Systemic sclerosis & Raynaud's

Discordance Between Patient and Physician Global Assessments in Early Systemic Sclerosis

Arthritis Care Res (Hoboken)Published Registry-based cohort study

Authors' conclusion

Discordance between PtGA and PhGA occurs commonly, highlighting the need for comprehensive symptom management and measurement of disease burden in this complex disease.

Study context

Population
Adults with early systemic sclerosis (SSc) (<5 years) from the Collaborative National Quality and Efficacy Registry83% women, 33% limited disease
Participants
956 adults
Exposure
Patient global assessment (PtGA) vs physician global assessment (PhGA)
Outcome
Factors associated with PtGA and PhGA and discordance (≥2 points) between them
Methodological detailsmultivariable mixed-effects linear regression, relative weight analysis, multinomial mixed-effects logistic regression, PtGA, PhGA, clinical evaluations and patient-reported outcomes (PROs) collected every six months
  • Multivariable mixed-effects linear regression
  • Relative weight analysis
  • Multinomial mixed-effects logistic regression
  • PtGA, PhGA, clinical evaluations and PROs collected every six months

Main finding

As reported in the abstract

enrollment

PtGA

4.2

mean · SD 2.6

PhGA

3.4

mean · SD 2.0

P < 0.001

Discordance (≥2 points)
53%
PtGA worse
35%
PhGA worse
18%

Observational data: associations, not effects.

Original publication

Discordance Between Patient and Physician Global Assessments in Early Systemic Sclerosis. Arthritis Care Res (Hoboken). Published 20 April 2026. doi:10.1002/acr.80069

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