Evidence map›Paper›PMID 36913210›Full record

ArticleArthritis care & research2023

Responsiveness and Minimum Clinically Important Difference in Patient-Reported Outcome Measures Among Patients With Psoriatic Arthritis: A Prospective Cohort Study.

Paras Karmacharya, Courtney Stull, Alisa Stephens-Shields, M Elaine Husni, Jose U Scher, Ethan Craig, Robert Fitzsimmons, Soumya M Reddy, Marina N Magrey, Alexis Ogdie and 1 more

Abstract read
In one paragraph

Article in Arthritis care & research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

11 authors.

Paras KarmacharyaVanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0003-1034-1530
Courtney StullUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Alisa Stephens-ShieldsUniversity of Pennsylvania, Philadelphia.
M Elaine HusniCleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-3181-4205
Jose U ScherNew York University, New York.
Ethan CraigUniversity of Pennsylvania, Philadelphia.
Robert FitzsimmonsUniversity of Pennsylvania, Philadelphia.
Soumya M ReddyNew York University, New York.
Marina N MagreyUniversity Hospitals Cleveland Medical Center, Cleveland, Ohio.
Alexis OgdieUniversity of Pennsylvania, Philadelphia.ORCID 0000-0002-4639-0775
Jessica A WalshUniversity of Utah, Salt Lake City.ORCID 0000-0002-4563-0845

Funding

Refining Outcome Measurement in Psoriatic Arthritis: Preparation for Pragmatic TrialsR01AR072363 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI OGDIE, ALEXIS R. · 2017 to 2019
$709k
Association of Phenotypes and Genotype with Treatment Response in Psoriatic ArthritisK23AR082990 · NIAMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paras Karmacharya · 2023 to 2026
$654k
NIAMS NIH HHS K23 AR082990NIAMS NIH HHS R01 AR072363
6 · The paper itself

Abstract

objectiveTo determine the responsiveness to therapy and minimum clinically important improvement (MCII) for patient-reported outcome measures in psoriatic arthritis (PsA) and to examine the impact of baseline disease activity on the ability to demonstrate change.

methodsA longitudinal cohort study was performed within the PsA Research Consortium. Patients completed several patient-reported outcomes, including the Routine Assessment of Patient Index Data, the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Psoriatic Arthritis Impact of Disease 12-item (PsAID12) questionnaire, and others. The mean change in the scores between visits and standardized response means (SRMs) were calculated. The MCII was calculated as the mean change in score among patients who reported minimal improvement. SRMs and MCIIs were compared among subgroups with moderate to highly active PsA and those with lower disease activity.

resultsAmong 171 patients, 266 therapy courses were included. The mean ± SD age was 51 ± 13.8 years, 53% were female, and the mean swollen and tender joint counts were 3 and 6, respectively, at baseline. SRMs and MCII for all measures were small to moderate, although greater among those with higher baseline disease activity. BASDAI had the best SRM overall and for less active PsA, and the clinical Disease Activity of PsA (cDAPSA) and PsAID12 were best for those with higher disease activity.

conclusionSRMs and MCII were relatively small in this real-world population, particularly among those with lower disease activity at baseline. BASDAI, cDAPSA, and PsAID12 had good sensitivity to change, but selection for use in trials should consider the baseline disease activity of patients to be enrolled.

Indexed as

Arthritis, PsoriaticAdultCohort StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedPatient Reported Outcome MeasuresProspective StudiesSeverity of Illness Index

Identifiers

PMID36913210
PMCPMC11229093

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.