Evidence map›Paper›PMID 31113794›Full record

Trial reportAnnals of the rheumatic diseases2019

The contribution of joint and skin improvements to the health-related quality of life of patients with psoriatic arthritis: a post hoc analysis of two randomised controlled studies.

Arthur Kavanaugh, Alice Gottlieb, Akimichi Morita, Joseph F Merola, Chen-Yen Lin, Julie Birt, Catherine L Shuler, Matthew M Hufford, Diamant Thaçi

Abstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Annals of the rheumatic diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Arthur KavanaughDepartment of Medicine, School of Medicine, University of California, San Diego, La Jolla, California, USA akavanaugh@ucsd.edu.
Alice GottliebDepartment of Dermatology, Icahn School of Medicine at Mt. Sinai, New York, New York, USA.
Akimichi MoritaDepartment of Geriatric and Environmental Dermatology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Joseph F MerolaDepartment of Medicine, Division of Rheumatology, and Department of Dermatology, Harvard Medical School, Boston, Massachusetts, USA.
Chen-Yen LinLilly Research Labs, Eli Lilly and Company, Indianapolis, Indiana, USA.
Julie BirtLilly Research Labs, Eli Lilly and Company, Indianapolis, Indiana, USA.
Catherine L ShulerLilly Research Labs, Eli Lilly and Company, Indianapolis, Indiana, USA.
Matthew M HuffordLilly Research Labs, Eli Lilly and Company, Indianapolis, Indiana, USA.
Diamant ThaçiComprehensive Center of Inflammation Medicine, University Hospital Schleswig-Holstein Campus, Luebeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDetermine the contribution of joint and skin improvements to health-related quality of life (HRQoL) in patients with psoriatic arthritis (PsA).

methodsSPIRIT-P1 and SPIRIT-P2 are phase 3 trials investigating ixekizumab, an interleukin-17A antagonist, in the treatment of patients with active PsA. Patients were randomised to ixekizumab or placebo. Outcomes included the Disease Activity Index for Psoriatic Arthritis (DAPSA), the Psoriasis Area and Severity Index (PASI), the European Quality of Life-Five Dimensions (EQ-5D) Visual Analogue Score (VAS), the 36-Item Short-Form Health Survey (SF-36) and the Work Productivity and Activity Impairment (WPAI) Questionnaire. The contribution of joint and skin improvements to HRQoL was modelled using a smoothing spline method and depicted with response surface graphics.

resultsIn this integrated analysis, 402 patients with PsA had baseline psoriasis of ≥3% of body surface area. We applied response surface modelling to this patient data set to investigate the relationship between DAPSA, PASI and HRQoL improvements at week 24. The greatest improvement in EQ-5D VAS was associated with the largest per cent improvements in both DAPSA and PASI together, rather than DAPSA or PASI alone. Similar observations were made in domains of SF-36 and WPAI.

conclusionOptimal improvements in patients' HRQoL were dependent on successful treatment of both joint and skin symptoms.

Indexed as

Quality of LifeAntibodies, Monoclonal, HumanizedArthritis, PsoriaticDermatologic AgentsDisease ProgressionDose-Response Relationship, DrugDouble-Blind MethodFemaleFollow-Up StudiesHumansJointsMaleMiddle AgedRange of Motion, ArticularSeverity of Illness IndexSkinAntibodies, Monoclonal, HumanizedDermatologic Agentsixekizumabhealth-related quality of lifepsoriasispsoriatic arthritistreatment

Identifiers

PMID31113794
PMCPMC6788877

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.