Spondyloarthritis & psoriatic arthritis

Predicting Treatment Outcomes in Patients With Psoriatic Arthritis or Axial Spondyloarthritis: An Artificial Intelligence–Driven Approach

J RheumatolPublished Prognostic modelling study (machine learning) within a prospective observational study

Authors' conclusion

XAI provides significant value by enabling explanations of individual patient predictions and their visualizations.

Study context

Population
Patients with active PsA or axial spondyloarthritis (axSpA) treated with secukinumab (SEC) in Germany (AQUILA study)
Participants
1,961 patients
Comparison
PsA vs axSpA
Outcome
Baseline prediction of achieving LDA and high HRQOL; main predictors and their direction of influence
Follow-up
Week 16
Methodological detailsmulticenter, noninterventional, binary machine learning (ML) algorithms, explainable artificial intelligence (XAI)
  • Multicenter
  • Noninterventional
  • Binary ML algorithms
  • Explainable artificial intelligence (XAI)

Performance

As reported in the abstract

  • PsA, low disease activity (LDA) predictors: PGA, physician global assessment, pretreatment with biologic disease-modifying antirheumatic drugs (bDMARDs), tender joint count (TJC), age
  • PsA, high health-related quality of life (HRQOL) predictors: PsA Impact of Disease, Beck Depression Inventory (BDI), height, TJC, BMI
  • axSpA, LDA predictors: Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), pretreatment with bDMARDs, CRP, ASAS HI, height
  • axSpA, high HRQOL predictors: ASAS HI, BDI, BMI, height, age

Original publication

Predicting Treatment Outcomes in Patients With Psoriatic Arthritis or Axial Spondyloarthritis: An Artificial Intelligence–Driven Approach. J Rheumatol. Published 15 October 2025. doi:10.3899/jrheum.2025-0327

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