The comparative performance of three screening questionnaires for psoriatic arthritis in a primary care surveillance study
The objective of this study was to compare the performance of three PsA screening questionnaires in a primary care psoriasis surveillance study. Participants with psoriasis, and not known to have PsA, were identified from general practice databases and invited to attend a secondary care centre for a...
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Veröffentlicht in: | Rheumatology (Oxford, England) England), 2024-04, Vol.63 (4), p.991-998 |
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creator | Helliwell, Philip S Coates, Laura C Ransom, Myka Brown, Sarah T Packham, Jonathan Weddell, Jake Tillett, William McHugh, Neil |
description | The objective of this study was to compare the performance of three PsA screening questionnaires in a primary care psoriasis surveillance study.
Participants with psoriasis, and not known to have PsA, were identified from general practice databases and invited to attend a secondary care centre for a clinical assessment. The three patient-completed screening questionnaires (PEST, CONTEST and CONTESTjt) were administered, along with other patient-reported measures, and a clinical examination of skin and joints was performed. Participants who demonstrated signs of inflammatory arthritis suggestive of PsA were referred, via their GP, for a further assessment in a secondary care rheumatology clinic.
A total of 791 participants attended the screening visit, and 165 participants were judged to have signs and symptoms of inflammatory arthritis, of which 150 were referred for assessment. Of these, 126 were seen and 48 were diagnosed with PsA. The results for each questionnaire were as follows: PEST: sensitivity 0.625 (95% CI 0.482, 0.749), specificity 0.757 (0.724, 0.787); CONTEST: sensitivity 0.604 (0.461, 0.731), specificity 0.768 (0.736, 0.798); and CONTESTjt: sensitivity 0.542 (0.401, 0.676), specificity 0.834 (0.805, 0.859). CONTESTjt demonstrated marginally superior specificity to PEST, though the area under the ROC curve was similar for all three instruments.
Minimal differences between the three screening questionnaires were found in this study, and no preferred questionnaire is indicated by these results. The choice of which instrument to choose will depend on other factors, such as simplicity and low patient burden. |
doi_str_mv | 10.1093/rheumatology/kead310 |
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Participants with psoriasis, and not known to have PsA, were identified from general practice databases and invited to attend a secondary care centre for a clinical assessment. The three patient-completed screening questionnaires (PEST, CONTEST and CONTESTjt) were administered, along with other patient-reported measures, and a clinical examination of skin and joints was performed. Participants who demonstrated signs of inflammatory arthritis suggestive of PsA were referred, via their GP, for a further assessment in a secondary care rheumatology clinic.
A total of 791 participants attended the screening visit, and 165 participants were judged to have signs and symptoms of inflammatory arthritis, of which 150 were referred for assessment. Of these, 126 were seen and 48 were diagnosed with PsA. The results for each questionnaire were as follows: PEST: sensitivity 0.625 (95% CI 0.482, 0.749), specificity 0.757 (0.724, 0.787); CONTEST: sensitivity 0.604 (0.461, 0.731), specificity 0.768 (0.736, 0.798); and CONTESTjt: sensitivity 0.542 (0.401, 0.676), specificity 0.834 (0.805, 0.859). CONTESTjt demonstrated marginally superior specificity to PEST, though the area under the ROC curve was similar for all three instruments.
