Medscape InDiscussion: Psoriatic Arthritis

Drs Stanley Cohen and Eric Ruderman discuss shared decision making strategies in psoriatic arthritis management.

Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/970782). The topics and discussions are planned, produced, and reviewed independently of the advertiser. This podcast is intended only for US healthcare professionals.

Resources

Medscape Shared Decision Making https://www.medscape.org/shareddecisionmaking

Psoriatic Arthritis https://emedicine.medscape.com/article/2196539-overview

Treatment Strategies in PsA Management: Use of IL-17 Inhibitors https://decisionpoint.medscape.com/rheumatology/viewarticle/950788

Decision Strategies in PsA Management: Role of IL-23 Inhibitors https://decisionpoint.medscape.com/rheumatology/viewarticle/951718

Ixekizumab Prescribing Information https://uspl.lilly.com/taltz/taltz.html#pi

GRAPPA Treatment Recommendations: 2021 Update https://www.jrheum.org/content/early/2022/03/10/jrheum.211331

Apremilast Prescribing Information https://www.pi.amgen.com/-/media/Project/Amgen/Repository/pi-amgen-com/Otezla/otezla_pi_english.pdf

Psoriatic Arthritis Workup https://emedicine.medscape.com/article/2196539-workup#c6

Decision Strategies in PsA Management: Role of JAK Inhibitors https://decisionpoint.medscape.com/rheumatology/viewarticle/951717

Upadacitinib Prescribing Information https://www.rxabbvie.com/pdf/rinvoq_pi.pdf

Drs Stanley Cohen and Alexis Ogdie-Beatty discuss minimal disease activity and the disease activity measures used in clinical trials as well as practice in treating psoriatic arthritis.

Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/970781). The topics and discussions are planned, produced, and reviewed independently of advertiser. This podcast is intended only for US health care professionals.

Resources

Psoriatic Arthritis https://emedicine.medscape.com/article/2196539-overview

A Proposed Revision to the ACR20: The Hybrid Measure of American College of Rheumatology Response https://www.rheumatology.org/Portals/0/Files/A%20Proposed%20Revision%20to%20the%20ACR20.pdf

DAS28-CRP for Rheumatoid Arthritis https://reference.medscape.com/calculator/275/das28-crp-for-rheumatoid-arthritis

ACR-FDA Summit https://www.rheumatology.org/Learning-Center/Educational-Activities/View/ID/1213

Measuring Minimal Disease Activity in Psoriatic Arthritis https://decisionpoint.medscape.com/rheumatology/viewarticle/951228

How Is the Severity of Psoriatic Arthritis and Psoriasis Usually Assessed? https://www.medscape.com/answers/2196539-155443/how-is-the-severity-of-psoriatic-arthritis-and-psoriasis-usually-assessed

Standardizing the Monitoring of Outcome Measures https://www.medscape.com/viewarticle/741428

Patient Reported Outcomes in the Assessment of Minimal Disease and Remission https://decisionpoint.medscape.com/rheumatology/viewarticle/952950

Validating the SF-36 Health Survey Questionnaire in Patients With Psoriatic Arthritis https://pubmed.ncbi.nlm.nih.gov/9058658/

A Modified Version of the Health Assessment Questionnaire (HAQ) for Psoriatic Arthritis https://pubmed.ncbi.nlm.nih.gov/7586774/

Validation of the Psoriatic Arthritis Impact of Disease (PsAID) Questionnaire and Its Potential as a Single-Item Outcome Measure in Clinical Practice https://pubmed.ncbi.nlm.nih.gov/29146740/

Psoriasis and Psoriatic Arthritis Multicenter Advancement Network https://www.ppacman.org/

Enthesitis: Workup and Severity Assessment https://decisionpoint.medscape.com/rheumatology/viewarticle/951227

Psoriatic Arthritis Treatment & Management https://emedicine.medscape.com/article/2196539-treatment

Effects of Ustekinumab Versus Tumor Necrosis Factor Inhibition on Enthesitis: Results From the Enthesial Clearance in Psoriatic Arthritis (ECLIPSA) Study https://www.sciencedirect.com/science/article/abs/pii/S0049017218301501?via%3Dihub

Elaine Husni, MD, MPH, and Ana-Maria Orbai, MD, MHS, discuss the emerging and novel therapeutics in psoriatic arthritis and the impact that they will have on their patients.

Relevant disclosures can be found with the episode show notes on Medscape.com (https://www.medscape.com/viewarticle/959157). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

2018 American College of Rheumatology/National Psoriasis Foundation Guideline for the Treatment of Psoriatic Arthritis https://www.rheumatology.org/Portals/0/Files/PsA-Guideline-2018.pdf

EULAR Recommendations for the Management of Psoriatic Arthritis With Pharmacological Therapies: 2019 Update https://ard.bmj.com/content/79/6/700.1

Treatment Guidelines in Psoriatic Arthritis https://academic.oup.com/rheumatology/article/59/Supplement_1/i37/5802853

Bimekizumab in Patients with Active Psoriatic Arthritis: Results From a 48-Week, Randomised, Double-Blind, Placebo-Controlled, Dose-Ranging Phase 2b Trial https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)33161-7/fulltext

Elaine Husni, MD, MPH, and Anthony Fernandez, MD, PhD, discuss the aspects that make their combined rheumatology-dermatology clinic a success.

Relevant disclosures can be found with the episode show notes on Medscape.com (https://www.medscape.com/viewarticle/959155). The topics and discussions are planned, produced, and reviewed independently of our advertiser. This podcast is intended only for US healthcare professionals.

