Spondyloarthritis & psoriatic arthritis

The Effect of Early Attainment of Minimal Disease Activity on Radiographic Outcomes: A Real-World Longitudinal Cohort Study in Psoriatic Arthritis

J RheumatolPublished Prospective cohort study

Main finding · Radiographic changes during follow-upResult — go to the resultβ 0.05 95% CI 0.02–0.08

Authors' conclusion

Radiographic changes during the 3-year follow-up were markedly higher in those unable to achieve MDA within the first year of follow-up

Study context

Population
Newly diagnosed psoriatic arthritis (PsA) with oligoarthritis or polyarthritis, Dutch southwest Early PsA cohort
Participants
284 participants
Exposure
No minimal disease activity (MDA) vs sustained MDA in the first year after PsA diagnosis
  • Sustained MDAn = 96reference
  • Nonsustained MDAn = 83
  • No MDAn = 105
Outcome
Radiographic changes (modified Total Sharp/van der Heijde score for PsA)
Follow-up
3-year follow-up
Methodological detailsreal-world, longitudinal, linear mixed model
  • Real-world
  • Longitudinal
  • Linear mixed model

Main finding

Radiographic changes during follow-up

β

0.05

95% CI 0.02–0.08

P < 0.01

As reported in the abstract

Observational data: associations, not effects.

Further findings

Baseline characteristics of No MDA
70%

Original publication

The Effect of Early Attainment of Minimal Disease Activity on Radiographic Outcomes: A Real-World Longitudinal Cohort Study in Psoriatic Arthritis. J Rheumatol. Published 15 May 2025. doi:10.3899/jrheum.2024-1162

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