Öz
Amaç
Erken psoriatik artrit tarama (EARP) anketi, psoriazis hastalarında psoriatik artriti taramak için geliştirilmiş basit, hızlı ve kullanışlı bir araçtır. Bu çalışmada EARP anketinin Türk psoriazis hastalarında geçerliğini ve güvenirliğini değerlendirmeyi amaçladık.
Yöntem
Daha önce psoriatik artrit tanısı almamış ve Şubat 2023 ile Kasım 2023 arasında dermatoloji kliniğimize başvuran 119 psoriazis hastasına Türkçe EARP anketi uygulandı. Anket sonuçlarını bilmeyen ve alanında uzman olan bir romatolog tarafından hastalar psoriatik artrit açısından değerlendirdi.
Bulgular
Çalışmaya katılan 119 psoriazis hastasının 28’inde (%23) psoriatik artrit tespit edildi. EARP anketinin Türkçe versiyonundaki soruların Cronbach’s alpha değeri 0,760 olarak belirlendi ve çalışmadaki tüm soruların güvenirliği ve geçerliği Türk popülasyonu için uygun bulundu. Alıcı işletim karakteristiği analizinde eğri altında kalan alan kesme değeri 3,5 olarak bulundu. Kesme değeri ≥3,5 olarak alındığında duyarlılık %89, özgüllük ise %89 olarak bulundu.
Sonuç
EARP Türkçe versiyonu, dermatoloji kliniğiklerinde psoriazisli Türk hastalarda psoriatik artrit taranması için güvenilir ve geçerli bir araçtır.
Anahtar Kelimeler: Erken psoriatik artrit tarama anketi, psoriazis, psoriatik artrit
Kaynakça
Moll JMH, Wright V. Psoriatic arthritis. Semin Arthritis Rheum. 1973;3:55-78.
Taylor W, Gladman D, Helliwell P, Marchesoni A, Mease P, Mielants H. Classification criteria for psoriatic arthritis: development of new criteria from a large international study. Arthritis Rheum. 2006;54:2665-73.
Gladman DD, Antoni C, Mease P, Clegg DO, Nash P. Psoriatic arthritis: epidemiology, clinical features, course, and outcome. Ann Rheum Dis. 2005;64(Suppl 2):ii14-7.
Haroon M, Gallagher P, FitzGerald O. Diagnostic delay of more than 6 months contributes to poor radiographic and functional outcome in psoriatic arthritis. Ann Rheum Dis. 2015;74:1045-50.
Villani AP, Rouzaud M, Sevrain M, et al. Prevalence of undiagnosed psoriatic arthritis among psoriasis patients: systematic review and meta-analysis. J Am Acad Dermatol. 2015;73:242-8.
Salaffi F, Di Carlo M, Bugatti L, Lato V, Nicolini M, Carotti M. Development and pilot-testing of a new tool to screen psoriasis patients for the presence of psoriatic arthritis: the simple psoriatic arthritis screening (SiPAS) questionnaire. J Eur Acad Dermatol Venereol. 2017;31:e167-9.
Ibrahım GH, Buch MH, Lawson C, Waxman R, Hellıwell PS: 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 Rheum. 2009;27:469-74.
Gladman DD, Schentag CT, Tom BD, et al. Development and initial validation of a screening questionnaire for psoriatic arthritis: the Toronto psoriatic arthritis screen (ToPAS). Ann Rheum Dis. 2009;68:497-501.
Tom BD, Chandran V, Farewell VT, Rosen CF, Gladman DD: validation of the Toronto psoriatic arthritis screen version 2 (ToPAS 2). J Rheumatol. 2015;42:841-6.
Husni ME, Meyer KH, Cohen DS, Mody E, Qureshi AA. The PASE questionnaire: pilot-testing a psoriatic arthritis screening and evaluation tool. J Am Acad Dermatol. 2007;57:581-7.
Garg N, Truong B, Ku JH, et al. A novel, short, and simple screening questionnaire can suggest presence of psoriatic arthritis in psoriasis patients in a dermatology clinic. Clin Rheumatol. 2015;34:1745-51.
Tinazzi I, Adami S, Zanolin EM, et al. The early psoriatic arthritis screening questionnaire: a simple and fast method for the identification of arthritis in patients with psoriasis. Rheumatology (Oxford). 2012;51:2058-63.
Helliwell PS, Taylor WJ. Classification and diagnostic criteria for psoriatic arthritis. Ann Rheum Dis. 2005;64 (Suppl 2):ii3-8.
Wild D, Grove A, Martin M, et al; ISPOR Task Force for Translation and Cultural Adaptation. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health. 2005;8:94-104.
Addimanda O, Possemato N, Caruso A, Pipitone N, Salvarani C. The role of tumor necrosis factor-α blockers in psoriatic disease. Therapeutic options in psoriatic arthritis. J Rheumatol Suppl. 2015;93:73-8.
Ritchlin CT, Colbert RA, Gladman DD. Psoriatic arthritis. N Engl J Med. 2017;376:957-70.
Shirzadian Kebria A, Eftekhari A, Ezoji K, et al. Reliability and validity of the Persian version of psoriatic arthritis screening questionnaire. Caspian J Intern Med. 2023;14:213-7.
Chiowchanwisawakit P, Wattanamongkolsil L, Srinonprasert V, Petcharat C, Siriwanarangsun P, Katchamart W. Developing the thai siriraj psoriatic arthritis screening tool and validating the thai psoriasis epidemiology screening tool and the early arthritis for psoriatic patients questionnaire. Rheumatol Int. 2016;36:1459-68.
Maejima H, Katayama C, Taniguchi T, et al. Japanese version of the early psoriatic arthritis screening questionnaire (EARP). J Dermatol. 2016;43:385-8.
Mishra S, Kancharla H, Dogra S, Sharma A. Comparison of four validated psoriatic arthritis screening tools in diagnosing psoriatic arthritis in patients with psoriasis (COMPAQ Study). Br J Dermatol. 2017;176:765-70.
García-Gavín J, Pérez-Pérez L, Tinazzi I, Vidal D, McGonagle D. Spanish cultural adaptation of the questionnaire early arthritis for psoriatic patients. Actas Dermosifiliogr. 2017;108:924-30. English, Spanish.
Lajevardi V, Ghodsi SZ, Shafiei M, Teimourpour A, Etesami I. Evaluating the Persian versions of two psoriatic arthritis screening questionnaires early arthritis for psoriatic patients questionnaire (EARP) and psoriasis epidemiology screening tool (PEST) in Iranian psoriatic patients. Turk J Med Sci. 2021;51:159-66.
Haroon M, Kirby B, FitzGerald O. High prevalence of psoriatic arthritis in patients with severe psoriasis with suboptimal performance of screening questionnaires. Ann Rheum Dis. 2013;72:736-40.
Rodrigues AM, Jacinto S, Henriques AR, et al. Linguistic and cultural adaptation of the EARP Questionnaire to European Portuguese. ARP Rheumatol. 2022;1:271-7. English.
