Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Jul;25(7):725-732.
doi: 10.1111/1756-185X.14357. Epub 2022 Jun 9.

Consensus statements for evaluation and nonpharmacological Management of Psoriatic Arthritis in UAE

Khalid A Alnaqbi  1   2 , Suad Hannawi  3   4 , Rajaie Namas  5 , Waleed Alshehhi  6 , Humeira Badsha  7 , Jamal Al-Saleh  8
Affiliations
Review

Consensus statements for evaluation and nonpharmacological Management of Psoriatic Arthritis in UAE

Khalid A Alnaqbi et al. Int J Rheum Dis. 2022 Jul.

Abstract

Objective: Psoriatic arthritis (PsA), a chronic inflammatory arthropathy, is often underdiagnosed in Middle Eastern countries, substantially impacting the treatment of affected individuals. This article aims to highlight current unmet clinical needs and provide consensus recommendations for region-specific evaluation methods and nonpharmacological therapies in the United Arab Emirates (UAE).

Method: An extensive literature review was conducted, focusing especially on global and regional guidelines for the evaluation and treatment of PsA. These form the basis of the consensus statements formulated. Additionally, an expert panel of key opinion leaders from the UAE reviewed these guidelines and available literature at an advisory board meeting to identify unmet needs, bridge clinical gaps in the UAE, and develop consensus statements for the evaluation and treatment of PsA.

Result: The consensus statements were developed based on overarching principles for the management of PsA, evaluation of patients with PsA, and nonpharmacological approaches for the management of PsA. The overarching principles included adopting a targeted, multidisciplinary approach, along with collaboration between rheumatologists and dermatologists in cases of clinically significant skin involvement. The panel also highlighted the value of composite disease severity measures for characterizing clinical manifestations of PsA. In terms of nonpharmacological management approaches, lifestyle modification (comprising dietary change, exercise, and cessation of smoking) and psychotherapy were recommended.

Conclusion: The consensus statements will aid healthcare professionals in clinical decision-making in the context of PsA.

Keywords: assessment tools; guidelines; nonpharmacological approach; overarching principles; psoriatic arthritis; severity.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflict of interest related to this work. The consensus guidelines were funded by the Emirates Society for Rheumatology, a nonprofit organization.

References

    1. 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‐ii17. - PMC - PubMed
    1. Stolwijk C, van Onna M, Boonen A, van Tubergen A. Global prevalence of Spondyloarthritis: a systematic review and meta‐regression analysis. Arthritis Care Res (Hoboken). 2016;68(9):1320‐1331. - PubMed
    1. Alamanos Y, Voulgari PV, Drosos AA. Incidence and prevalence of psoriatic arthritis: a systematic review. J Rheumatol. 2008;35(7):1354‐1358. - PubMed
    1. Gelfand JM, Gladman DD, Mease PJ, et al. Epidemiology of psoriatic arthritis in the population of the United States. J Am Acad Dermatol. 2005;53(4):573. - PubMed
    1. Al‐Awadhi AM, Olusi SO, Moussa M, et al. Musculoskeletal pain, disability and health‐seeking behavior in adult Kuwaitis using a validated Arabic version of the WHO‐ILAR COPCORD Core questionnaire. Clin Exp Rheumatol. 2004;22(2):177‐183. - PubMed