Perceptions of Rheumatologists on Diagnosis of Psoriatic Arthritis in China

ObjectiveHigh prevalence of undiagnosed psoriatic arthritis (PsA) and prolonged diagnostic delay are key troubles in the appropriate management of PsA. To analyze the possible causes for this phenomenon, a web-based nationwide survey was conducted to investigate rheumatologists’ perceptions on PsA d...

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Autores principales: Miao Chen, Hua Zhang, Zhiyong Chen, Sheng-Ming Dai
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/14ad338a08b34b54ac4ed46c1d72d069
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spelling oai:doaj.org-article:14ad338a08b34b54ac4ed46c1d72d0692021-12-03T04:54:10ZPerceptions of Rheumatologists on Diagnosis of Psoriatic Arthritis in China1664-322410.3389/fimmu.2021.733708https://doaj.org/article/14ad338a08b34b54ac4ed46c1d72d0692021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fimmu.2021.733708/fullhttps://doaj.org/toc/1664-3224ObjectiveHigh prevalence of undiagnosed psoriatic arthritis (PsA) and prolonged diagnostic delay are key troubles in the appropriate management of PsA. To analyze the possible causes for this phenomenon, a web-based nationwide survey was conducted to investigate rheumatologists’ perceptions on PsA diagnosis in China.MethodsThe electronic questionnaire consisting of 38 questions were designed by an expert panel and distributed with the online survey tool Sojump, which is a professional online survey platform. The completed questionnaires by real-name rheumatologists were collected.ResultsA total of 1594 valid questionnaires were included. More than half of Chinese rheumatologists reported it was challenging to make a diagnosis of PsA. The four major challenges were “Difficulties in identification of atypical or hidden psoriasis”, “Absence of diagnostic biomarkers”, “No active self-report of history or family history of psoriasis” and “Various musculoskeletal manifestations”. In diagnosing PsA, minor participants had incorrect knowledge of inflammatory arthropathy (13.7%), acute phase reactant (23.8%), and rheumatoid factor (28.7%). There were no significant differences in the knowledge of PsA and practice habits in diagnosing PsA between modern western medicine (WM)- and traditional Chinese medicine (TCM)-rheumatologists. The part-time rheumatologists were not as good as full-time rheumatologists in diagnosing PsA.ConclusionsAbout three quarters of Chinese rheumatologists are familiar with the elements in PsA diagnosis and have good practice habits in diagnosing PsA. Four main challenges in making PsA diagnosis are revealed. There was no significant difference in the knowledge of PsA between WM- and TCM-rheumatologists.Miao ChenHua ZhangZhiyong ChenSheng-Ming DaiFrontiers Media S.A.articlepsoriatic arthritisearly diagnosisrheumatologists’ perceptionsquestionnairesurveyImmunologic diseases. AllergyRC581-607ENFrontiers in Immunology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic psoriatic arthritis
early diagnosis
rheumatologists’ perceptions
questionnaire
survey
Immunologic diseases. Allergy
RC581-607
spellingShingle psoriatic arthritis
early diagnosis
rheumatologists’ perceptions
questionnaire
survey
Immunologic diseases. Allergy
RC581-607
Miao Chen
Hua Zhang
Zhiyong Chen
Sheng-Ming Dai
Perceptions of Rheumatologists on Diagnosis of Psoriatic Arthritis in China
description ObjectiveHigh prevalence of undiagnosed psoriatic arthritis (PsA) and prolonged diagnostic delay are key troubles in the appropriate management of PsA. To analyze the possible causes for this phenomenon, a web-based nationwide survey was conducted to investigate rheumatologists’ perceptions on PsA diagnosis in China.MethodsThe electronic questionnaire consisting of 38 questions were designed by an expert panel and distributed with the online survey tool Sojump, which is a professional online survey platform. The completed questionnaires by real-name rheumatologists were collected.ResultsA total of 1594 valid questionnaires were included. More than half of Chinese rheumatologists reported it was challenging to make a diagnosis of PsA. The four major challenges were “Difficulties in identification of atypical or hidden psoriasis”, “Absence of diagnostic biomarkers”, “No active self-report of history or family history of psoriasis” and “Various musculoskeletal manifestations”. In diagnosing PsA, minor participants had incorrect knowledge of inflammatory arthropathy (13.7%), acute phase reactant (23.8%), and rheumatoid factor (28.7%). There were no significant differences in the knowledge of PsA and practice habits in diagnosing PsA between modern western medicine (WM)- and traditional Chinese medicine (TCM)-rheumatologists. The part-time rheumatologists were not as good as full-time rheumatologists in diagnosing PsA.ConclusionsAbout three quarters of Chinese rheumatologists are familiar with the elements in PsA diagnosis and have good practice habits in diagnosing PsA. Four main challenges in making PsA diagnosis are revealed. There was no significant difference in the knowledge of PsA between WM- and TCM-rheumatologists.
format article
author Miao Chen
Hua Zhang
Zhiyong Chen
Sheng-Ming Dai
author_facet Miao Chen
Hua Zhang
Zhiyong Chen
Sheng-Ming Dai
author_sort Miao Chen
title Perceptions of Rheumatologists on Diagnosis of Psoriatic Arthritis in China
title_short Perceptions of Rheumatologists on Diagnosis of Psoriatic Arthritis in China
title_full Perceptions of Rheumatologists on Diagnosis of Psoriatic Arthritis in China
title_fullStr Perceptions of Rheumatologists on Diagnosis of Psoriatic Arthritis in China
title_full_unstemmed Perceptions of Rheumatologists on Diagnosis of Psoriatic Arthritis in China
title_sort perceptions of rheumatologists on diagnosis of psoriatic arthritis in china
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/14ad338a08b34b54ac4ed46c1d72d069
work_keys_str_mv AT miaochen perceptionsofrheumatologistsondiagnosisofpsoriaticarthritisinchina
AT huazhang perceptionsofrheumatologistsondiagnosisofpsoriaticarthritisinchina
AT zhiyongchen perceptionsofrheumatologistsondiagnosisofpsoriaticarthritisinchina
AT shengmingdai perceptionsofrheumatologistsondiagnosisofpsoriaticarthritisinchina
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