Consensus terminology for preclinical phases of psoriatic arthritis for use in research studies: results from a Delphi consensus study

The concept of psoriatic arthritis (PsA) prevention is gaining increased interest owing to the physical limitation, poor quality of life and low remission rates that are achieved with current therapies for PsA. The psoriasis-to-PsA transition offers a unique opportunity to identify individuals at in...

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Veröffentlicht in:Nature reviews. Rheumatology 2021-04, Vol.17 (4), p.238-243
Hauptverfasser: Perez-Chada, Lourdes M., Haberman, Rebecca H., Chandran, Vinod, Rosen, Cheryl F., Ritchlin, Christopher, Eder, Lihi, Mease, Philip, Reddy, Soumya, Ogdie, Alexis, Merola, Joseph F., Scher, Jose U.
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container_end_page 243
container_issue 4
container_start_page 238
container_title Nature reviews. Rheumatology
container_volume 17
creator Perez-Chada, Lourdes M.
Haberman, Rebecca H.
Chandran, Vinod
Rosen, Cheryl F.
Ritchlin, Christopher
Eder, Lihi
Mease, Philip
Reddy, Soumya
Ogdie, Alexis
Merola, Joseph F.
Scher, Jose U.
description The concept of psoriatic arthritis (PsA) prevention is gaining increased interest owing to the physical limitation, poor quality of life and low remission rates that are achieved with current therapies for PsA. The psoriasis-to-PsA transition offers a unique opportunity to identify individuals at increased risk of developing PsA and to implement preventive strategies. However, identifying individuals at increased risk of developing PsA is challenging as there is no consensus on how this population should be defined. This Consensus Statement puts forward recommended terminology from the Psoriasis and Psoriatic Arthritis Clinics Multicenter Advancement Network (PPACMAN) for defining specific subgroups of individuals during the preclinical and early clinical phases of PsA to be used in research studies. Following a three-round Delphi process, consensus was reached for three terms and definitions: ‘increased risk for PsA’, ‘psoriasis with asymptomatic synovio-entheseal imaging abnormalities’ and ‘psoriasis with musculoskeletal symptoms not explained by other diagnosis’. These terms and their definitions will enable improved identification and standardization of study populations in clinical research. In the future, as increasing evidence emerges regarding the molecular and clinical features of the psoriasis-to-PsA continuum, these terms and definitions will be further refined and updated. In this Consensus Statement, an expert panel from the Psoriasis and Psoriatic Arthritis Clinics Multicenter Advancement Network (PPACMAN) recommends terminology for defining specific subgroups of individuals during the preclinical and early clinical phases of psoriatic arthritis to be used in research studies.
doi_str_mv 10.1038/s41584-021-00578-2
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Rheumatology</jtitle><stitle>Nat Rev Rheumatol</stitle><addtitle>Nat Rev Rheumatol</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>17</volume><issue>4</issue><spage>238</spage><epage>243</epage><pages>238-243</pages><issn>1759-4790</issn><eissn>1759-4804</eissn><abstract>The concept of psoriatic arthritis (PsA) prevention is gaining increased interest owing to the physical limitation, poor quality of life and low remission rates that are achieved with current therapies for PsA. The psoriasis-to-PsA transition offers a unique opportunity to identify individuals at increased risk of developing PsA and to implement preventive strategies. However, identifying individuals at increased risk of developing PsA is challenging as there is no consensus on how this population should be defined. 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subjects 692/308/2779
692/4023/1670/2766/1900
Arthritis
Consensus Statement
Identification and classification
Medicine
Medicine & Public Health
Population studies
Psoriasis
Psoriatic arthritis
Quality of life
Remission
Rheumatology
Risk factors
Standardization
Terminology
title Consensus terminology for preclinical phases of psoriatic arthritis for use in research studies: results from a Delphi consensus study
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