Psoriatic Arthritis Sonographic Enthesitis Instruments: A Systematic Review of the Literature

The Journal of Rheumatology
Ofir ElaloufLihi Eder

Abstract

As part of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) ultrasound working group, we performed a systematic review of the literature to assess the evidence and knowledge gaps in scoring instruments of enthesitis in psoriatic arthritis (PsA). A systematic search of PubMed, EMBase, and Cochrane databases was performed. The search strategy was constructed to find original publications containing terms related to ultrasound, enthesitis, spondyloarthritis (SpA) or PsA. Data extraction focused on the properties of the sonographic enthesitis instruments used in each study following components of the Outcome Measures in Rheumatology (OMERACT) filter: feasibility, test-retest reliability, construct validity as related to clinical assessment of enthesitis, biomarkers of inflammation and imaging of enthesitis by other modalities, discriminative validity, and responsiveness to treatment. Fifty-one of 310 identified manuscripts were included. Only 1 scoring instrument of enthesitis was specifically developed and validated in patients with PsA. Only 18 (35%) of the studies involved patients with PsA, while the remaining studies focused on SpA. In PsA, construct validity was assessed using biomarkers and...Continue Reading

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Citations

Mar 12, 2020·Rheumatology·Gurjit S Kaeley
May 16, 2020·Current Opinion in Rheumatology·Sahil Koppikar, Lihi Eder
Nov 5, 2019·The Journal of Rheumatology·Catherine BakewellGurjit S Kaeley
May 22, 2021·Best Practice & Research. Clinical Rheumatology·Ashish J MathewLihi Eder

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