Major differences in medical and surgical treatment of psoriatic arthritis and rheumatoid arthritis: a comparison of two historic cohorts
Autor: | B.-T.S. Fevang, Tone Wikene Nystad, Anne Marie Fenstad |
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Rok vydání: | 2020 |
Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Inflammatory arthritis Immunology MEDLINE Arthritis Rheumatoid 03 medical and health sciences Psoriatic arthritis 0302 clinical medicine Rheumatology medicine Humans Immunology and Allergy Orthopedic Procedures 030212 general & internal medicine skin and connective tissue diseases Surgical treatment Aged Retrospective Studies 030203 arthritis & rheumatology business.industry Arthritis Psoriatic General Medicine Middle Aged medicine.disease Dermatology Antirheumatic Agents Rheumatoid arthritis Female sense organs business |
Zdroj: | Scandinavian Journal of Rheumatology. 49:267-270 |
ISSN: | 1502-7732 0300-9742 |
Popis: | Substantial changes in the handling of patients with inflammatory arthritis have occurred during the past half century. Polyarticular psoriatic arthritis (PsA) has been treated with the same synthetic disease-modifying anti-rheumatic drugs (DMARDs) as rheumatoid arthritis (RA), but for PsA there is less documentation regarding their effect. For biologic DMARDs, evidence of effect is more convincing. We have previously investigated the risk of orthopaedic surgery in patients with RA and PsA to see whether the change in treatment over time has improved the long-term outcome of inflammatory arthritis. For RA, patients diagnosed from 1999 onwards had a lower risk of surgery than patients diagnosed in earlier years. For PsA, the risk of surgery did not change similarly. We wished to compare RA patients to PsA patients with regard to medical and surgical treatment.We compared a historic cohort of 1010 RA patients diagnosed in 1972-2009 to a historic cohort of 590 PsA patients diagnosed in 1954-2011.PsA patients received significantly less medical treatment both in the first year of disease and during the disease course. Risk of surgery during the disease course was lower for PsA than for RA (20% vs 31%). The risk of surgery in RA patients diagnosed from 1999 onwards was similar to that of PsA patients.PsA patients received less intensive treatment than RA patients. Their prognosis, regarding orthopaedic surgery, was also less severe. Contrary to RA, the change in treatment did not have beneficial effects regarding the risk of orthopaedic surgery. |
Databáze: | OpenAIRE |
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