Evidence map›Paper›PMID 34046563›Full record

ArticleArchives of rheumatology2021

Clinical characteristics, disease activity, functional status, and quality of life results of patients with psoriatic arthritis using biological and conventional synthetic disease-modifying antirheumatic drugs.

Yaşar Keskin, Kemal Nas, Erkan Kiliç, Betul Sargin, Sevtap Acer Kasman, Hakan Alkan, Nilay Şahin, Gizem Cengiz, Nihan Cuzdan, İlknur Albayrak Gezer and 26 more

Open access · diamondAbstract read
In one paragraph

Article in Archives of rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

36 authors at 16 institutions in 2 countries.

Yaşar KeskinDepartment of Physical Medicine and Rehabilitation, Bezmiâlem Foundation University, Istanbul, Turkey.
Kemal NasDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology and Immunology, Sakarya University School of Medicine, Sakarya, Turkey.
Erkan KiliçDepartment of Physical Medicine and Rehabilitation, Rheumatology Clinic, Kanuni Training and Research Hospital, Trabzon, Turkey.
Betul SarginDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Adnan Menderes University School of Medicine, Aydın, Turkey.
Sevtap Acer KasmanDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Marmara University School of Medicine, Istanbul, Turkey.
Hakan AlkanDepartment of Physical Medicine and Rehabilitation, Pamukkale University School of Medicine, Denizli, Turkey.
Nilay ŞahinDepartment of Physical Medicine and Rehabilitation, Balıkesir University School of Medicine, Balıkesir, Turkey.
Gizem CengizDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Erciyes University School of Medicine, Kayseri, Turkey.
Nihan CuzdanDepartment of Physical Medicine and Rehabilitation, Rheumatology Clinic, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey.
İlknur Albayrak GezerDepartment of Physical Medicine and Rehabilitation, Selçuk University School of Medicine, Konya, Turkey.
Dilek KeskinDepartment of Physical Medicine and Rehabilitation, Kırıkkale University School of Medicine, Kırıkkale, Turkey.
Cevriye MülkoğluDepartment of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, Ankara , Turkey.
Hatice ResorluDepartment of Physical Medicine and Rehabilitation, Çanakkale Onsekiz Mart University School of Medicine, Çanakkale, Turkey.
Şebnem AtamanDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Ankara University School of Medicine, Ankara, Turkey.
Ajda BalDepartment of Physical Medicine and Rehabilitation, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.
Mehmet Tuncay DuruozDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Marmara University School of Medicine, Istanbul, Turkey.
Okan KüçükakkasDepartment of Physical Medicine and Rehabilitation, Bezmiâlem Foundation University, Istanbul, Turkey.
Ozan Volkan YurdakulDepartment of Physical Medicine and Rehabilitation, Bezmiâlem Foundation University, Istanbul, Turkey.
Meltem Alkan MelikoğluDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Atatürk University School of Medicine, Erzurum, Turkey.
Yıldıray AydinDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology and Immunology, Sakarya University School of Medicine, Sakarya, Turkey.
F Figen AyhanDepartment of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, Ankara , Turkey.
Hatice BodurDepartment of Physical Medicine and Rehabilitation, Yıldırım Beyazıt university School of Medicine, Ankara, Turkey.
Mustafa ÇalişDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Erciyes University School of Medicine, Kayseri, Turkey.
Erhan ÇapkinDepartment of Physical Medicine and Rehabilitation, Karadeniz Technical University School of Medicine, Trabzon, Turkey.
Gül DevrimselDepartment of Physical Medicine and Rehabilitation, Recep Tayyip Erdoğan University School of Medicine, Rize, Turkey.
Kevser GökDepartment of Physical Medicine and Rehabilitation, Ankara Numune Training and Research Hospital, Ankara, Turkey.
Sami HizmetliDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Cumhuriyet University School of Medicine, Sivas, Turkey.
Ayhan KamanliDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology and Immunology, Sakarya University School of Medicine, Sakarya, Turkey.
Hilal EcesoyDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey.
Öznur KutlukDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Akdeniz University School of Medicine, Antalya, Turkey.
Nesrin ŞenDepartment of Physical Medicine and Rehabilitation, Rheumatology Clinic, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Istanbul, Turkey.
Ömer Faruk ŞendurDepartment of Physical Medicine and Rehabilitation, Adnan Menderes University School of Medicine, Aydın, Turkey.
İbrahim TekeoğluDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology and Immunology, Sakarya University School of Medicine, Sakarya, Turkey.
Sena ToluDepartment of Physical Medicine and Rehabilitation, Medipol University School of Medicine, Istanbul, Turkey.
Murat ToprakDepartment of Physical Medicine and Rehabilitation, Yüzüncü Yıl University School of Medicine, Van, Turkey.
Tiraje TuncerDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Akdeniz University School of Medicine, Antalya, Turkey.
Sakarya University · TRMinistry of Health · TRAkdeniz University · TRAnkara University · TRAnkara Yıldırım Beyazıt University · TRBalıkesir University · TRÇanakkale Onsekiz Mart Üniversitesi · TRIstanbul Medipol University · TRKaradeniz Technical University · TRMarmara University · TRNecmettin Erbakan University · TRSelçuk University · TRSivas Cumhuriyet Üniversitesi · TRVan Yüzüncü Yıl Üniversitesi · TRAnkara Numune Eğitim ve Araştırma Hastanesi · TRBezmiâlem Vakıf Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to compare the clinical characteristics, disease activity, and quality of life (QoL) of patients with psoriatic arthritis (PsA) who use biological and conventional synthetic disease-modifying antirheumatic drugs (DMARDs) in a nationwide cohort throughout Turkey. PATIENTS AND

methodsA total of 961 patients (346 males, 615 females; mean age 46.9±12.2 years; range, 18 to 81 years) with PsA according to the classification criteria for PsA were included in the study. The patients' demographic and clinical characteristics, physical examination results, Disease Activity Score 28, Disease Activity Index for Psoriatic Arthritis and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Psoriasis Area and Severity Index, Bath Ankylosing Spondylitis Functional Index, Bath Ankylosing Spondylitis Metrology Index, Hospital Anxiety and Depression Scale, Health Assessment Questionnaire, Psoriatic Arthritis Quality of Life (PsAQoL), and short form-36 scores were all recorded.

resultsOf the patients, 23% underwent biological DMARD (bDMARD) monotherapy, 42% underwent conventional synthetic DMARD (csDMARD) monotherapy, 10% underwent a csDMARD combination therapy, and 10% underwent a combination bDMARD and csDMARD treatment. The visual analog scale (VAS pain), patient global assessment, physician global assessment, and BASDAI scores were found to be lower among patients using combination treatment of csDMARD and bDMARD, while the swollen joint count was found to be lower among patients using bDMARD. The PsAQoL score was found to be the lowest among patients not using any medication and the highest among those using bDMARD.

conclusionIn our study, patients with PsA were successfully treated with both csDMARD and bDMARD monotherapy. When the biological treatments used for PsA were compared with csDMARD, it was found that biological treatments had a positive effect on both disease activity and the QoL. Combinations of csDMARDs and bDMARDs were preferred in cases in which the disease activity was still high or increased. Because of the highest efficacy of the combined treatment, we highly suggest increasing the number of patients on combined treatment.

Indexed as

Disease-modifying antirheumatic drugfunctional statuspsoriatic arthritisquality of life

Identifiers

PMID34046563
PMCPMC8140874
OpenAlexW3040997457

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.