Minimal differences between the three screening questionnaires were found in this study, and no preferred questionnaire is indicated by these results. The choice of which instrument to choose will depend on other factors, such as simplicity and low patient burden.</description><identifier>ISSN: 1462-0324</identifier><identifier>ISSN: 1462-0332</identifier><identifier>EISSN: 1462-0332</identifier><identifier>DOI: 10.1093/rheumatology/kead310</identifier><identifier>PMID: 37341637</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Arthritis, Psoriatic - complications ; Clinical Science ; Humans ; Mass Screening - methods ; Primary Health Care ; Psoriasis - epidemiology ; Sensitivity and Specificity ; Surveys and Questionnaires</subject><ispartof>Rheumatology (Oxford, England), 2024-04, Vol.63 (4), p.991-998</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the British Society for Rheumatology.</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the British Society for Rheumatology. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c358t-e9e9536b0cd5bb07ef74986182e3690663e5557657b73f365d20828ad944a37a3</cites><orcidid>0000-0002-4756-663X ; 0000-0002-4155-9105 ; 0000-0001-7531-4125</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37341637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Helliwell, Philip S</creatorcontrib><creatorcontrib>Coates, Laura C</creatorcontrib><creatorcontrib>Ransom, Myka</creatorcontrib><creatorcontrib>Brown, Sarah T</creatorcontrib><creatorcontrib>Packham, Jonathan</creatorcontrib><creatorcontrib>Weddell, Jake</creatorcontrib><creatorcontrib>Tillett, William</creatorcontrib><creatorcontrib>McHugh, Neil</creatorcontrib><creatorcontrib>PROMPT Study Group</creatorcontrib><creatorcontrib>the PROMPT Study Group</creatorcontrib><title>The comparative performance of three screening questionnaires for psoriatic arthritis in a primary care surveillance study</title><title>Rheumatology (Oxford, England)</title><addtitle>Rheumatology (Oxford)</addtitle><description>The objective of this study was to compare the performance of three PsA screening questionnaires in a primary care psoriasis surveillance study.
Participants with psoriasis, and not known to have PsA, were identified from general practice databases and invited to attend a secondary care centre for a clinical assessment. The three patient-completed screening questionnaires (PEST, CONTEST and CONTESTjt) were administered, along with other patient-reported measures, and a clinical examination of skin and joints was performed. Participants who demonstrated signs of inflammatory arthritis suggestive of PsA were referred, via their GP, for a further assessment in a secondary care rheumatology clinic.
A total of 791 participants attended the screening visit, and 165 participants were judged to have signs and symptoms of inflammatory arthritis, of which 150 were referred for assessment. Of these, 126 were seen and 48 were diagnosed with PsA. The results for each questionnaire were as follows: PEST: sensitivity 0.625 (95% CI 0.482, 0.749), specificity 0.757 (0.724, 0.787); CONTEST: sensitivity 0.604 (0.461, 0.731), specificity 0.768 (0.736, 0.798); and CONTESTjt: sensitivity 0.542 (0.401, 0.676), specificity 0.834 (0.805, 0.859). CONTESTjt demonstrated marginally superior specificity to PEST, though the area under the ROC curve was similar for all three instruments.
Minimal differences between the three screening questionnaires were found in this study, and no preferred questionnaire is indicated by these results. The choice of which instrument to choose will depend on other factors, such as simplicity and low patient burden.</description><subject>Arthritis, Psoriatic - complications</subject><subject>Clinical Science</subject><subject>Humans</subject><subject>Mass Screening - methods</subject><subject>Primary Health Care</subject><subject>Psoriasis - epidemiology</subject><subject>Sensitivity and Specificity</subject><subject>Surveys and Questionnaires</subject><issn>1462-0324</issn><issn>1462-0332</issn><issn>1462-0332</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkctOwzAQRS0EouXxBwh5yaZgZ2InWSFU8ZIqsYG15TiT1pDEwU4qla_HQKlgY1uae8-M5xJyxtklZwVc-RWOrR5c45abqzfUFXC2R6Y8lcmMAST7u3eSTshRCK-MMcEhPyQTyCDlErIp-XheITWu7bXXg10j7dHXzre6M0hdTYeVR6TBxLOz3ZK-jxgG67pOW4-BRintg_M2mg3VPsrtYAO1HdW097bVfkON9hEx-jXapvkGh2GsNifkoNZNwNPtfUxe7m6f5w-zxdP94_xmMTMg8mGGBRYCZMlMJcqSZVhnaZFLnicIsmBSAgohMimyMoMapKgSlie5roo01ZBpOCbXP9x-LFusDHaD143aTqectup_pbMrtXRrFdecy5zJSLjYErz7XoBqbTD49Rl0Y1BJ7AeSyySN0vRHarwLwWO968PZFxDU39zUNrdoO_874870GxR8AuLrnSg</recordid><startdate>20240402</startdate><enddate>20240402</enddate><creator>Helliwell, Philip S</creator><creator>Coates, Laura C</creator><creator>Ransom, Myka</creator><creator>Brown, Sarah