Evidence map›Paper›PMID 35088209›Full record

ArticleClinical rheumatology2022

Anxiety levels before biologic initiation and changes with treatment in patients with psoriatic arthritis: HUR-BIO biologic registry results.

Gizem Ayan, Bayram Farisogulları, Emre Bilgin, Ertugrul Cagri Bolek, Gozde KübraYardımcı, Emine Duran, Zehra Ozsoy, Gullu Sandal Uzun, Levent Kilic, Ali Akdoğan and 5 more

Abstract read
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Article in Clinical rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 55% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

15 authors at 1 institution in 1 country.

Gizem AyanDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Bayram FarisogullarıDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Emre BilginDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Ertugrul Cagri BolekDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Gozde KübraYardımcıDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Emine DuranDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Zehra OzsoyDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Gullu Sandal UzunDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Levent KilicDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Ali AkdoğanDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Omer KaradagDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Şule Apraş BilgenDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Sedat KirazDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Ali İhsan ErtenliDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey.
Umut KalyoncuDepartment of Internal Medicine Division of Rheumatology, Hacettepe University Medical Faculty, Ankara, 06100, Turkey. umut.kalyoncu@yahoo.com.ORCID http://orcid.org/0000-0001-7129-2109
Hacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPsoriatic arthritis (PsA) is an inflammatory musculoskeletal disease related to several comorbidities. Anxiety is an important comorbidity in PsA and the data is scarce. We aimed to understand the rates before biologic agents and change in anxiety with the treatment.

methodsPsA patients from the Hacettepe University biologic database (HUR-BIO) were assessed for the high anxiety level (score ≥ 4) using the patient self-reported measure of anxiety on a 0-10 numerical scale, included in the Psoriatic Arthritis Impact of Disease questionnaire (PSAID-12). The rate and scores of anxiety were determined before starting biologic agents, at the first visit within 6 months. Changes in anxiety scores were assessed according to favorable treatment responses, and the correlation was evaluated by Spearman correlation analysis.

resultsFrom 520 patients registered, 147 [mean (SD) age 43.3 (12.4) years, 70.7% female] had anxiety score both at baseline and first visit within 6 months. Both the frequency of high anxiety level and mean (SD) scores decreased at the first visit [63.9% vs. 41.4%, 4.8 (3.4) vs. 3.2 (3.1) respectively, p < 0.001 for both] after a mean (SD) follow-up of 105.7 (22.2) days. There was also a positive correlation between the change in anxiety scores and all parameters tested for treatment response: pain, PGA, BASDAI, HAQ-DI, DAS-28, and also PsAID-12.

conclusionAnxiety is a more frequent problem at biologic initiation than rates observed in the general PsA population. The rates show a decreasing trend and correlates with treatment response but is still high within 6 months under treatment. KEY POINTS: • As high as 65% of patients had a high anxiety levels before the initiation of bDMARDs. • The disease activity control is essential in reducing anxiety; however, rates are still high within 6 months. • Decreased anxiety scores and rates of the high anxiety level are linked to better outcomes.

Indexed as

Antirheumatic AgentsArthritis, PsoriaticBiological ProductsAdultAnxietyFemaleHumansMaleRegistriesSeverity of Illness IndexAntirheumatic AgentsBiological ProductsbDMARDComorbidityOutcomeRegistry

Identifiers

PMID35088209
OpenAlexW4210540247

What OpenQuestion holds

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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.