arthritis Care Res (Hoboken). Published 15 January 2024. doi:10.1002/acr.25230

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