Spondyloarthritis & psoriatic arthritis

Impact of Physician-Defined Flares on Quality of Life and Work Impairment: An International Survey of 2238 Patients With Psoriatic Arthritis

J RheumatolPublished Cross-sectional study

Authors' conclusion

Actively experiencing a flare adversely affected QOL, disability, and work productivity.

Study context

Population
Patients with psoriatic arthritis (PsA) managed by rheumatologists/dermatologists in France, Germany, Italy, Spain, the UK and the US572 physicians
Participants
2,238 patients
Exposure
Patients by flare status: currently flaring vs not flared in last 12 months or never flared
Outcome
PsA flares and their effect on patient-reported outcomes (PROs) (EQ-5D-5L, WPAI, HAQ-DI, PsAID-12)
Methodological detailsinternational survey, physician and patient surveys, multivariate logistic regression adjusted for patient demographics and physician specialty
  • International survey
  • Physician and patient surveys
  • Multivariate logistic regression adjusted for patient demographics and physician specialty

Main finding

As reported in the abstract

PROs by flare status
No flare in last 12 months or never flared: higher QOL, lower overall work impairment and lower disability vs current flare
all; P < 0.01
Physician-reported flare
168 patients (7.5%)
Self-reported flare
95 patients (10% of available data)
Flare count over 12 months, mean (SD)
2.2 (4.9)
Flare duration, mean (SD), days
16.4 (16.2)

Observational data: associations, not effects.

Original publication

Impact of Physician-Defined Flares on Quality of Life and Work Impairment: An International Survey of 2238 Patients With Psoriatic Arthritis. J Rheumatol. Published 15 August 2022. doi:10.3899/jrheum.211302

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