Table 6.

Association of abnormal vestibular tests, excluding CDP, with demographic and clinical variables in 60 patients with psoriatic arthritis (PsA). The p values for equal odds in those who never received MTX/treated with MTX alone/initially treated with MTX and then with other DMARD alone or in combination with MTX = 0.06.

VariablesOR (95% CI)p
Age, yrs, at the time of study, by yr1.06 (1.00–1.12)0.06
Age, yrs, at the time of disease diagnosis, by yr1.00 (0.96–1.04)0.93
Disease duration, mo1.01 (1.00–1.02)0.21
Patterns of PsA
  Polyarticular2.87 (0.95–8.72)0.06
  Oligoarticular0.47 (0.15–1.45)0.19
  MutilansN/A
  Distal interphalangeal joints onlyN/A
  Spondylitis0.34 (0.04–3.12)0.34
Presence of classic cardiovascular risk factors*1.23 (0.41–3.71)0.71
CRP (mg/l) at the time of disease diagnosis0.99 (0.95–1.03)0.66
ESR (mm/first h) at the time of disease diagnosis1.01 (0.98–1.03)0.64
CRP (mg/l) at the time of the study1.03 (0.95–1.12)0.42
ESR (mm/first h) at the time of the study1.01 (0.96–1.06)0.71
Patients treated with MTX aloneN/A**
Initially treated with MTX and then with other DMARD+N/A**
Patients treated with anti-TNF-α therapy#0.91 (0.26–3.12)0.88
  • * One or more of the following: hypertension, dyslipidemia, diabetes, obesity, and smoking history.

  • ** Patients who never received MTX had normal vestibular tests, so OR could not be estimated.

  • + Conventional DMARD (generally leflunomide and less commonly sulfasalazine) or biologic DMARD–anti-TNF-α therapy (adalimumab, infliximab, or etanercept) alone or in combination with MTX.

  • # In most cases in combination with MTX. CDP: computerized dynamic posturography; CRP: C-reactive protein; ESR: erythrocyte sedimentation rate; MTX: methotrexate; DMARD: disease-modifying antirheumatic drug; TNF-α: tumor necrosis factor-α; N/A: not applicable.