Evidence map›Paper›PMID 37467079›Full record

ArticleRheumatology (Oxford, England)2024

The impact of psoriasis on wellbeing and clinical outcomes in juvenile psoriatic arthritis.

Jie Man Low, Kimme L Hyrich, Coziana Ciurtin, Flora McErlane, Lucy R Wedderburn, Nophar Geifman, Stephanie J W Shoop-Worrall, CAPS Principal Investigators

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Rheumatology (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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

8 authors at 6 institutions in 1 country.

Jie Man LowCentre for Epidemiology Versus Arthritis, Manchester Academic Health Sciences Centre, The University of Manchester, Manchester, UK.
Kimme L HyrichCentre for Epidemiology Versus Arthritis, Manchester Academic Health Sciences Centre, The University of Manchester, Manchester, UK.ORCID 0000-0001-8242-9262
Coziana CiurtinUCL Division of Medicine, University College London, London, UK.ORCID 0000-0002-8911-4113
Flora McErlaneDepartment of Paediatric Rheumatology, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Lucy R WedderburnCentre for Adolescent Rheumatology Versus Arthritis at UCL UCLH and GOSH, London, UK.ORCID 0000-0003-2956-6676
Nophar GeifmanSchool of Health Sciences, Faculty of Health and Medical Sciences, The University of Surrey, Surrey, UK.
Stephanie J W Shoop-WorrallCentre for Epidemiology Versus Arthritis, Manchester Academic Health Sciences Centre, The University of Manchester, Manchester, UK.ORCID 0000-0002-9441-5535
CAPS Principal Investigators
Manchester Academic Health Science Centre · GBUniversity of Manchester · GBGreat Ormond Street Hospital · GBArthritis UK · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversity of Surrey · GB

Funding

Centre for Epidemiology Versus Arthritis UK GRANT NUMBER 21755Centre for Genetics and Genomics Versus Arthritis UK GRANT NUMBER 21754Department of HealthMedical Research Council MR/R013926/1Medical Research Council MR/W027151/1Psoriasis Association and Versus Arthritis UK GRANT NUMBER 20542
6 · The paper itself

Abstract

objectivesJuvenile PsA (JPsA) has varied clinical features that are distinctive from other JIA categories. This study investigates whether such features impact patient-reported and clinical outcomes.

methodsChildren and young people (CYP) were selected if recruited to the Childhood Arthritis Prospective Study, a UK multicentre JIA inception cohort, between January 2001 and March 2018. At diagnosis, patient/parent-reported outcomes (as age-appropriate) included the parental global assessment (10 cm visual analogue scale), functional ability (Childhood Health Assessment Questionnaire (CHAQ)), pain (10 cm visual analogue scale), health-related quality of life (Child Health Questionnaire PF50 psychosocial score), mood/depressive symptoms (Moods and Feelings Questionnaire) and parent psychosocial health (General Health Questionnaire 30). Three-year outcome trajectories have previously been defined using active joint counts, physician and parent global assessments (PGA and PaGA, respectively). Patient-reported outcomes and outcome trajectories were compared in (i) CYP with JPsA vs other JIA categories and (ii) CYP within JPsA, with and without psoriasis via multivariable linear regression.

resultsThere were no significant differences in patient-reported outcomes at diagnosis between CYP with JPsA and non-JPsA. Within JPsA, those with psoriasis had more depressive symptoms (coefficient = 9.8; 95% CI: 0.5, 19.0) than those without psoriasis at diagnosis. CYP with JPsA had 2.3 times the odds of persistent high PaGA than other ILAR categories, despite improving joint counts and PGA (95% CI: 1.2, 4.6).

conclusionCYP with psoriasis at JPsA diagnosis report worse mood, supporting a greater disease impact in those with both skin and joint involvement. Multidisciplinary care with added focus to support wellbeing in children with JPsA plus psoriasis may help improve these outcomes.

Indexed as

Arthritis, JuvenileArthritis, PsoriaticPatient Reported Outcome MeasuresQuality of LifeAdolescentChildDepressionFemaleHumansMaleProspective StudiesPsoriasisSeverity of Illness IndexdepressionJIApaediatric/juvenile rheumatologyquality of lifespondylarthropathies (including psoriatic arthritis)

Identifiers

PMID37467079
PMCPMC11065439
OpenAlexW4384818076

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.