RT Journal Article
SR Electronic
T1 An exploratory latent class analysis of the ASAS Health Index reveals heterogeneous impact profiles in psoriatic arthritis
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP jrheum.2025-0756
DO 10.3899/jrheum.2025-0756
A1 Queiro, Rubén
A1 Morante, Isla
YR 2025
UL http://www.jrheum.org/content/early/2025/11/27/jrheum.2025-0756.abstract
AB Objective We aimed to identify and characterize distinct subgroups of patients with psoriatic arthritis (PsA) based on their responses to the Assessment of SpondyloArthritis International Society Health Index (ASAS HI), using latent class analysis (LCA).Methods We performed an exploratory LCA on 17 dichotomous ASAS HI items in a cohort of patients with PsA (n: 90). Model adequacy was evaluated by log-likelihood, AIC, BIC, entropy, and average posterior probabilities (AvePP). Clinical measures (PsAID, DAPSA, tender/swollen joint counts, treatment) were compared across classes. Sensitivity analyses with 3–4 classes assessed robustness.Results A six-class solution was retained, ordered from Class 0 (lowest impact) to Class 5 (highest impact). Mean ASAS HI ranged from 1.2 in Class 0 to 11.6 in Class 5, with parallel increases in PsAID and DAPSA. Conditional probabilities revealed distinct profiles: Class 0 had minimal impairment, Classes 1–2 showed predominantly physical function limitations of mild to moderate severity, Class 3 combined physical and emotional function burden, Class 4 was characterized by dominant participation and social impact, and Class 5 displayed severe multidimensional impairment. All classes had AvePP >0.86. Sensitivity analyses with K=3 and K=4 reproduced the same gradient of impact but provided less granular separation.Conclusion Latent class analysis of the ASAS HI identified six clinically meaningful health impact profiles in PsA. These findings support the use of the ASAS HI as a multidimensional tool capable of capturing diverse patient experiences and may help inform individualized management strategies in PsA.