Spondyloarthritis & psoriatic arthritis

Rheumatoid arthritis and psoriatic arthritis: is the disease impact different? A large matching study at diagnosis and after 1 year of treatment

RMD OpenPublished Matched cohort study

Main finding · SF-36 mental health, at diagnosis (PsA worse)Result — go to the resultDifference 5.04 units 95% CI 2.21–7.87

Authors' conclusion

The disease impact of early RA patients is similar to matched early PsA patients on most PRO domains, except for mental health and functional limitations, which were worse in PsA after 1 year of treatment.

Study context

Population
Early rheumatoid arthritis (RA) and early psoriatic arthritis (PsA) patients from Rotterdam (tREACH), Dutch southwest (DEPAR) and Leiden (Early Arthritis Clinic (EAC)) cohorts
Participants
391 / 416 / 702 / 99
Exposure
PsA vs RA patients, matched, at diagnosis and after 1 year of treatment
  • RA-tREACHn = 391reference
  • PsA-DEPARn = 416
  • RA-EACn = 702reference
  • PsA-EACn = 99
Outcome
Difference in disease impact (PROs): pain (Visual Analogue Scale (VAS) 0-100), fatigue (VAS), activity limitation (HAQ-DI), health impact (general health VAS, SF-36)
Follow-up
At diagnosis and after 1 year
Methodological detailspropensity-score matched, inverse probability weighted linear regression, multi-cohort (tREACH, DEPAR, EAC)
  • Propensity-score matched
  • Inverse probability weighted linear regression
  • Multi-cohort (tREACH, DEPAR, EAC)

Main finding

SF-36 mental health, at diagnosis (PsA worse)

Difference

5.04 units

95% CI 2.21–7.87

PsA-DEPARvs RA-tREACH
difference 5.04 units (95% CI 2.21–7.87)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeDifference (95% CI)
SF-36 mental health after 1 year of treatmentBetween PsA-DEPAR and RA-tREACH · difference still existed3.88 (1.90–5.86)
Activity limitations (HAQ-DI) after 1 year of treatmentPsA-EACvs RA-EACPsA-EAC had more activity limitations−0.30 (−0.50 to −0.10)

Original publication

Rheumatoid arthritis and psoriatic arthritis: is the disease impact different? A large matching study at diagnosis and after 1 year of treatment. RMD Open. Published 12 March 2025. doi:10.1136/rmdopen-2024-005143

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