The impact of psoriatic arthritis on quality of life: a systematic review

Background: Psoriatic arthritis (PsA) is a chronic inflammatory condition that can affect individuals of all ages. Patients may experience a range of physical and psychological issues. Objective: To examine the impact of PsA on an individual’s quality of life (QoL) and physical function. Design: A s...

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Main Authors: Lija James, Louise H. Hailey, Rhea Suribhatla, Dylan McGagh, Raj Amarnani, Christine E. Bundy, Shona Kirtley, Denis O’Sullivan, Ingrid Steinkoenig, Jonathan P. E. White, Arani Vivekanantham, Laura C. Coates
Format: Article
Language:English
Published: SAGE Publishing 2024-12-01
Series:Therapeutic Advances in Musculoskeletal Disease
Online Access:https://doi.org/10.1177/1759720X241295920
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author Lija James
Louise H. Hailey
Rhea Suribhatla
Dylan McGagh
Raj Amarnani
Christine E. Bundy
Shona Kirtley
Denis O’Sullivan
Ingrid Steinkoenig
Jonathan P. E. White
Arani Vivekanantham
Laura C. Coates
author_facet Lija James
Louise H. Hailey
Rhea Suribhatla
Dylan McGagh
Raj Amarnani
Christine E. Bundy
Shona Kirtley
Denis O’Sullivan
Ingrid Steinkoenig
Jonathan P. E. White
Arani Vivekanantham
Laura C. Coates
author_sort Lija James
collection DOAJ
description Background: Psoriatic arthritis (PsA) is a chronic inflammatory condition that can affect individuals of all ages. Patients may experience a range of physical and psychological issues. Objective: To examine the impact of PsA on an individual’s quality of life (QoL) and physical function. Design: A systematic review of the literature. Data sources and methods: A comprehensive search was conducted across seven electronic databases (Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL, AMED, EMBASE, Global Health, MEDLINE and PsycINFO) to retrieve articles related to QoL and lifestyle in adults with PsA. The inclusion criteria were studies published between 2010 and 2021 that used outcomes validated in patients with PsA. The methodological quality was assessed using Joanna Briggs Institute Critical Appraisal Tools. Our primary outcomes were patient-reported outcomes (PROs) measuring QoL and the impact of disease on physical function. The secondary outcomes were assessments of fatigue, anxiety, depression, sleep, work productivity and employment. Results: The study included 37 comprehensive studies that examined the impact of PsA on QoL and physical function. The findings revealed that the impact of PsA extends to various aspects of life, including activities of daily living, physical, and emotional aspects, such as fatigue, sleep disturbance, anxiety and depression. Notably, people with PsA experience reduced health-related quality of life (HRQoL), particularly in emotional, social and mental health aspects. The severity of pain and/or fatigue is directly linked to decreased HRQoL. Importantly, those who fail to achieve minimal disease activity face challenges in work productivity and employment status. Conclusion: To conclude, our review underscores the significant impact of PsA on patients’ HRQoL beyond joint disease. The emotional, social, and mental aspects of PsA require compassionate and holistic management. Trial registration: The PROSPERO international prospective register of systematic reviews – CRD42021257395.
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spelling doaj-art-2927f0b71e9e45d19a17386d284e19c72024-12-23T08:03:19ZengSAGE PublishingTherapeutic Advances in Musculoskeletal Disease1759-72182024-12-011610.1177/1759720X241295920The impact of psoriatic arthritis on quality of life: a systematic reviewLija JamesLouise H. HaileyRhea SuribhatlaDylan McGaghRaj AmarnaniChristine E. BundyShona KirtleyDenis O’SullivanIngrid SteinkoenigJonathan P. E. WhiteArani VivekananthamLaura C. CoatesBackground: Psoriatic arthritis (PsA) is a chronic inflammatory condition that can affect individuals of all ages. Patients may experience a range of physical and psychological issues. Objective: To examine the impact of PsA on an individual’s quality of life (QoL) and physical function. Design: A systematic review of the literature. Data sources and methods: A comprehensive search was conducted across seven electronic databases (Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL, AMED, EMBASE, Global Health, MEDLINE and PsycINFO) to retrieve articles related to QoL and lifestyle in adults with PsA. The inclusion criteria were studies published between 2010 and 2021 that used outcomes validated in patients with PsA. The methodological quality was assessed using Joanna Briggs Institute Critical Appraisal Tools. Our primary outcomes were patient-reported outcomes (PROs) measuring QoL and the impact of disease on physical function. The secondary outcomes were assessments of fatigue, anxiety, depression, sleep, work productivity and employment. Results: The study included 37 comprehensive studies that examined the impact of PsA on QoL and physical function. The findings revealed that the impact of PsA extends to various aspects of life, including activities of daily living, physical, and emotional aspects, such as fatigue, sleep disturbance, anxiety and depression. Notably, people with PsA experience reduced health-related quality of life (HRQoL), particularly in emotional, social and mental health aspects. The severity of pain and/or fatigue is directly linked to decreased HRQoL. Importantly, those who fail to achieve minimal disease activity face challenges in work productivity and employment status. Conclusion: To conclude, our review underscores the significant impact of PsA on patients’ HRQoL beyond joint disease. The emotional, social, and mental aspects of PsA require compassionate and holistic management. Trial registration: The PROSPERO international prospective register of systematic reviews – CRD42021257395.https://doi.org/10.1177/1759720X241295920
spellingShingle Lija James
Louise H. Hailey
Rhea Suribhatla
Dylan McGagh
Raj Amarnani
Christine E. Bundy
Shona Kirtley
Denis O’Sullivan
Ingrid Steinkoenig
Jonathan P. E. White
Arani Vivekanantham
Laura C. Coates
The impact of psoriatic arthritis on quality of life: a systematic review
Therapeutic Advances in Musculoskeletal Disease
title The impact of psoriatic arthritis on quality of life: a systematic review
title_full The impact of psoriatic arthritis on quality of life: a systematic review
title_fullStr The impact of psoriatic arthritis on quality of life: a systematic review
title_full_unstemmed The impact of psoriatic arthritis on quality of life: a systematic review
title_short The impact of psoriatic arthritis on quality of life: a systematic review
title_sort impact of psoriatic arthritis on quality of life a systematic review
url https://doi.org/10.1177/1759720X241295920
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