Among adults with psoriaticarthritis, 11.8% required at least one musculoskeletal surgery related to their disease, based on data.
, 11.8% required at least one musculoskeletal surgery related to their disease, based on data from more than 1,500 individuals at the University of Toronto's Psoriatic Arthritis Clinic.
"Despite optimal medical therapy to control systemic inflammation and preserve joint function, a subset of patients with PsA still require musculoskeletal surgery for disease-related morbidity," but data on the prevalence of MSK surgeries and the associated risk factors are lacking, wrote Timothy S.H. Kwok, MD, of the University of Toronto, and colleagues.
The most common procedures were arthrodesis and arthroplasty . More than half of the surgeries were joint sacrificing, and 41% were joint retaining, and 57 procedures were revisions related to the primary surgery. Among 1,018 patients with data complete enough for a multivariate analysis, including 71 PsA surgeries, factors significantly associated with an increased risk for surgery were a higher number of damaged joints , tender or swollen joints , and the presence of nail lesions . Other predictors of surgery were higher scores on the Health Assessment Questionnaire , elevated erythrocyte sedimentation rate , and HLA-B27 positivity (HR, 2.
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