Tucker Laura J, Coates Laura C, Helliwell Philip S
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
Rheumatol Ther. 2019 Mar;6(1):23-32. doi: 10.1007/s40744-018-0132-4. Epub 2018 Nov 23.
Psoriatic arthritis (PsA) is a multifaceted disease, with a high impact on patients' psychological and physical well-being. There is increasing recognition that assessment of both clinical aspects of disease and patient identified concerns, such as fatigue, work disability, and treatment satisfaction need to be addressed. Only then can we fully understand disease burden and make well-informed treatment decisions aimed at improving patients' lives. In recent years, there has been much progress in the development of unidimensional and composite measures of disease activity, as well as questionnaires capturing the patient's perspective in psoriatic disease. Despite these advances, there remains disagreement amongst clinicians as to which instruments should be used. As a consequence, they are yet to receive widespread implementation in routine clinical practice. This review aims to summarize currently available clinical and patient-derived assessment tools, which will provide clinicians with a practical and informative resource.
银屑病关节炎（PsA）是一种多方面的疾病，对患者的心理和身体健康有很大影响。人们越来越认识到，需要对疾病的临床方面以及患者所确定的问题进行评估，如疲劳、工作残疾和治疗满意度等。只有这样，我们才能充分了解疾病负担，并做出明智的治疗决策，以改善患者的生活。近年来，在疾病活动的单维度和综合测量方法的开发以及捕捉银屑病患者观点的问卷调查方面取得了很大进展。尽管有这些进展，但临床医生对于应使用哪些工具仍存在分歧。因此，这些工具尚未在常规临床实践中得到广泛应用。本综述旨在总结目前可用的临床和患者衍生的评估工具，这将为临床医生提供实用且信息丰富的资源。
