Prevalence, clinical features and treatment pattern of patients with concurrent diagnoses of rheumatoid arthritis and psoriatic disease: results of a 14-year retrospective study in a tertiary referral center
Identifieur interne : 000520 ( Main/Exploration ); précédent : 000519; suivant : 000521Prevalence, clinical features and treatment pattern of patients with concurrent diagnoses of rheumatoid arthritis and psoriatic disease: results of a 14-year retrospective study in a tertiary referral center
Auteurs : Kai-Lung Chen ; Hsien-Yi Chiu ; Jui-Hsiang Lin ; Jian-De Ye ; Yi-Hsuan Cho ; Ko-Jen Li ; Tsen-Fang TsaiSource :
- Therapeutic Advances in Chronic Disease [ 2040-6223 ] ; 2019.
Abstract
Multiple comorbidities, including rheumatoid arthritis (RA), have been reported to be associated with psoriasis.
This study aimed to determine the prevalence and the clinical features of RA among patients with psoriasis in a tertiary referral center.
Between January 2000 and December 2013, all patients coded with psoriatic disease (ICD-9 CM 696.0 OR ICD-9 CM696.1) and RA (ICD-9 CM 714.0) in a tertiary medical center were enrolled.
There were 10,844 patients and 9073 patients with psoriatic disease and RA identified by diagnostic codes, respectively. Among patients with psoriasis, 111 patients had claim-based diagnosis of RA (1.02%). By reviewing medical records and telephone interview or clinic visits, 25 of the 111 patients (0.23%) was identified unequivocally as having concurrent RA. Among them, 17 (68%) were female and 16 (64%) patients developed arthritis prior to the onset of psoriasis with a mean lag of 6.3 years (1–19 years); 8 (32%) had psoriasis skin lesions prior to the onset of arthritis with a mean lag of 6.9 years (3–20 years); 1 (4%) had skin lesions and arthritis in the same time; 17 (68%) patients also fulfilled the CASPAR classification criteria for psoriatic arthritis. The mean age of onset for arthritis was 49.6 years old.
The prevalence of RA in psoriasis might be overestimated in some previous studies using claimed database. Patients with concurrent RA and psoriasis showed a comparable age of onset and male to female ratio, but had more axial involvements compared to patients without psoriasis.
Url:
DOI: 10.1177/2040622319847900
PubMed: 31205646
PubMed Central: 6535749
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prevalence, clinical features and treatment pattern of patients with concurrent diagnoses of rheumatoid arthritis and psoriatic disease: results of a 14-year retrospective study in a tertiary referral center</title><author><name sortKey="Chen, Kai Lung" sort="Chen, Kai Lung" uniqKey="Chen K" first="Kai-Lung" last="Chen">Kai-Lung Chen</name></author><author><name sortKey="Chiu, Hsien Yi" sort="Chiu, Hsien Yi" uniqKey="Chiu H" first="Hsien-Yi" last="Chiu">Hsien-Yi Chiu</name></author><author><name sortKey="Lin, Jui Hsiang" sort="Lin, Jui Hsiang" uniqKey="Lin J" first="Jui-Hsiang" last="Lin">Jui-Hsiang Lin</name></author><author><name sortKey="Ye, Jian De" sort="Ye, Jian De" uniqKey="Ye J" first="Jian-De" last="Ye">Jian-De Ye</name></author><author><name sortKey="Cho, Yi Hsuan" sort="Cho, Yi Hsuan" uniqKey="Cho Y" first="Yi-Hsuan" last="Cho">Yi-Hsuan Cho</name></author><author><name sortKey="Li, Ko Jen" sort="Li, Ko Jen" uniqKey="Li K" first="Ko-Jen" last="Li">Ko-Jen Li</name></author><author><name sortKey="Tsai, Tsen Fang" sort="Tsai, Tsen Fang" uniqKey="Tsai T" first="Tsen-Fang" last="Tsai">Tsen-Fang Tsai</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">31205646</idno><idno type="pmc">6535749</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6535749</idno><idno type="RBID">PMC:6535749</idno><idno type="doi">10.1177/2040622319847900</idno><date when="2019">2019</date><idno type="wicri:Area/Pmc/Corpus">000810</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000810</idno><idno type="wicri:Area/Pmc/Curation">000810</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000810</idno><idno type="wicri:Area/Pmc/Checkpoint">000474</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000474</idno><idno type="wicri:Area/Ncbi/Merge">000708</idno><idno type="wicri:Area/Ncbi/Curation">000708</idno><idno type="wicri:Area/Ncbi/Checkpoint">000708</idno><idno type="wicri:doubleKey">2040-6223:2019:Chen