Evidence map›Paper›PMID 26178281›Full record

SynthesisThe Journal of rheumatology2015

Evidence-based Recommendations for the Management of Comorbidities in Rheumatoid Arthritis, Psoriasis, and Psoriatic Arthritis: Expert Opinion of the Canadian Dermatology-Rheumatology Comorbidity Initiative.

Camille Roubille, Vincent Richer, Tara Starnino, Collette McCourt, Alexandra McFarlane, Patrick Fleming, Stephanie Siu, John Kraft, Charles Lynde, Janet Pope and 6 more

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in The Journal of rheumatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Camille RoubilleFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Vincent RicherFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Tara StarninoFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Collette McCourtFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Alexandra McFarlaneFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Patrick FlemingFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Stephanie SiuFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
John KraftFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Charles LyndeFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Janet PopeFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Wayne GulliverFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Stephanie KeelingFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Jan DutzFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Louis BessetteFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Robert BissonnetteFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm
Boulos HaraouiFrom the University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; Department of Medicine, Dermatology Service, St-Luc Hospital; Sacré-Coeur Hospital of Montreal, University of Montreal; Innovaderm Research; Institut de Rhumatologie de Montréal, Montreal; Centre de Recherche du CHU de Québec, Department of Medicine, Laval University, Quebec City, Quebec; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia; Division of Rheumatology, University of Alberta, Edmonton, Alberta; Division of Dermatology, University of Toronto, Toronto; Division of Rheumatology, Western University of Canada, London; Lynde Dermatology, Markham, Ontario; Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.C. Roubille, MD, Rheumatology Research Fellow, University of Montreal Hospital Research Center (Centre de Recherche du CHUM), Notre-Dame Hospital; V. Richer, MD, Dermatology Resident, Department of Medicine, Dermatology Service, St-Luc Hospital; T. Starnino, MD, Rheumatology Resident, Sacré-Coeur Hospital of Montreal, University of Montreal; C. McCourt, MB, BCh, Clinical Fellow in Immunodermatology, Department of Dermatology and Skin Science, University of British Columbia; A. McFarlane, MD, Internal Medicine Resident, Division of Rheumatology, University of Alberta; P. Fleming, MD, Dermatology Resident, Division of Dermatology, University of Toronto; S. Siu, MD, Internal Medicine Resident, Division of Rheumatology, Western University of Canada; J. Kraft, MD, Dermatologist; C. Lynde, MD, Dermatologist, Lynde Dermatology; J. Pope, MD, Professor of Rheumatology, Division of Rheumatology, Western University of Canada; W. Gulliver, MD, Professor of Medicine, Faculty of Medicine, Memorial University of Newfoundland; S. Keeling, MD, Associate Professor of Rheumatology, Division of Rheumatology, University of Alberta; J. Dutz, MD, Professor of Dermatology, Departm

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveComorbidities such as cardiovascular diseases (CVD), cancer, osteoporosis, and depression are often underrecognized in patients with rheumatoid arthritis (RA), psoriatic arthritis (PsA), or psoriasis (PsO). Recommendations may improve identification and treatment of comorbidities. The Canadian Dermatology-Rheumatology Comorbidity Initiative reviewed the literature to develop practical evidence-based recommendations for management of comorbidities in patients with RA, PsA, and PsO.

methodsEight main topics regarding comorbidities in RA, PsA, and PsO were developed. MEDLINE, EMBASE, and the Cochrane Library (1960-12/2012), together with abstracts from major rheumatology and dermatology congresses (2010-2012), were searched for relevant publications. Selected articles were analyzed and metaanalyses performed whenever possible. A meeting including rheumatologists, dermatologists, trainees/fellows, and invited experts was held to develop consensus-based recommendations using a Delphi process with prespecified cutoff agreement. Level of agreement was measured using a 10-point Likert scale (1 = no agreement, 10 = full agreement) and the potential effect of recommendations on daily clinical practice was considered. Grade of recommendation (ranging from A to D) was determined according to the Oxford Centre for Evidence-Based Medicine evidence levels.

resultsA total of 17,575 articles were identified, of which 407 were reviewed. Recommendations were synthesized into 19 final recommendations ranging mainly from grade C to D, and relating to a large spectrum of comorbidities observed in clinical practice: CVD, obesity, osteoporosis, depression, infections, and cancer. Level of agreement ranged from 80.9% to 95.8%.

conclusionThese practical evidence-based recommendations can guide management of comorbidities in patients with RA, PsA, and PsO and optimize outcomes.

Indexed as

Evidence-Based MedicinePractice Guidelines as TopicAdultAgedArthritis, PsoriaticArthritis, RheumatoidCanadaCardiovascular DiseasesComorbidityDepressionDermatologyDisease ManagementFemaleHumansMaleMiddle AgedCOMORBIDITYPSORIASISPSORIATIC ARTHRITISRHEUMATOID ARTHRITIS

Identifiers

PMID26178281

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