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 : 000708 ( Ncbi/Merge ); précédent : 000707; suivant : 000709Prevalence, 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.
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DOI: 10.1177/2040622319847900
PubMed: 31205646
PubMed Central: 6535749
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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></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. 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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tsai, Tf" uniqKey="Tsai T">TF Tsai</name></author><author><name sortKey="Wang, Ts" uniqKey="Wang T">TS Wang</name></author><author><name sortKey="Hung, St" uniqKey="Hung S">ST Hung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chiu, Hy" uniqKey="Chiu H">HY Chiu</name></author><author><name sortKey="Hsieh, Cf" uniqKey="Hsieh C">CF Hsieh</name></author><author><name sortKey="Chiang, Yt" uniqKey="Chiang Y">YT Chiang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chiu, Hy" uniqKey="Chiu H">HY Chiu</name></author><author><name sortKey="Lo, Pc" uniqKey="Lo P">PC Lo</name></author><author><name sortKey="Huang, Wf" uniqKey="Huang W">WF Huang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mody, E" uniqKey="Mody E">E Mody</name></author><author><name sortKey="Husni, Me" uniqKey="Husni M">ME Husni</name></author><author><name sortKey="Schur, P" uniqKey="Schur P">P Schur</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, Kh" uniqKey="Lee K">KH Lee</name></author><author><name sortKey="Son, Mk" uniqKey="Son M">MK Son</name></author><author><name sortKey="Ha, Yj" uniqKey="Ha Y">YJ Ha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gravani, A" uniqKey="Gravani A">A Gravani</name></author><author><name sortKey="Gaitanis, G" uniqKey="Gaitanis G">G Gaitanis</name></author><author><name sortKey="Zioga, A" uniqKey="Zioga A">A Zioga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thomas, L" uniqKey="Thomas L">L Thomas</name></author><author><name sortKey="Canoui Poitrine, F" uniqKey="Canoui Poitrine F">F Canoui-Poitrine</name></author><author><name sortKey="Gottenberg, Je" uniqKey="Gottenberg J">JE Gottenberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Coates, Lc" uniqKey="Coates L">LC Coates</name></author><author><name sortKey="Helliwell, Ps" uniqKey="Helliwell P">PS. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Ther Adv Chronic Dis</journal-id><journal-id journal-id-type="iso-abbrev">Ther Adv Chronic Dis</journal-id><journal-id journal-id-type="publisher-id">TAJ</journal-id><journal-id journal-id-type="hwp">sptaj</journal-id><journal-title-group><journal-title>Therapeutic Advances in Chronic Disease</journal-title></journal-title-group><issn pub-type="ppub">2040-6223</issn><issn pub-type="epub">2040-6231</issn><publisher><publisher-name>SAGE Publications</publisher-name><publisher-loc>Sage UK: London, England</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">31205646</article-id><article-id pub-id-type="pmc">6535749</article-id><article-id pub-id-type="doi">10.1177/2040622319847900</article-id><article-id pub-id-type="publisher-id">10.1177_2040622319847900</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Research</subject></subj-group></article-categories><title-group><article-title>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</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Chen</surname><given-names>Kai-Lung</given-names></name><xref ref-type="author-notes" rid="fn1-2040622319847900">*</xref><aff id="aff1-2040622319847900">Department of Dermatology, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan</aff></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0002-0493-9707</contrib-id><name><surname>Chiu</surname><given-names>Hsien-Yi</given-names></name><xref ref-type="author-notes" rid="fn1-2040622319847900">*</xref><aff id="aff2-2040622319847900">Department of Dermatology, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan</aff></contrib><contrib contrib-type="author"><name><surname>Lin</surname><given-names>Jui-Hsiang</given-names></name><aff id="aff3-2040622319847900">Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan</aff></contrib><contrib contrib-type="author"><name><surname>Ye</surname><given-names>Jian-De</given-names></name><aff id="aff4-2040622319847900">Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan</aff></contrib><contrib contrib-type="author"><name><surname>Cho</surname><given-names>Yi-Hsuan</given-names></name><aff id="aff5-2040622319847900">Department of Radiology, Taoyuan General Hospital, Taiwan</aff></contrib><contrib contrib-type="author"><name><surname>Li</surname><given-names>Ko-Jen</given-names></name><aff id="aff6-2040622319847900">Division of Allergy, Immunology and Rheumatology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan</aff></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0002-1498-1474</contrib-id><name><surname>Tsai</surname><given-names>Tsen-Fang</given-names></name><xref ref-type="corresp" rid="corresp1-2040622319847900"></xref><aff id="aff7-2040622319847900">Department of Dermatology, National Taiwan University Hospital and National Taiwan University College of Medicine, No.7, Chung-Shan South Road, Taipei</aff></contrib></contrib-group><author-notes><corresp id="corresp1-2040622319847900"><email>tftsai@yahoo.com</email></corresp><fn fn-type="equal" id="fn1-2040622319847900"><label>*</label><p>K-L Chen and H-Y Chiu contributed equally.</p></fn></author-notes><pub-date pub-type="epub"><day>13</day><month>5</month><year>2019</year></pub-date><pub-date pub-type="collection"><year>2019</year></pub-date><volume>10</volume><elocation-id>2040622319847900</elocation-id><history><date date-type="received"><day>12</day><month>10</month><year>2018</year></date><date date-type="accepted"><day>9</day><month>4</month><year>2019</year></date></history><permissions><copyright-statement>© The Author(s), 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder content-type="sage">SAGE Publications Ltd unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses</copyright-holder><license license-type="creative-commons" xlink:href="http://www.creativecommons.org/licenses/by-nc/4.0/"><license-p>This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (<ext-link ext-link-type="uri" xlink:href="http://www.creativecommons.org/licenses/by-nc/4.0/">http://www.creativecommons.org/licenses/by-nc/4.0/</ext-link>) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (<ext-link ext-link-type="uri" xlink:href="https://us.sagepub.com/en-us/nam/open-access-at-sage">https://us.sagepub.com/en-us/nam/open-access-at-sage</ext-link>).</license-p></license></permissions><abstract><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. 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.</p></sec></abstract><kwd-group><kwd>comorbidities</kwd><kwd>psoriatic arthritis</kwd><kwd>rheumatoid arthritis</kwd></kwd-group><funding-group><award-group id="award1-2040622319847900"><funding-source id="funding1-2040622319847900"><institution-wrap><institution>national taiwan university hospital</institution><institution-id institution-id-type="FundRef">https://doi.org/10.13039/501100005762</institution-id></institution-wrap></funding-source><award-id rid="funding1-2040622319847900">105-HCH005, 106-HCH028</award-id></award-group></funding-group><custom-meta-group><custom-meta><meta-name>cover-date</meta-name><meta-value>January-December 2019</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><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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|texte= 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
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