Evidence map›Paper›PMID 41854268›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2026

Functional Impact of Structural Damage in Psoriatic Arthritis: Insights from a Prospective Cohort Study.

Pankti Mehta, Shangyi Gao, Virginia Carrizo Abarza, Fadi Kharouf, Daniel Pereira, Richard J Cook, Dafna D Gladman, Vinod Chandran, Denis Poddubnyy

Abstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Pankti MehtaGladman Krembil Psoriatic Arthritis Program, Centre for Prognosis Studies in the Rheumatic Diseases, Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-9134-0999
Shangyi GaoGladman Krembil Psoriatic Arthritis Program, Centre for Prognosis Studies in the Rheumatic Diseases, Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.
Virginia Carrizo AbarzaGladman Krembil Psoriatic Arthritis Program, Centre for Prognosis Studies in the Rheumatic Diseases, Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.
Fadi KharoufGladman Krembil Psoriatic Arthritis Program, Centre for Prognosis Studies in the Rheumatic Diseases, Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-3540-0341
Daniel PereiraGladman Krembil Psoriatic Arthritis Program, Centre for Prognosis Studies in the Rheumatic Diseases, Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.
Richard J CookDepartment of Statistics and Actuarial Science, University of Waterloo, Waterloo, Ontario, Canada.
Dafna D GladmanGladman Krembil Psoriatic Arthritis Program, Centre for Prognosis Studies in the Rheumatic Diseases, Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-9074-0592
Vinod ChandranGladman Krembil Psoriatic Arthritis Program, Centre for Prognosis Studies in the Rheumatic Diseases, Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.
Denis PoddubnyyGladman Krembil Psoriatic Arthritis Program, Centre for Prognosis Studies in the Rheumatic Diseases, Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-4537-6015

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the association between radiographic structural damage and physical function (PF) in psoriatic arthritis (PsA).

methodsData were analyzed from a large longitudinal PsA cohort. PF was measured using the Health Assessment Questionnaire (HAQ, 0-3) and Short Form-36 PF subscale (SF-36, 0-100); radiographic joint damage was measured using the modified Steinbrocker score (mSS, 0-168). Associations between PF and mSS were analyzed using linear mixed models. We also evaluated the impact of the presence of any damaged joint (grade 2-4), joint damage by individual grades, and the number of damaged joints (grade 2-4) per patient on PF.

resultsOf 1,177 patients (mean ± SD age 44.61 ± 12.76 years; 55.8% men), baseline mSS was 2 (interquartile range [IQR] 0-8.5), HAQ was 0.62 (IQR 0.12-1.12), and SF-36 PF was 60 (IQR 35-85). Higher mSS was significantly associated with worse SF-36 PF (β = -0.10; 95% confidence interval [CI] -0.15 to -0.05) and HAQ (β = 0.003; 95% CI 0.002 to 0.004) after controlling for swollen joint count, sex, and disease duration. The number of damaged joints was associated with worse SF-36 PF (β = -0.23; 95% CI -0.38 to -0.08) and HAQ (β = 0.005; 95% CI 0.002 to 0.009). The presence of a damaged joint (grade 2-4) alone did not impact PF. However, the presence of a joint with grade 4 destruction was associated with substantially worse SF-36 PF (β = -3.04; 95% CI -5.93 to -0.15) and HAQ (β = 0.09; 95% CI 0.03 to 0.15). Increasing counts of grade 4 joints demonstrated a strong dose response with SF-36 PF (β = -0.54; 95% CI -0.81 to -0.26) and HAQ (β = 0.01; 95% CI 0.01 to 0.02).

conclusionRadiographic structural damage, particularly severe joint destruction, is independently associated with impaired PF in PsA, highlighting the importance of early detection and prevention of damage.

Indexed as

Arthritis, PsoriaticAdultFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesRadiographySeverity of Illness IndexSurveys and Questionnaires

Identifiers

PMID41854268
PMCPMC13619093

What OpenQuestion holds

Textmetadata
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.