Spondyloarthritis & psoriatic arthritis

The comparative performance of three screening questionnaires for psoriatic arthritis in a primary care surveillance study

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

Minimal differences between the three screening questionnaires were found in this study, and no preferred questionnaire is indicated by these results.

Study context

Population
Participants with psoriasis not known to have PsA, identified from general practice databases48 diagnosed with PsA
Participants
791 participants
Comparison
PEST vs CONTEST vs CONTESTjt screening questionnaires for PsA
Outcome
Performance (sensitivity, specificity) of three PsA screening questionnaires
Methodological detailsprimary care psoriasis surveillance study, 165 judged to have signs of inflammatory arthritis; 150 referred; 126 seen; 48 diagnosed with PsA
  • Primary care psoriasis surveillance study
  • 165 judged to have signs of inflammatory arthritis; 150 referred; 126 seen; 48 diagnosed with PsA

Performance

As reported in the abstract

Screening performance for PsA
Test or modelSensitivitySpecificity
PEST0.625 (95% CI 0.482, 0.749)0.757 (0.724, 0.787)
CONTEST0.604 (0.461, 0.731)0.768 (0.736, 0.798)
CONTESTjt0.542 (0.401, 0.676)0.834 (0.805, 0.859)

Sensitivity

PEST0.625 (95% CI 0.482, 0.749)
CONTEST0.604 (0.461, 0.731)
CONTESTjt0.542 (0.401, 0.676)

Specificity

PEST0.757 (0.724, 0.787)
CONTEST0.768 (0.736, 0.798)
CONTESTjt0.834 (0.805, 0.859)

Original publication

The comparative performance of three screening questionnaires for psoriatic arthritis in a primary care surveillance study. Rheumatology (Oxford). Published 21 June 2023. doi:10.1093/rheumatology/kead310

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