Psoriatic arthritis screening: A systematic literature review and experts' recommendations
Por:
Urruticoechea-Arana, A, Benavent, D, Leon, F, Almodovar, R, Belinchon, I, de la Cueva, P, Fernandez-Carballido, C, Loza, E, Gratacos, J and Cribado Working Grp
Publicada:
15 mar 2021
Ahead of Print:
15 mar 2021
Resumen:
Objective
To analyze the performance of psoriatic arthritis (PsA) screening tools, examine their implementation in daily practice, and reach a consensus about the best screening tool for implementation in daily practice in different medical settings.
Methods
A systematic literature review (SLR), structured telephone interviews to hospitals, and a multidisciplinary nominal group meeting were all conducted. The SLR employed sensitive search strategies using Medline, Embase, and the Cochrane Library up to January 2020. Two reviewers independently selected articles that reported data on PsA screening tools and that included sufficient data to at least calculate the sensitivity and specificity of those tools (e.g., questionnaires, algorithms, specific questions, and biomarkers). The hospital interviews collected data regarding the process of suspected PsA diagnosis and referral to rheumatology, the implementation of PsA screening tools, and barriers and facilitators to implementation of those tools. In the nominal group meeting, a multidisciplinary team of experts discussed all these data and subsequently recommended a screening tool for implementation.
Results
The SLR included 41 moderate-quality studies that analyzed 14 PsA screening tools, most of which were questionnaire-based tools. All of these studies reported a moderate-good performance but presented different characteristics regarding the time to completion or the number and type of items or questions. The implementation of screening tools was low (30.5%). The experts ultimately recommended regular use of a PsA screening tool, preferably the PURE-4 questionnaire.
Conclusions
The implementation of PsA screening tools like the PURE-4 questionnaire in daily practice likely improves the prognosis of PsA patients.
Filiaciones:
Urruticoechea-Arana, A:
Hosp Can Misses, Rheumatol Dept, Ibiza, Spain
Benavent, D:
Hosp Univ La Paz, Rheumatol Dept, IdiPAZ, Madrid, Spain
Leon, F:
San Juan Cruz Hlth Ctr, Primary Care, Madrid, Spain
Almodovar, R:
Hosp Univ Fdn Alcorcon, Rheumatol Dept, Madrid, Spain
:
Hosp Gen Univ Alicante, Dept Dermatol, ISABIAL UMH, Alicante, Spain
de la Cueva, P:
Hosp Univ Infanta Leonor, Dermatol Dept, Madrid, Spain
Fernandez-Carballido, C:
Hosp Univ Elda, Rheumatol Dept, Alicante, Spain
Loza, E:
InMusc, Inst Salud Musculoesquelet, Madrid, Spain
Gratacos, J:
Hosp Univ Parc Tauli, Rheumatol Dept, Sabadell, Spain
Gold, Green Published
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