Prevalence of psoriatic arthritis in patients with psoriasis: A systematic review and meta-analysis of observational and clinical studies
- PMID: 29928910
- DOI: 10.1016/j.jaad.2018.06.027
Prevalence of psoriatic arthritis in patients with psoriasis: A systematic review and meta-analysis of observational and clinical studies
Abstract
Background: Wide-ranging prevalence estimates of psoriatic arthritis (PsA) in patients with psoriasis have been reported.
Objectives: To assess the prevalence and incidence of PsA in patients with psoriasis.
Methods: Two authors independently searched 3 databases for studies reporting on the prevalence or incidence of PsA in patients with psoriasis. A proportion meta-analysis was performed to calculate the pooled proportion estimates of PsA in patients with psoriasis.
Results: A total of 266 studies examining 976,408 patients with psoriasis were included. Overall, the pooled proportion (95% confidence interval [CI]) of PsA among patients with psoriasis was 19.7% (95% CI, 18.5%-20.9%). In children and adolescents (<18 years of age), the pooled prevalence was 3.3% (95% CI, 2.1%-4.9%). The PsA prevalence was 22.7% (95% CI, 20.6%-25.0%) in European patients with psoriasis, 21.5% (95% CI, 15.4%-28.2%) in South American patients with psoriasis, 19.5% (95% CI, 17.1%-22.1%) in North American patients with psoriasis, 15.5% (95% CI, 0.009%-51.5%) in African patients with psoriasis, and 14.0% (95% CI, 95% CI, 11.7%-16.3%) in Asian patients with psoriasis. The prevalence of PsA was 23.8% (95% CI, 20.1%-27.6%) in studies in which the Classification Criteria for Psoriatic Arthritis were applied. The incidence of PsA among patients with psoriasis ranged from 0.27 to 2.7 per 100 person-years.
Limitations: Between-study heterogeneity may have affected the estimates.
Conclusions: We found that 1 in 4 patients with psoriasis have PsA. With the growing recognition of the Classification Criteria for Psoriatic Arthritis, more homogenous and comparable prevalence estimates are expected to be reported.
Keywords: arthritis; arthropathy; incidence; prevalence; psoriasis; psoriatic.
Copyright © 2018 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.
Similar articles
-
Epidemiology of depression and anxiety in patients with psoriatic arthritis: A systematic review and meta-analysis.Semin Arthritis Rheum. 2020 Dec;50(6):1481-1488. doi: 10.1016/j.semarthrit.2020.02.001. Epub 2020 Feb 13. Semin Arthritis Rheum. 2020. PMID: 32178850
-
Prevalence of rheumatologist-diagnosed psoriatic arthritis in patients with psoriasis in European/North American dermatology clinics.J Am Acad Dermatol. 2013 Nov;69(5):729-735. doi: 10.1016/j.jaad.2013.07.023. Epub 2013 Aug 24. J Am Acad Dermatol. 2013. PMID: 23981683
-
Cardiovascular morbidity and mortality in psoriasis and psoriatic arthritis: a systematic literature review.J Eur Acad Dermatol Venereol. 2013 Aug;27 Suppl 3:12-29. doi: 10.1111/jdv.12163. J Eur Acad Dermatol Venereol. 2013. PMID: 23845149 Review.
-
Modifiable lifestyle and environmental factors associated with onset of psoriatic arthritis in patients with psoriasis: A systematic review and meta-analysis of observational studies.J Am Acad Dermatol. 2021 Mar;84(3):701-711. doi: 10.1016/j.jaad.2020.08.060. Epub 2020 Aug 19. J Am Acad Dermatol. 2021. PMID: 32827608
-
Is there a psoriasis skin phenotype associated with psoriatic arthritis? Systematic literature review.J Eur Acad Dermatol Venereol. 2014 Aug;28 Suppl 5:17-26. doi: 10.1111/jdv.12562. J Eur Acad Dermatol Venereol. 2014. PMID: 24985559 Review.
Cited by
-
Epidemiological trends in psoriatic arthritis: a comprehensive population-based study.Arthritis Res Ther. 2024 May 27;26(1):108. doi: 10.1186/s13075-024-03339-0. Arthritis Res Ther. 2024. PMID: 38802958 Free PMC article.
-
Psoriasis vulgaris patient with psoriatic arthritis managed with interleukin-17A inhibitor: Balancing benefits and adverse effects.Narra J. 2024 Apr;4(1):e207. doi: 10.52225/narra.v4i1.207. Epub 2024 Jan 1. Narra J. 2024. PMID: 38798877 Free PMC article.
-
Weil's disease with multiple organ dysfunction, community-acquired pneumonia and septic shock: The role of rapid diagnosis and management.Narra J. 2024 Apr;4(1):e587. doi: 10.52225/narra.v4i1.587. Epub 2024 Mar 2. Narra J. 2024. PMID: 38798843 Free PMC article.
-
Psoriatic arthritis with psychological comorbidities: an overview of systematic reviews on incidence, prevalence, and geographic disparities.Rheumatol Int. 2024 May 26. doi: 10.1007/s00296-024-05617-1. Online ahead of print. Rheumatol Int. 2024. PMID: 38797775 Review.
-
Psoriasis and Psoriatic Arthritis-Associated Genes, Cytokines, and Human Leukocyte Antigens.Medicina (Kaunas). 2024 May 16;60(5):815. doi: 10.3390/medicina60050815. Medicina (Kaunas). 2024. PMID: 38792999 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials
Miscellaneous