The burden of psoriasis in patients with early psoriatic arthritis Article Swipe
YOU?
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· 2021
· Open Access
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· DOI: https://doi.org/10.1093/rheumatology/keab606
Objectives Psoriasis impacts health-related quality of life (HRQoL) in PsA patients. However, this is not adequately measured with a general HRQoL questionnaire. The aim of this study was to quantify the degree of psoriasis evolution in PsA patients over the first year of follow-up and to evaluate whether the impact of psoriasis on HRQoL can be adequately measured with a dermatology-specific HRQoL questionnaire. Methods Data were used from PsA patients in the Dutch south west Early Psoriatic Arthritis cohort. Psoriasis severity was measured with the Psoriasis Area and Severity Index (PASI). Dermatology-specific HRQoL was assessed with the Skindex-17 questionnaire. We used a Sankey diagram to illustrate the evolution of psoriasis severity during the first year of follow-up. To assess the association between psoriasis severity and the symptoms and psychosocial subscale of the Skindex-17, a linear regression analysis with hierarchical variable selection and zero-inflated negative binominal regression analysis were performed, respectively. Results We included 644 patients; 109 (17%) patients had no psoriasis (PASI = 0), 456 (71%) had mild psoriasis (PASI < 7), 56 (9%) had moderate psoriasis (PASI 7–12) and 23 (4%) had severe psoriasis (PASI > 12). Psoriasis severity did not fluctuate much during the first year. PASI was significantly associated with both subscales of the Skindex-17 at baseline and 12 months. Conclusion Psoriasis severity in PsA patients is mostly mild but impacts HRQoL when measured using a dermatology-specific HRQoL questionnaire. For optimal management of PsA patients, we recommend rheumatologists acquire information on skin burden by using a dermatology-specific HRQoL questionnaire.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/rheumatology/keab606
- https://academic.oup.com/rheumatology/article-pdf/61/4/1570/43355962/keab606.pdf
- OA Status
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- Cited By
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- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3185027159Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/rheumatology/keab606Digital Object Identifier
- Title
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The burden of psoriasis in patients with early psoriatic arthritisWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-07-23Full publication date if available
- Authors
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Fazira R. Kasiem, Marc R. Kok, Jolanda J. Luime, Ilja Tchetverikov, Kim Wervers, Lindy‐Anne Korswagen, Nastasja H A M Denissen, Yvonne P M Goekoop-Ruiterman, M. van Oosterhout, Faouzia Fodili, Johanna M W Hazes, Marijn VisList of authors in order
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https://doi.org/10.1093/rheumatology/keab606Publisher landing page
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https://academic.oup.com/rheumatology/article-pdf/61/4/1570/43355962/keab606.pdfDirect link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://academic.oup.com/rheumatology/article-pdf/61/4/1570/43355962/keab606.pdfDirect OA link when available
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Psoriasis, Medicine, Psoriasis Area and Severity Index, Psoriatic arthritis, Quality of life (healthcare), Dermatology, Severity of illness, Psychosocial, Dermatology Life Quality Index, Internal medicine, Physical therapy, Psychiatry, NursingTop concepts (fields/topics) attached by OpenAlex
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8Total citation count in OpenAlex
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2025: 1, 2024: 2, 2023: 3, 2022: 1, 2021: 1Per-year citation counts (last 5 years)
- References (count)
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21Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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