1. The Psoriatic Arthritis Registry of Turkey: results of a multicentre registry on 1081 patients
- Author
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Ozun Bayindir, Seval Pehlevan, Levent Kılıç, Nilgün Atakan, Baris Yilmazer, Mustafa Ferhat Öksüz, Orhan Küçükşahin, Emine Duygu Ersözlü Bozkirli, Umut Kalyoncu, Cem Ozisler, Abdulsamet Erden, Esen Kasapoglu Gunal, Ahmet Omma, Lütfi Akyol, Gezmiş Kimyon, Gozde Yildirim Cetin, Sibel Zehra Aydin, Fatos Arslan, Dilek Solmaz, Emine Figen Tarhan, Meryem Can, Atalay Dogru, Sule Yavuz, iç Hastalıkları, Ege Üniversitesi, and OMÜ
- Subjects
Male ,Turkey ,Disease ,registry ,Recommendations ,Severity of Illness Index ,030207 dermatology & venereal diseases ,0302 clinical medicine ,Disease-Activity ,Activities of Daily Living ,Prevalence ,Pharmacology (medical) ,Registries ,Fatigue ,psoriatic arthritis ,Remission Induction ,Clinical History ,Middle Aged ,Classification ,Health-Care ,Prostate-specific antigen ,Antirheumatic Agents ,Female ,Adult ,medicine.medical_specialty ,Disease activity ,External validity ,Ankylosing-Spondylitis ,03 medical and health sciences ,Joint disease ,Psoriatic arthritis ,Age Distribution ,Rheumatology ,Internal medicine ,Psoriasis ,Spondyloarthritis ,medicine ,Humans ,Patient Reported Outcome Measures ,Sex Distribution ,030203 arthritis & rheumatology ,Health Services Needs and Demand ,Tumor Necrosis Factor-alpha ,business.industry ,Arthritis, Psoriatic ,medicine.disease ,Criteria ,Physical therapy ,Inflammatory Back-Pain ,business ,disease activity - Abstract
WOS: 000397050600018, PubMed ID: 27794533, Objective. The aim was to assess the characteristics of PsA, find out how well the disease is controlled in real life, demonstrate the treatments and identify the unmet needs. Methods. The PsA registry of Turkey is a multicentre Web-based registry established in 2014 and including 32 rheumatology centres. Detailed data regarding demographics for skin and joint disease, disease activity assessments and treatment choices were collected. Results. One thousand and eighty-one patients (64.7% women) with a mean (S.D.) PsA duration of 5.8 (6.7) years were enrolled. The most frequent type of PsA was polyarticular [437 (40.5%)], followed by oligoarticular [407 (37.7%)] and axial disease [372 (34.4%)]. The mean (S.D.) swollen and tender joint counts were 1.7 (3) and 3.6 (4.8), respectively. Of these patients, 38.6% were on conventional synthetic DMARD monotherapy, 7.1% were on anti-TNF monotherapy, and 22.5% were using anti-TNF plus conventional synthetic DMARD combinations. According to DAS28, 86 (12.4%) patients had high and 105 (15.2%) had moderate disease activity. Low disease activity was achieved in 317 (45.7%) patients, and 185 (26.7%) were in remission. Minimal disease activity data could be calculated in 247 patients, 105 of whom (42.5%) had minimal disease activity. The major differences among sexes were that women were older and had less frequent axial disease, more fatigue, higher HAQ scores and less remission. Conclusion. The PsA registry of Turkey had similarities with previously published registries, supporting its external validity. The finding that women had more fatigue and worse functioning as well as the high percentage of active disease state highlight the unmet need in treatment of PsA.
- Published
- 2016