Spondyloarthritis & psoriatic arthritis

Sex-Specific Differences in Patients With Psoriatic Arthritis: A Systematic Review

J RheumatolPublished Systematic review

Authors' conclusion

This review indicates that important differences exist between the sexes in PsA.

Study context

Population
Adults with psoriatic arthritis (PsA) in observational studies reporting outcomes by sex (published January 1, 2015, to November 13, 2020)27 studies (31 publications)
Comparison
Women vs men with PsA
Outcome
Sex-specific differences in clinical characteristics, disease activity, PROs and treatment response
Methodological detailsobservational studies, studies with 100 or more patients prespecifying a comparison by sex, Searches of MEDLINE, Embase and the Cochrane Database of Systematic Reviews in November 2020, plus hand searches, ClinicalTrials.gov and congress abstracts; 3283 unique records
  • Observational studies
  • Studies with 100 or more patients prespecifying a comparison by sex
  • Searches of MEDLINE, Embase and the Cochrane Database of Systematic Reviews in November 2020, plus hand searches, ClinicalTrials.gov and congress abstracts; 3283 unique records

Pooled result

As reported in the abstract

  • Generally higher rates of peripheral disease in women, including higher tender joint counts
  • Some evidence of more axial disease in men, plus greater skin disease burden
  • Consistently no differences in Dermatology Life Quality Index scores
  • Across other patient-reported outcomes (PROs), women had worse scores, including pain and fatigue
  • Women had poorer responses to treatment (e.g. American College of Rheumatology (ACR) responses, minimal disease activity)

Original publication

Sex-Specific Differences in Patients With Psoriatic Arthritis: A Systematic Review. J Rheumatol. Published 15 October 2022. doi:10.3899/jrheum.220386

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.