Clinical Edge Journal Scan

PsA: Achievement of MDA/remission impeded by obesity


 

Key clinical point: Patients with psoriatic arthritis (PsA) and obesity had ~50% lower likelihood of achieving minimal disease activity (MDA) or remission within a year of initiating treatment with biologic or targeted synthetic disease-modifying antirheumatic drugs (b/tsDMARD).

Major finding: Odds of achieving MDA (adjusted odds ratio [aOR] 0.45; 95% CI 0.24-0.82) and DAPSA-remission (aOR 0.42; 95% CI 0.21-0.85) were lower in the obese vs normal weight group within the first year; similarly, the overweight group had reduced odds of achieving DAPSA-remission (aOR 0.44; 95% CI 0.24-0.79).

Study details: Findings are from an observational cohort study including 774 adult patients with PsA who started their first b/tsDMARD.

Disclosures: This study did not report any source of funding. The authors declared no conflicts of interest.

Source: Vallejo-Yague E et al. Minimal disease activity and remission in patients with psoriatic arthritis with elevated body mass index: An observational cohort study in the Swiss Clinical Quality Management cohort. BMJ Open. 2022;12(9):e061474 (Sep 17). Doi: 10.1136/bmjopen-2022-061474

Recommended Reading

Analysis of PsA guidelines reveals much room for improvement on conflicts of interest
MDedge Rheumatology
Previous endemic coronavirus encounters linked with long COVID
MDedge Rheumatology
A White female presented with pustules and erythematous macules on the left palm
MDedge Rheumatology
JAK inhibitors show no excess cardiovascular safety signal in French nationwide cohort
MDedge Rheumatology
Ten-day methotrexate pause after COVID vaccine booster enhances immunity against Omicron variant
MDedge Rheumatology
Psoriatic arthritis has greater impact on women than men
MDedge Rheumatology
FDA approves upadacitinib (Rinvoq) for sixth indication
MDedge Rheumatology
Causal link between Crohn’s disease and PsA exists
MDedge Rheumatology
PsA: Guselkumab is a promising therapeutic option in the real world
MDedge Rheumatology
PsA: IL-23 inhibitors show encouraging outcomes in the real world
MDedge Rheumatology