Skip to main content

Main menu

  • Home
  • Content
    • First Release
    • Current
    • Archives
    • Collections
    • Audiovisual Rheum
    • COVID-19 and Rheumatology
  • Resources
    • Guide for Authors
    • Submit Manuscript
    • Payment
    • Reviewers
    • Advertisers
    • Classified Ads
    • Reprints and Translations
    • Permissions
    • Meetings
    • FAQ
    • Policies
  • Subscribers
    • Subscription Information
    • Purchase Subscription
    • Your Account
    • Terms and Conditions
  • About Us
    • About Us
    • Editorial Board
    • Letter from the Editor
    • Duncan A. Gordon Award
    • Privacy/GDPR Policy
    • Accessibility
  • Contact Us
  • JRheum Supplements
  • Services

User menu

  • My Cart
  • Log In

Search

  • Advanced search
The Journal of Rheumatology
  • JRheum Supplements
  • Services
  • My Cart
  • Log In
The Journal of Rheumatology

Advanced Search

  • Home
  • Content
    • First Release
    • Current
    • Archives
    • Collections
    • Audiovisual Rheum
    • COVID-19 and Rheumatology
  • Resources
    • Guide for Authors
    • Submit Manuscript
    • Payment
    • Reviewers
    • Advertisers
    • Classified Ads
    • Reprints and Translations
    • Permissions
    • Meetings
    • FAQ
    • Policies
  • Subscribers
    • Subscription Information
    • Purchase Subscription
    • Your Account
    • Terms and Conditions
  • About Us
    • About Us
    • Editorial Board
    • Letter from the Editor
    • Duncan A. Gordon Award
    • Privacy/GDPR Policy
    • Accessibility
  • Contact Us
  • Follow jrheum on Twitter
  • Visit jrheum on Facebook
  • Follow jrheum on LinkedIn
  • Follow jrheum on YouTube
  • Follow jrheum on Instagram
  • Follow jrheum on RSS
Research ArticlePsoriatic Arthritis

A Practical Guide for Assessment of Skin Burden in Patients With Psoriatic Arthritis

Fazira R. Kasiem, Annelieke Pasma, Jolanda J. Luime, Ilja Tchetverikov, Kim Wervers, Lindy-Anne Korswagen, Natasja Denissen, Yvonne P.M. Goekoop-Ruiterman, Maikel van Oosterhout, Faouzia Fodili, Johanna M.W. Hazes, Martijn B.A. van Doorn, Marc R. Kok and Marijn Vis, on behalf of CICERO
The Journal of Rheumatology October 2022, 49 (10) 1117-1123; DOI: https://doi.org/10.3899/jrheum.210550
Fazira R. Kasiem
1F.R. Kasiem, MD, A. Pasma, PhD, J.J. Luime, PhD, K. Wervers, MD, PhD, J.M.W. Hazes, MD, PhD, Professor, M. Vis, MD, PhD, Department of Rheumatology, Erasmus Medical Center, Rotterdam;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Fazira R. Kasiem
  • For correspondence: f.kasiem@erasmusmc.nl
Annelieke Pasma
1F.R. Kasiem, MD, A. Pasma, PhD, J.J. Luime, PhD, K. Wervers, MD, PhD, J.M.W. Hazes, MD, PhD, Professor, M. Vis, MD, PhD, Department of Rheumatology, Erasmus Medical Center, Rotterdam;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jolanda J. Luime
1F.R. Kasiem, MD, A. Pasma, PhD, J.J. Luime, PhD, K. Wervers, MD, PhD, J.M.W. Hazes, MD, PhD, Professor, M. Vis, MD, PhD, Department of Rheumatology, Erasmus Medical Center, Rotterdam;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Jolanda J. Luime
Ilja Tchetverikov
2I. Tchetverikov, MD, PhD, Department of Rheumatology, Albert Schweitzer Hospital, Dordrecht;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kim Wervers
1F.R. Kasiem, MD, A. Pasma, PhD, J.J. Luime, PhD, K. Wervers, MD, PhD, J.M.W. Hazes, MD, PhD, Professor, M. Vis, MD, PhD, Department of Rheumatology, Erasmus Medical Center, Rotterdam;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Kim Wervers
Lindy-Anne Korswagen
3L.A. Korswagen, MD, Department of Rheumatology, Franciscus Gasthuis & Vlietland, Rotterdam;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Natasja Denissen
4N. Denissen, MD, Department of Rheumatology, Amphia Hospital, Breda;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Yvonne P.M. Goekoop-Ruiterman
5Y.P.M. Goekoop-Ruiterman, MD, PhD, Haga Hospital, Department of Rheumatology, The Hague;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Maikel van Oosterhout
6M. van Oosterhout, MD, Department of Rheumatology, Groene Hart Ziekenhuis, Rotterdam;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Faouzia Fodili
7F. Fodili, MD, Department of Rheumatology, Reumazorg Zuid West Nederland, Roosendaal;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Johanna M.W. Hazes
1F.R. Kasiem, MD, A. Pasma, PhD, J.J. Luime, PhD, K. Wervers, MD, PhD, J.M.W. Hazes, MD, PhD, Professor, M. Vis, MD, PhD, Department of Rheumatology, Erasmus Medical Center, Rotterdam;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Martijn B.A. van Doorn
8M.B.A. van Doorn, MD, PhD, Department of Dermatology, Erasmus Medical Center, Rotterdam;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Martijn B.A. van Doorn
Marc R. Kok
9M.R. Kok, MD, PhD, Department of Rheumatology and Clinical Immunology, Maasstad Hospital, Rotterdam, the Netherlands.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Marc R. Kok
Marijn Vis,
1F.R. Kasiem, MD, A. Pasma, PhD, J.J. Luime, PhD, K. Wervers, MD, PhD, J.M.W. Hazes, MD, PhD, Professor, M. Vis, MD, PhD, Department of Rheumatology, Erasmus Medical Center, Rotterdam;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Marijn Vis,
  • Article
  • Figures & Data
  • Info & Metrics
  • References
  • PDF
  • eLetters
PreviousNext
Loading

Abstract

Objective Rheumatologists play a pivotal role in the management of patients with psoriatic arthritis (PsA). Due to time constraints during clinic visits, the skin may not receive the attention needed for optimal patient outcome. Therefore, the aim of this study was to select a set of core questions that can help rheumatologists in daily rheumatology clinical practice to identify patients with PsA with a high skin burden.

