Evidence map›Paper›PMID 39585571›Full record

ArticleClinical rheumatology2025

Association between patient's psychological health and discordance in patient-physician assessment of psoriatic arthritis.

Minjia Tan, Xiaowen Xie, Jingjin Hu, Xingyu Li, Kun Hu, Jing Yang, Mi Zhang, Junchen Chen, Wu Zhu, Yehong Kuang

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

10 authors.

Minjia TanThe Department of Dermatology, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, China.ORCID http://orcid.org/0000-0002-8250-8216
Xiaowen XieThe Department of Dermatology, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, China.
Jingjin HuThe Department of Dermatology, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, China.
Xingyu LiThe Department of Dermatology, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, China.
Kun HuThe Department of Dermatology, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, China.
Jing YangThe Department of Dermatology, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, China.
Mi ZhangThe Department of Dermatology, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, China.
Junchen ChenThe Department of Dermatology, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, China. 499975690@qq.com.
Wu ZhuThe Department of Dermatology, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, China. zhuwu70@hotmail.com.
Yehong KuangThe Department of Dermatology, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, China. yh_927@126.com.

Funding

Innovative Research Group Project of the National Natural Science Foundation of China 81974479Innovative Research Group Project of the National Natural Science Foundation of China 82173426
6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the discordance in patient-physician assessment of psoriatic arthritis disease activity and its association with the patient's psychological health.

methodsThis cross-sectional study recruited 135 patients with PsA from Xiangya Hospital of China between October 2021 and July 2022. The visual analogue scale was used to assess the disease activity of PsA, and an absolute difference of ≥ 10 points between the patient-physician global assessment on visual analogue scale was regarded as a clinically relevant discordance. In addition, the patients' clinical data and self-reported questionnaire responses were collected to screen depressive and anxiety symptoms.

resultsDiscordance in patient-physician assessment of psoriatic arthritis activity occurred in 88 (65.2%) patients, while concordance occurred in 47 (34.8%) patients. Depressive symptoms (AOR: 4.43, 95% CI:1.85-10.61), as well as anxiety symptoms (AOR: 3.95, 95% CI:1.70-9.16), were associated with the discordance in disease activity assessment between the patients and physicians.

conclusionThis study suggests that the discordance in patient-physician assessment of psoriatic arthritis activity is associated with the patient's psychological health. Therefore, sufficient assessment of patient's psychological health is indispensable from a comprehensive understanding of the disease activity in patients with psoriatic arthritis. Key Points • This is the first study to evaluate the discordance in patient-physician assessment of psoriatic arthritis disease activity and its association with the patient's psychological health.

Indexed as

AnxietyArthritis, PsoriaticDepressionMental HealthPhysician-Patient RelationsAdultAgedChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSeverity of Illness IndexSurveys and QuestionnairesAnxietyDepressionPatient-physician assessmentPsoriatic arthritisPsychological health

Identifiers

PMID39585571

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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.