T</creator><creator>Packham, Jonathan</creator><creator>Weddell, Jake</creator><creator>Tillett, William</creator><creator>McHugh, Neil</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4756-663X</orcidid><orcidid>https://orcid.org/0000-0002-4155-9105</orcidid><orcidid>https://orcid.org/0000-0001-7531-4125</orcidid></search><sort><creationdate>20240402</creationdate><title>The comparative performance of three screening questionnaires for psoriatic arthritis in a primary care surveillance study</title><author>Helliwell, Philip S ; Coates, Laura C ; Ransom, Myka ; Brown, Sarah T ; Packham, Jonathan ; Weddell, Jake ; Tillett, William ; McHugh, Neil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-e9e9536b0cd5bb07ef74986182e3690663e5557657b73f365d20828ad944a37a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Arthritis, Psoriatic - complications</topic><topic>Clinical Science</topic><topic>Humans</topic><topic>Mass Screening - methods</topic><topic>Primary Health Care</topic><topic>Psoriasis - epidemiology</topic><topic>Sensitivity and Specificity</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Helliwell, Philip S</creatorcontrib><creatorcontrib>Coates, Laura C</creatorcontrib><creatorcontrib>Ransom, Myka</creatorcontrib><creatorcontrib>Brown, Sarah T</creatorcontrib><creatorcontrib>Packham, Jonathan</creatorcontrib><creatorcontrib>Weddell, Jake</creatorcontrib><creatorcontrib>Tillett, William</creatorcontrib><creatorcontrib>McHugh, Neil</creatorcontrib><creatorcontrib>PROMPT Study Group</creatorcontrib><creatorcontrib>the PROMPT Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Rheumatology (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Helliwell, Philip S</au><au>Coates, Laura C</au><au>Ransom, Myka</au><au>Brown, Sarah T</au><au>Packham, Jonathan</au><au>Weddell, Jake</au><au>Tillett, William</au><au>McHugh, Neil</au><aucorp>PROMPT Study Group</aucorp><aucorp>the PROMPT Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The comparative performance of three screening questionnaires for psoriatic arthritis in a primary care surveillance study</atitle><jtitle>Rheumatology (Oxford, England)</jtitle><addtitle>Rheumatology (Oxford)</addtitle><date>2024-04-02</date><risdate>2024</risdate><volume>63</volume><issue>4</issue><spage>991</spage><epage>998</epage><pages>991-998</pages><issn>1462-0324</issn><issn>1462-0332</issn><eissn>1462-0332</eissn><abstract>The objective of this study was to compare the performance of three PsA screening questionnaires in a primary care psoriasis surveillance study.
Participants with psoriasis, and not known to have PsA, were identified from general practice databases and invited to attend a secondary care centre for a clinical assessment. The three patient-completed screening questionnaires (PEST, CONTEST and CONTESTjt) were administered, along with other patient-reported measures, and a clinical examination of skin and joints was performed. Participants who demonstrated signs of inflammatory arthritis suggestive of PsA were referred, via their GP, for a further assessment in a secondary care rheumatology clinic.
A total of 791 participants attended the screening visit, and 165 participants were judged to have signs and symptoms of inflammatory arthritis, of which 150 were referred for assessment. Of these, 126 were seen and 48 were diagnosed with PsA. The results for each questionnaire were as follows: PEST: sensitivity 0.625 (95% CI 0.482, 0.749), specificity 0.757 (0.724, 0.787); CONTEST: sensitivity 0.604 (0.461, 0.731), specificity 0.768 (0.736, 0.798); and CONTESTjt: sensitivity 0.542 (0.401, 0.676), specificity 0.834 (0.805, 0.859). CONTESTjt demonstrated marginally superior specificity to PEST, though the area under the ROC curve was similar for all three instruments.
Minimal differences between the three screening questionnaires were found in this study, and no preferred questionnaire is indicated by these results. The choice of which instrument to choose will depend on other factors, such as simplicity and low patient burden.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>37341637</pmid><doi>10.1093/rheumatology/kead310</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-4756-663X</orcidid><orcidid>https://orcid.org/0000-0002-4155-9105</orcidid><orcidid>https://orcid.org/0000-0001-7531-4125</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Arthritis, Psoriatic - complications Clinical Science Humans Mass Screening - methods Primary Health Care Psoriasis - epidemiology Sensitivity and Specificity Surveys and Questionnaires |
title | The comparative performance of three screening questionnaires for psoriatic arthritis in a primary care surveillance study |
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