Interdisciplinary approach to patients with psoriatic arthritis: a prospective, single-center cohort study
Background: Psoriatic arthritis (PsA) is a chronic systemic inflammatory disease that affects up to 30% of patients with psoriasis. Diagnosis and treatment could be improved by implementing an interdisciplinary dermatological-rheumatological consultation (IDRC). Objectives: This study aimed to asses...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-11-01
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| Series: | Therapeutic Advances in Chronic Disease |
| Online Access: | https://doi.org/10.1177/20406223241293698 |
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| author | Georg Gross Christian Lull Jan Alwin von Ahnen Mara Blauth Johanna Schwaan Victor Olsavszky Astrid Schmieder Jan Leipe |
| author_facet | Georg Gross Christian Lull Jan Alwin von Ahnen Mara Blauth Johanna Schwaan Victor Olsavszky Astrid Schmieder Jan Leipe |
| author_sort | Georg Gross |
| collection | DOAJ |
| description | Background: Psoriatic arthritis (PsA) is a chronic systemic inflammatory disease that affects up to 30% of patients with psoriasis. Diagnosis and treatment could be improved by implementing an interdisciplinary dermatological-rheumatological consultation (IDRC). Objectives: This study aimed to assess the effect of a face-to-face IDRC involving both a dermatologist and a rheumatologist evaluating patients in a single visit, on disease activity and burden in patients with PsA. Design: Prospective, single-center, cohort study. Methods: 202 patients with psoriasis were enrolled, among whom 115 individuals with psoriasis and musculoskeletal symptoms underwent an IDRC. Disease manifestations, comorbidities, and both objective and subjective disease activity scores were evaluated. Results: Out of the participants, 56 were diagnosed with definite PsA, while the remaining 146 had psoriasis. Nail involvement was associated with axial PsA (odds ratio 4.11; 95% CI 1.22–13.82; p = 0.02). Patients with PsA often experienced a prolonged time to diagnosis (mean 187 weeks) and had a significant psychosocial burden (mean Hospital Anxiety and Depression Index Scale [HADS]-Anxiety score of 7.66 and mean HADS-Depression score of 5.63). Post-IDRC, both objective and subjective disease parameters showed improvement, and patients required less time for consultations with healthcare professionals compared to before the IDRC. Conclusion: These findings suggest that an IDRC approach could effectively expedite and optimize the diagnosis and treatment of patients with psoriasis and musculoskeletal symptoms. |
| format | Article |
| id | doaj-art-8c40fdef0c584ef0b7977bd2c01dc08d |
| institution | OA Journals |
| issn | 2040-6231 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Chronic Disease |
| spelling | doaj-art-8c40fdef0c584ef0b7977bd2c01dc08d2025-08-20T02:06:44ZengSAGE PublishingTherapeutic Advances in Chronic Disease2040-62312024-11-011510.1177/20406223241293698Interdisciplinary approach to patients with psoriatic arthritis: a prospective, single-center cohort studyGeorg GrossChristian LullJan Alwin von AhnenMara BlauthJohanna SchwaanVictor OlsavszkyAstrid SchmiederJan LeipeBackground: Psoriatic arthritis (PsA) is a chronic systemic inflammatory disease that affects up to 30% of patients with psoriasis. Diagnosis and treatment could be improved by implementing an interdisciplinary dermatological-rheumatological consultation (IDRC). Objectives: This study aimed to assess the effect of a face-to-face IDRC involving both a dermatologist and a rheumatologist evaluating patients in a single visit, on disease activity and burden in patients with PsA. Design: Prospective, single-center, cohort study. Methods: 202 patients with psoriasis were enrolled, among whom 115 individuals with psoriasis and musculoskeletal symptoms underwent an IDRC. Disease manifestations, comorbidities, and both objective and subjective disease activity scores were evaluated. Results: Out of the participants, 56 were diagnosed with definite PsA, while the remaining 146 had psoriasis. Nail involvement was associated with axial PsA (odds ratio 4.11; 95% CI 1.22–13.82; p = 0.02). Patients with PsA often experienced a prolonged time to diagnosis (mean 187 weeks) and had a significant psychosocial burden (mean Hospital Anxiety and Depression Index Scale [HADS]-Anxiety score of 7.66 and mean HADS-Depression score of 5.63). Post-IDRC, both objective and subjective disease parameters showed improvement, and patients required less time for consultations with healthcare professionals compared to before the IDRC. Conclusion: These findings suggest that an IDRC approach could effectively expedite and optimize the diagnosis and treatment of patients with psoriasis and musculoskeletal symptoms.https://doi.org/10.1177/20406223241293698 |
| spellingShingle | Georg Gross Christian Lull Jan Alwin von Ahnen Mara Blauth Johanna Schwaan Victor Olsavszky Astrid Schmieder Jan Leipe Interdisciplinary approach to patients with psoriatic arthritis: a prospective, single-center cohort study Therapeutic Advances in Chronic Disease |
| title | Interdisciplinary approach to patients with psoriatic arthritis: a prospective, single-center cohort study |
| title_full | Interdisciplinary approach to patients with psoriatic arthritis: a prospective, single-center cohort study |
| title_fullStr | Interdisciplinary approach to patients with psoriatic arthritis: a prospective, single-center cohort study |
| title_full_unstemmed | Interdisciplinary approach to patients with psoriatic arthritis: a prospective, single-center cohort study |
| title_short | Interdisciplinary approach to patients with psoriatic arthritis: a prospective, single-center cohort study |
| title_sort | interdisciplinary approach to patients with psoriatic arthritis a prospective single center cohort study |
| url | https://doi.org/10.1177/20406223241293698 |
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