Vasculitis & polymyalgia rheumatica

Patient-reported outcome measures in incident Polymyalgia Rheumatica: Changes after treatment initiation, short-term glucocorticoid discontinuation, and at one-year follow-up

Semin Arthritis RheumPublished Prospective cohort study

Authors' conclusion

PROMs, particularly pain-related VAS scores, may predict relapse and guide individualised tapering strategies in patients with PMR.

Study context

Population
Patients with incident polymyalgia rheumatica (PMR), without concomitant or late-onset GCA, from three Danish rheumatology departments, initiating glucocorticoid (GC) treatment
Participants
60 patients
Outcome
Change in PROMs (pain VAS, PMR VAS, morning stiffness duration, SF-36) after GC initiation
Follow-up
Week 8
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

PROMs from baseline to week 8
All patient-reported outcomes measures (PROMs) improved from baseline to week 8
p < 0.001
Average decrease in visual analogue scales (VAS) scores
59 mm

Observational data: associations, not effects.

Further findings

PROMs after short-term GC discontinuation, week 8 to 10

All PROMs except the SF-36 mental component score worsened
P < 0.01

Pain VAS and PMR VAS at one year vs week 8

Higher after one year than at week 8
P < 0.01

Relapse at week 10 vs no relapse

Higher VAS scores and lower SF-36 physical subscale scores with relapse
P < 0.05

Correlation of PhGA with PMR VAS, shoulder pain and global pain

Strong correlation
r > 0.75, p < 0.01

Original publication

Patient-reported outcome measures in incident Polymyalgia Rheumatica: Changes after treatment initiation, short-term glucocorticoid discontinuation, and at one-year follow-up. Semin Arthritis Rheum. Published 16 April 2026. doi:10.1016/j.semarthrit.2026.152982

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