Laura C. Coates and Laura Savage are the joint first authors.
This study hypothesises that an educational leaflet about psoriatic arthritis (PsA) will improve psoriasis patients’ attendance for screening for PsA. A random sample of patients ≥18 years old with a coded diagnosis of psoriasis and no diagnosis of PsA, rheumatoid arthritis or ankylosing spondylitis were identified from five GP surgeries in Yorkshire, UK. Patients were randomised 1:1 to receive study information alone or with the educational leaflet, with an invitation to attend for a screening examination by a dermatologist and rheumatologist. Nine hundred thirty-two invitation packs were sent to recruit 191 (20.5%) participants. One hundred sixty-nine (88.5%) had current or previous psoriasis and 17 (10.1%) had previously undiagnosed PsA. The estimated prevalence of PsA was 18.1% (95% CI: 16.2, 20.1%).
The response rate was lower than expected and was not significantly higher when patients received the educational leaflet (22.8 vs 18.3%, p = 0.08). Response rates varied by practice (14.7 to 30.6%). However, deprivation scores for each practice revealed a significant increase in response with the leaflet for deprivation decile of 3 (p < 0.001) but no significant differences in the other practices. An educational leaflet about PsA improves attendance for screening in primary care, but only in those practices with higher levels of socioeconomic deprivation.
Gladman DD (1998) Psoriatic arthritis. Rheum Dis Clin N Am 24:829–844 CrossRef
Sokoll KB, Helliwell PS (2001) Comparison of disability and quality of life in rheumatoid and psoriatic arthritis. J Rheumatol 28:1842–1846 PubMed
Scottish Intercollegiate Guidelines Network (2001) Diagnosis and management of psoriasis and psoriatic arthritis in adults. Edinburgh SIGN
National Institute for Health and Clinical Excellence (2012) Psoriasis—management of psoriasis
Tomlinson A, Kyrgiou M, Paraskevaidis E, Kitchener H, Martin-Hirsch P (2004) Does improving communication and information for women increase attendance at colposcopy in an inner city clinic? A randomised controlled trial. Eur J Gynaecol Oncol 25:445–448 PubMed
Ibrahim GH, Buch MH, Lawson C, Waxman R, Helliwell PS (2009) Evaluation of an existing screening tool for psoriatic arthritis in people with psoriasis and the development of a new instrument: the psoriasis epidemiology screening tool (PEST) questionnaire. Clin Exp Rheumatol 27:469–474 PubMed
Coates LC, Walsh J, Haroon M et al (2014) Development and testing of new candidate psoriatic arthritis screening questionnaires combining optimal questions from existing tools. Arthritis Care Res (Hoboken) 66:1410–1416 CrossRef
- An educational leaflet improves response to invitation for screening for arthritis in patients with psoriasis in primary care, but only in practices in the most deprived areas
Laura C. Coates
Dennis G. McGonagle
Anna R. Moverley
Philip S. Helliwell
- Springer London
Neu im Fachgebiet Innere Medizin
Meistgelesene Bücher aus der Inneren Medizin
e.Med Kampagnen-Visual, Mail Icon II