Methods Baseline data from patients included in the Dutch South West Psoriatic Arthritis (DEPAR) cohort were used. Questions were derived from the Skindex-17 and Dermatology Life Quality Index (DLQI) questionnaires. Underlying clusters of questions were identified with an exploratory principal component analysis (PCA) with varimax rotation, after which a 2-parameter logistic model was fitted per cluster. Questions were selected based on their discrimination and difficulty. Subsequently, 2 flowcharts were made with categories of skin burden severity. Clinical considerations were specified per category.

Results In total, 413 patients were included. The PCA showed 2 underlying clusters: a psychosocial domain and a domain assessing physical symptoms. We selected these 2 domains. The psychosocial domain contains 3 questions and specifies 4 categories of skin burden severity. The physical symptoms domain contains 2 questions and categorizes patients in 1 out of 3 categories.

Conclusion We have selected a set with a maximum of 5 questions that rheumatologists can easily implement in their consultation to assess skin burden in patients with PsA. This practical guide makes the assessment of skin burden more accessible to rheumatologists and can aid in clinical decision making.

Key Indexing Terms:
  • arthritic psoriasis
  • psoriasis
  • quality of life
  • Accepted for publication May 17, 2022.
  • Copyright © 2022 by the Journal of Rheumatology
View Full Text

Log in using your username and password

Forgot your user name or password?

Purchase access

You may purchase access to this article. This will require you to create an account if you don't already have one.
PreviousNext
Back to top

In this issue

The Journal of Rheumatology
Vol. 49, Issue 10
1 Oct 2022
  • Table of Contents
  • Table of Contents (PDF)
  • Index by Author
  • Editorial Board (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word about The Journal of Rheumatology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
A Practical Guide for Assessment of Skin Burden in Patients With Psoriatic Arthritis
(Your Name) has forwarded a page to you from The Journal of Rheumatology
(Your Name) thought you would like to see this page from the The Journal of Rheumatology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
A Practical Guide for Assessment of Skin Burden in Patients With Psoriatic Arthritis
Fazira R. Kasiem, Annelieke Pasma, Jolanda J. Luime, Ilja Tchetverikov, Kim Wervers, Lindy-Anne Korswagen, Natasja Denissen, Yvonne P.M. Goekoop-Ruiterman, Maikel van Oosterhout, Faouzia Fodili, Johanna M.W. Hazes, Martijn B.A. van Doorn, Marc R. Kok, Marijn Vis,
The Journal of Rheumatology Oct 2022, 49 (10) 1117-1123; DOI: 10.3899/jrheum.210550

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

 Request Permissions

Share
A Practical Guide for Assessment of Skin Burden in Patients With Psoriatic Arthritis
Fazira R. Kasiem, Annelieke Pasma, Jolanda J. Luime, Ilja Tchetverikov, Kim Wervers, Lindy-Anne Korswagen, Natasja Denissen, Yvonne P.M. Goekoop-Ruiterman, Maikel van Oosterhout, Faouzia Fodili, Johanna M.W. Hazes, Martijn B.A. van Doorn, Marc R. Kok, Marijn Vis,
The Journal of Rheumatology Oct 2022, 49 (10) 1117-1123; DOI: 10.3899/jrheum.210550
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Bookmark this article

Jump to section

  • Article
    • Abstract
    • METHODS
    • RESULTS
    • DISCUSSION
    • ACKNOWLEDGMENT
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Info & Metrics
  • References
  • PDF
  • eLetters

Keywords

arthritic psoriasis
PSORIASIS
QUALITY OF LIFE

Related Articles

Cited By...

More in this TOC Section

  • Impact of Physician-Defined Flares on Quality of Life and Work Impairment: An International Survey of 2238 Patients With Psoriatic Arthritis
  • Doppler Signal and Bone Erosions at the Enthesis Are Independently Associated With Ultrasound Joint Erosive Damage in Psoriatic Arthritis
  • Effect of Fatigue on Health-Related Quality of Life and Work Productivity in Psoriatic Arthritis: Findings From a Real-World Survey
Show more Psoriatic Arthritis

Similar Articles

Keywords

  • arthritic psoriasis
  • psoriasis
  • quality of life

Content

  • First Release
  • Current
  • Archives
  • Collections
  • Audiovisual Rheum
  • COVID-19 and Rheumatology

Resources

  • Guide for Authors
  • Submit Manuscript
  • Author Payment
  • Reviewers
  • Advertisers
  • Classified Ads
  • Reprints and Translations
  • Permissions
  • Meetings
  • FAQ
  • Policies

Subscribers

  • Subscription Information
  • Purchase Subscription
  • Your Account
  • Terms and Conditions

More

  • About Us
  • Contact Us
  • My Alerts
  • My Folders
  • Privacy/GDPR Policy
  • RSS Feeds
The Journal of Rheumatology
The content of this site is intended for health care professionals.
Copyright © 2022 by The Journal of Rheumatology Publishing Co. Ltd.
Print ISSN: 0315-162X; Online ISSN: 1499-2752
Powered by HighWire