Resources

Bridging the Gaps in the Care of Psoriasis and Psoriatic Arthritis: The Role of Combined Clinics https://link.springer.com/article/10.1007/s11926-018-0785-6

Clinicians' Perspectives of Shared Care of Psoriatic Arthritis and Psoriasis Between Rheumatology and Dermatology: An Interview Study https://link.springer.com/article/10.1007/s10067-020-05391-y

Early Recognition and Treatment Heralds Optimal Outcomes: The Benefits of Combined Rheumatology-Dermatology Clinics and Integrative Care of Psoriasis and Psoriatic Arthritis Patients https://link.springer.com/article/10.1007/s11926-017-0706-0

Psoriasis and Psoriatic Arthritis Clinics Multicenter Advancement Network Consortium (PPACMAN) Survey: Benefits and Challenges of Combined Rheumatology-Dermatology Clinics https://www.jrheum.org/content/44/5/693.long

How clinical pharmacists can help counsel psoriatic arthritis patients.

Relevant disclosures can be found with the episode show notes on Medscape.com (https://www.medscape.com/viewarticle/959149). The topics and discussions are planned, produced, and reviewed independently of our advertiser. This podcast is intended only for US healthcare professionals.

Resources

The Role of Specialty Pharmacy in Boosting Psoriatic Arthritis Outcomes https://www.pharmacytimes.com/view/the-role-of-specialty-pharmacy-in-boosting-psoriatic-arthritis-outcomes

Impact of clinical pharmacist on medication adherence among psoriasis patients: A randomized controlled study https://www.sciencedirect.com/science/article/pii/S2213398420302578

Medication adherence and persistence of psoriatic arthritis patients treated with biological therapy in a specialty pharmacy in Brazil: a prospective observational study https://www.pharmacypractice.org/index.php/pp/article/view/2312

2018 American College of Rheumatology/National Psoriasis Foundation Guideline for the Treatment of Psoriatic Arthritis https://www.rheumatology.org/Portals/0/Files/PsA-Guideline-2018.pdf

Do patients with psoriatic arthritis get better care with a team approach?

Relevant disclosures can be found with the episode show notes on Medscape.com (https://www.medscape.com/viewarticle/959148). The topics and discussions are planned, produced, and reviewed independently of our advertiser. This podcast is intended only for US healthcare professionals.

Resources

American Nurses Association: Advanced Practice Registered Nurse (APRN) https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/

Addressing the Rheumatology Workforce Shortage: A Multifaceted Approach https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255118/

American College of Rheumatology: Psoriatic Arthritis https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Psoriatic-Arthritis

American College of Rheumatology: Rheumatology Workforce Study https://www.rheumatology.org/Learning-Center/Statistics/Workforce-Study

What steps do these busy clinicians take to keep their patients trending toward the healthy side of the health-illness continuum?

Relevant disclosures can be found with the episode show notes on Medscape.com (https://www.medscape.com/viewarticle/959141). The topics and discussions are planned, produced, and reviewed independently of our advertiser. This podcast is intended only for US healthcare professionals.

Resources

Why Mindfulness/Meditation Is a 'No-Brainer' for Health-Care Professionals https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572932/

Exploring This Issue: Whole-Person, Whole-Systems Health and Healing https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533648/

American College of Rheumatology https://www.rheumatology.org/

NIH National Center for Complementary and Integrative Health: Wellness and Well-Being https://www.nccih.nih.gov/health/wellness-and-well-being

Clinical experts in rheumatology and integrative medicine discuss the realm of wellness in psoriatic arthritis care.

Relevant disclosures can be found with the episode show notes on Medscape.com (https://www.medscape.com/viewarticle/959139). The topics and discussions are planned, produced, and reviewed independently of our advertiser. This podcast is intended only for US healthcare professionals.

Resources

American College of Rheumatology https://www.rheumatology.org/

NIH: Science-Based Health & Wellness Resources for Your Community https://www.nih.gov/health-information/science-based-health-wellness-resources-your-community

National Psoriasis Foundation: Living With Psoriatic Arthritis https://www.psoriasis.org/living-with-psoriatic-arthritis/

Definition of Wellness

Why Mindfulness/Meditation Is a 'No-Brainer' for Health-Care Professionals https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572932/

Exploring This Issue: Whole-Person, Whole-Systems Health and Healing https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533648/

Quality-of-Life Measures

Patient-Reported Outcomes Measurement Information System Global-10 (PROMIS-10)

Progress in Assessing Physical Function in Arthritis: PROMIS Short Forms and Computerized Adaptive Testing https://www.jrheum.org/content/36/9/2061.long

12-Item Short Form Survey (SF-12)

Psychometric Evaluation of the 12-Item Short-Form Health Survey (SF-12) in Osteoarthritis and Rheumatoid Arthritis Clinical Trials https://pubmed.ncbi.nlm.nih.gov/11519772/

Patterns of Eating and Effect on Inflammation

Dietary Recommendations for Adults With Psoriasis or Psoriatic Arthritis From the Medical Board of the National Psoriasis Foundation: A Systematic Review https://pubmed.ncbi.nlm.nih.gov/29926091/

Psoriasis, Psoriatic Arthritis, and Rheumatoid Arthritis: Is Al Inflammation the Same? https://www.sciencedirect.com/science/article/pii/S0049017216300646?via%3Dihub

Stress and Pain

Pain and Affective Distress in Arthritis: Relationship to Immunity and Inflammation https://pubmed.ncbi.nlm.nih.gov/30669892/

The Psychosocial Burden of Psoriatic Arthritis https://pubmed.ncbi.nlm.nih.gov/28802776/

Sleep and Effect on Immune System

The Sleep-Immune Crosstalk in Health and Disease https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6689741/