Evidence map›Paper›PMID 32274527›Full record

ArticleRheumatology international2020

Delphi-based recommendations for the management of cardiovascular comorbidities in patients with psoriatic arthritis and moderate-to-severe psoriasis.

Pedro Zarco Montejo, Raquel Almodóvar González, Eva De Higes-Martínez, Juan José Gorgojo-Martínez, Carlos Guijarro Herraiz, María Jesús López Navas, David Palacios, Jose Carlos Peláez Álvarez, Diana Ruíz Genao, Blanca Piedrafita and 4 more

Abstract read
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In one paragraph

Article in Rheumatology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. The Effects of Physical Activity on Skin Health: A Narrative Review.Clinical, cosmetic and investigational dermatology · 2025
    Review
  3. Psoriasis and Exercise: A Review.Psoriasis (Auckland, N.Z.) · 2022
    Review
  4. Article
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

14 authors.

Pedro Zarco MontejoRheumatology Unit, Hospital Universitario Fundación de Alcorcón, C/Budapest 1, 28922, Alcorcón, Madrid, Spain.ORCID 0000-0002-3039-187X
Raquel Almodóvar GonzálezRheumatology Unit, Hospital Universitario Fundación de Alcorcón, C/Budapest 1, 28922, Alcorcón, Madrid, Spain. ralmodovar@fhalcorcon.es.ORCID 0000-0001-6622-3993
Eva De Higes-MartínezRespiratory Medicine Unit, Hospital Universitario Fundación de Alcorcón, Madrid, Spain.ORCID 0000-0003-0546-7008
Juan José Gorgojo-MartínezEndocrinology and Nutrition Unit, Hospital Universitario Fundación de Alcorcón, Madrid, Spain.ORCID 0000-0002-8679-0968
Carlos Guijarro HerraizInternal Medicine Unit, Hospital Universitario Fundación de Alcorcón, Madrid, Spain.ORCID 0000-0001-8132-9366
María Jesús López NavasRehabilitation Unit, Hospital Universitario Fundación de Alcorcón, Madrid, Spain.ORCID 0000-0001-9584-8263
David PalaciosPrimary Care, National Coordinator for Dermatology at SEMERGEN, Madrid, Spain.ORCID 0000-0003-4595-9365
Jose Carlos Peláez ÁlvarezPsychiatric Unit, Hospital Universitario Fundación de Alcorcón, Madrid, Spain.ORCID 0000-0002-6302-9770
Diana Ruíz GenaoDermatology Unit, Hospital Universitario Fundación de Alcorcón, Madrid, Spain.ORCID 0000-0003-1093-6411
Blanca PiedrafitaMedical Statistics Consulting S.L., Valencia, Spain.ORCID 0000-0003-3210-152X
Susana GómezPfizer España, Madrid, Spain.ORCID 0000-0002-5337-2970
Erica FalkenbachPfizer España, Madrid, Spain.ORCID 0000-0002-0420-6781
Francisco Jose Rebollo LasernaPfizer España, Madrid, Spain.ORCID 0000-0003-3651-3687
Jose Luis López EstebaranzDermatology Unit, Hospital Universitario Fundación de Alcorcón, Madrid, Spain.ORCID 0000-0002-8816-1989

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to generate practical recommendations to assist rheumatologists and dermatologists in the management of cardiovascular (CV) comorbidities in patients with moderate-to-severe psoriasis (MS-PSO) and psoriatic arthritis (PsA). A two-round Delphi study was conducted. A panel of experts rated their agreement with a set of statements (n = 52) on a nine-point Likert scale (1 = totally disagree; 9 = totally agree). Statements were classified as inappropriate (median 1-3), irrelevant (median 4-6) or appropriate (median 7-9). Consensus was established when at least two-thirds of the panel responded with a score within any one range. A total of 25 experts, 60% rheumatologists and 40% dermatologists, participated in two consultation rounds. There was overall unanimity on the appropriateness of an initial assessment for CV risk factors in all patients with MS-PSO and PsA. Most panelists (88.0%) also supported the evaluation of patients' psychological and physical status. Additionally, most panelists (72.2%) agreed on a novel sequential approach for the management of CV comorbidities. This sequence starts with the assessment of hypertension, diabetes and dyslipidemia along with the identification of depression and anxiety disorders. Once these factors are under control, smoking cessation programs might be initiated. Finally, if patients have not met weight loss goals with lifestyle modifications, they should receive specialized treatment for obesity. This study has drawn up a set of practical recommendations that will facilitate the management of CV comorbidities in patients with MS-PSO and PsA.

Indexed as

Arthritis, PsoriaticPsoriasisComorbidityHumansObesityRheumatologistsCardiovascularComorbiditiesPsoriasisPsoriatic arthritis

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.