Spondyloarthritis & psoriatic arthritis

How do patient-reported outcome measures affect treatment intensification and patient satisfaction in the management of psoriatic arthritis? A cross sectional study of 503 patients

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

PsAID-12 scoring correlates with multiple measures of disease severity and odds of treatment escalation. However, most clinicians reported that the PsAID-12 did not influence treatment escalation decisions.

Study context

Population
Patients with PsA in routine care across the UK and Europe, July 2021 to March 2022, whose PsAID-12 results were shared with their physician
Participants
503 patients
Outcome
Treatment change and escalation; association of PsAID-12 with escalation
Methodological detailsmulticentre (UK and Europe)
  • Multicentre (UK and Europe)

Main finding

As reported in the abstract

Patients with changes made to treatment

36.2%

Of these, treatment escalation

88.8%

Increase in PsAID-12 score and odds of treatment escalation, OR

1.58

P < 0.0001

Observational data: associations, not effects.

Further findings

Physician's assessment of disease activity and treatment escalation

OR per 1-point score increase (most statistically significant effect)
2.68

Other factors associated with treatment escalation

Escalation more likely in patients not treated with biologic therapies
Patient characteristics, physician characteristics, disease activity and disease impact associated with escalation

Original publication

How do patient-reported outcome measures affect treatment intensification and patient satisfaction in the management of psoriatic arthritis? A cross sectional study of 503 patients. Rheumatology (Oxford). Published 8 January 2024. doi:10.1093/rheumatology/kead679

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

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