The current status and unmet needs in the management of psoriatic arthritis: Viewpoint from physicians in Taiwan

作者: Tzu-Hao Li , Hsien-Tzung Liao , Yi-Fan Huang , Yu-Chuan Shen , Yao-Chang Chiu

DOI: 10.1016/J.JFMA.2017.05.001

关键词:

摘要: Abstract Background/Purpose To analyze the real-world clinical practice for treatment of psoriatic arthritis (PsA) and to assess physicians' prescription, difficulties in diagnosis, therapeutic strategy, rationales biologic therapies unmet needs Taiwan. Methods We conducted a nationwide cross-sectional observational study by face-to-face depth interviews with 50 rheumatologists 30 dermatologists who took care patients PsA. Results The major procedures recognizing PsA included joint, skin nail examinations, radiographic imaging, medical history. More established diagnosis when didn't present rheumatoid factors ( p Conclusion This survey showed status quo Taiwan management including diagnostic difficulties, consideration, DMARDs selection treatment. It has indicated that interdisciplinary collaboration may further improve quality care. These results help establish new strategy develop next generation biologics.

参考文章(39)
Philip Helliwell, Laura Coates, Vinod Chandran, Dafna Gladman, Maarten Wit, Oliver FitzGerald, Arthur Kavanaugh, Vibeke Strand, Philip J. Mease, Wolf‐Henning Boehncke, Richard G. Langley, Ennio Lubrano, Mara Maccarone, Hendrik Schulze‐Koops, Corinne Miceli‐Richard, Ruben Queiro, Qualifying unmet needs and improving standards of care in psoriatic arthritis. Arthritis Care and Research. ,vol. 66, pp. 1759- 1766 ,(2014) , 10.1002/ACR.22404
Kathleen E. Gilbert, Iviensan F. Manalo, Jashin J. Wu, Efficacy and safety of etanercept and adalimumab with and without a loading dose for psoriasis: A systematic review Journal of The American Academy of Dermatology. ,vol. 73, pp. 329- 331 ,(2015) , 10.1016/J.JAAD.2015.04.012
Florent Silvy, Daniel Bertin, Nathalie Bardin, Isabelle Auger, Marie-Caroline Guzian, Jean-Pierre Mattei, Sandrine Guis, Jean Roudier, Nathalie Balandraud, Antinuclear Antibodies in Patients with Psoriatic Arthritis Treated or Not with Biologics. PLOS ONE. ,vol. 10, ,(2015) , 10.1371/JOURNAL.PONE.0134218
Oliver FitzGerald, John Kirwan, John Kirwan, Barry Bresnihan, Douglas Veale, Patricia Minnock, Fatigue is an independent outcome measure and is sensitive to change in patients with psoriatic arthritis. Clinical and Experimental Rheumatology. ,vol. 28, pp. 401- 404 ,(2010)
Whan B. Kim, Joseph E.C. Marinas, Judy Qiang, Ali Shahbaz, Simon Greaves, Jensen Yeung, Adverse events resulting in withdrawal of biologic therapy for psoriasis in real-world clinical practice: A Canadian multicenter retrospective study. Journal of The American Academy of Dermatology. ,vol. 73, pp. 237- 241 ,(2015) , 10.1016/J.JAAD.2015.04.023
Axel Patrice Villani, Marie Rouzaud, Morgane Sevrain, Thomas Barnetche, Carle Paul, Marie-Aleth Richard, Marie Beylot-Barry, Laurent Misery, Pascal Joly, Michel Le Maitre, Selim Aractingi, François Aubin, Alain Cantagrel, Jean-Paul Ortonne, Denis Jullien, Prevalence of undiagnosed psoriatic arthritis among psoriasis patients: Systematic review and meta-analysis Journal of The American Academy of Dermatology. ,vol. 73, pp. 242- 248 ,(2015) , 10.1016/J.JAAD.2015.05.001
Noam Y. Kirson, Sumati Rao, Howard G. Birnbaum, Evan Kantor, Robert S. Wei, Mary Cifaldi, Matching-adjusted indirect comparison of adalimumab vs etanercept and infliximab for the treatment of psoriatic arthritis. Journal of Medical Economics. ,vol. 16, pp. 479- 489 ,(2013) , 10.3111/13696998.2013.768530
Alexis Ogdie, Sergio Schwartzman, Lihi Eder, Ajesh B. Maharaj, Devy Zisman, Siba P. Raychaudhuri, Soumya M. Reddy, Elaine Husni, Comprehensive treatment of psoriatic arthritis: managing comorbidities and extraarticular manifestations. The Journal of Rheumatology. ,vol. 41, pp. 2315- 2322 ,(2014) , 10.3899/JRHEUM.140882
G. Ibrahim, R. Waxman, P. S. Helliwell, The prevalence of psoriatic arthritis in people with psoriasis. Arthritis & Rheumatism. ,vol. 61, pp. 1373- 1378 ,(2009) , 10.1002/ART.24608
J. Schmitt, S. Rosumeck, G. Thomaschewski, B. Sporbeck, E. Haufe, A. Nast, Efficacy and safety of systemic treatments for moderate‐to‐severe psoriasis: meta‐analysis of randomized controlled trials British Journal of Dermatology. ,vol. 170, pp. 274- 303 ,(2014) , 10.1111/BJD.12663