K:prevalence:clinical:features</idno><idno type="wicri:Area/Main/Merge">000520</idno><idno type="wicri:Area/Main/Curation">000520</idno><idno type="wicri:Area/Main/Exploration">000520</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prevalence, clinical features and treatment pattern of patients with concurrent diagnoses of rheumatoid arthritis and psoriatic disease: results of a 14-year retrospective study in a tertiary referral center</title><author><name sortKey="Chen, Kai Lung" sort="Chen, Kai Lung" uniqKey="Chen K" first="Kai-Lung" last="Chen">Kai-Lung Chen</name></author><author><name sortKey="Chiu, Hsien Yi" sort="Chiu, Hsien Yi" uniqKey="Chiu H" first="Hsien-Yi" last="Chiu">Hsien-Yi Chiu</name></author><author><name sortKey="Lin, Jui Hsiang" sort="Lin, Jui Hsiang" uniqKey="Lin J" first="Jui-Hsiang" last="Lin">Jui-Hsiang Lin</name></author><author><name sortKey="Ye, Jian De" sort="Ye, Jian De" uniqKey="Ye J" first="Jian-De" last="Ye">Jian-De Ye</name></author><author><name sortKey="Cho, Yi Hsuan" sort="Cho, Yi Hsuan" uniqKey="Cho Y" first="Yi-Hsuan" last="Cho">Yi-Hsuan Cho</name></author><author><name sortKey="Li, Ko Jen" sort="Li, Ko Jen" uniqKey="Li K" first="Ko-Jen" last="Li">Ko-Jen Li</name></author><author><name sortKey="Tsai, Tsen Fang" sort="Tsai, Tsen Fang" uniqKey="Tsai T" first="Tsen-Fang" last="Tsai">Tsen-Fang Tsai</name></author></analytic><series><title level="j">Therapeutic Advances in Chronic Disease</title><idno type="ISSN">2040-6223</idno><idno type="eISSN">2040-6231</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="section1-2040622319847900"><title>Background:</title><p>Multiple comorbidities, including rheumatoid arthritis (RA), have been reported to be associated with psoriasis.</p></sec><sec id="section2-2040622319847900"><title>Objective:</title><p>This study aimed to determine the prevalence and the clinical features of RA among patients with psoriasis in a tertiary referral center.</p></sec><sec id="section3-2040622319847900"><title>Methods:</title><p>Between January 2000 and December 2013, all patients coded with psoriatic disease (ICD-9 CM 696.0 OR ICD-9 CM696.1) and RA (ICD-9 CM 714.0) in a tertiary medical center were enrolled.</p></sec><sec id="section4-2040622319847900"><title>Results:</title><p>There were 10,844 patients and 9073 patients with psoriatic disease and RA identified by diagnostic codes, respectively. Among patients with psoriasis, 111 patients had claim-based diagnosis of RA (1.02%). By reviewing medical records and telephone interview or clinic visits, 25 of the 111 patients (0.23%) was identified unequivocally as having concurrent RA. Among them, 17 (68%) were female and 16 (64%) patients developed arthritis prior to the onset of psoriasis with a mean lag of 6.3 years (1–19 years); 8 (32%) had psoriasis skin lesions prior to the onset of arthritis with a mean lag of 6.9 years (3–20 years); 1 (4%) had skin lesions and arthritis in the same time; 17 (68%) patients also fulfilled the CASPAR classification criteria for psoriatic arthritis. The mean age of onset for arthritis was 49.6 years old.</p></sec><sec id="section5-2040622319847900"><title>Conclusions:</title><p>The prevalence of RA in psoriasis might be overestimated in some previous studies using claimed database. 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Fleischmann</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Chen, Kai Lung" sort="Chen, Kai Lung" uniqKey="Chen K" first="Kai-Lung" last="Chen">Kai-Lung Chen</name><name sortKey="Chiu, Hsien Yi" sort="Chiu, Hsien Yi" uniqKey="Chiu H" first="Hsien-Yi" last="Chiu">Hsien-Yi Chiu</name><name sortKey="Cho, Yi Hsuan" sort="Cho, Yi Hsuan" uniqKey="Cho Y" first="Yi-Hsuan" last="Cho">Yi-Hsuan Cho</name><name sortKey="Li, Ko Jen" sort="Li, Ko Jen" uniqKey="Li K" first="Ko-Jen" last="Li">Ko-Jen Li</name><name sortKey="Lin, Jui Hsiang" sort="Lin, Jui Hsiang" uniqKey="Lin J" first="Jui-Hsiang" last="Lin">Jui-Hsiang Lin</name><name sortKey="Tsai, Tsen Fang" sort="Tsai, Tsen Fang" uniqKey="Tsai T" first="Tsen-Fang" last="Tsai">Tsen-Fang Tsai</name><name sortKey="Ye, Jian De" sort="Ye, Jian De" uniqKey="Ye J" first="Jian-De" last="Ye">Jian-De Ye</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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