Spondyloarthritis & psoriatic arthritis

Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) Debate: Be it Resolved That Clinical Enthesitis Indices Do Not Reflect True Enthesitis and Hence Should Be Discontinued

J RheumatolPublished Debate report

Study context

Population
Psoriatic disease (PsD)
Comparison
Discontinuation vs continued use of traditional clinical enthesitis indices in PsD
Methodological detailsGRAPPA 2024 annual meeting
  • GRAPPA 2024 annual meeting

Main finding

As reported in the abstract

  • For discontinuation (Aydin): clinical indices often capture "enthesalgia" rather than true inflammatory enthesitis, may lack specificity for inflammation, and show high placebo response; prioritise emerging imaging tools
  • Against discontinuation (Deodhar): indices used successfully in multiple RCTs leading to approval of numerous PsA treatments; imaging such as US has operator dependency, variability in interpretation and no regulatory approval as a standardised outcome measure

Original publication

GRAPPA Debate: Be it Resolved That Clinical Enthesitis Indices Do Not Reflect True Enthesitis and Hence Should Be Discontinued. J Rheumatol. Published 1 October 2025. doi:10.3899/jrheum.2025-0910

Composed by AI from the published abstract and checked against it. How Briefs are made →

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