Comorbidities affect outcomes and treatment decisions in patients with immune-driven systemic inflammatory disorders. New recommendations for the management of comorbidities in rheumatoid arthritis, psoriasis and psoriatic arthritis might help optimize the management of these diseases and improve patient outcomes, but several considerations are relevant to their clinical implementation.
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References
Boyd, T. & Kavanaugh, A. Novel treatment concepts in psoriatic arthritis. Rheum. Dis. Clin. N. Amer. (in press).
Roubille, C. et al. Evidence-based recommendations for the management of comorbidities in rheumatoid arthritis, psoriasis, and psoriatic arthritis: expert opinion of the Canadian Dermatology-Rheumatology Comorbidity Initiative. J. Rheumatol. http://dx.doi.org/10.3899/jrheum.141112.
Kavanaugh, A. Rheumatoid arthritis: guidelines for RA therapy—avoiding hamartia. Nat. Rev. Rheumatol. 6, 505–506 (2010).
Singh, J. A. et al. 2012 update of the 2008 American College of Rheumatology recommendations for the use of disease-modifying antirheumatic drugs and biologic agents in the treatment of rheumatoid arthritis. Arthritis Care Res. (Hoboken) 64, 625–639 (2012).
Smolen, J. S. et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2013 update. Ann. Rheum. Dis. 73, 492–509 (2014).
Dougados, M. et al. Prevalence of comorbidities in rheumatoid arthritis and evaluation of their monitoring: results of an international, cross-sectional study (COMORA). Ann. Rheum. Dis. 73, 62–68 (2014).
Armstrong, A. W. et al. Psoriasis comorbidities: results from the National Psoriasis Foundation surveys 2003 to 2011. Dermatology 225, 121–126 (2012).
Ogdie, A. et al. Recognizing and managing comorbidities in psoriatic arthritis. Curr. Opin. Rheumatol. 27, 118–126 (2015).
Radner, H. et al. The impact of multimorbidity status on treatment response in rheumatoid arthritis patients initiating disease-modifying anti-rheumatic drugs. Rheumatology (Oxford) http://dx.doi.org/10.1093/rheumatology/kev239.
Di Minno, M. N. et al. Weight loss and achievement of minimal disease activity in patients with psoriatic arthritis starting treatment with tumour necrosis factor α blockers. Ann. Rheum. Dis. 73, 1157–1162 (2014).
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Boyd, T., Kavanaugh, A. Addressing comorbidities in systemic inflammatory disorders. Nat Rev Rheumatol 11, 689–691 (2015). https://doi.org/10.1038/nrrheum.2015.129
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DOI: https://doi.org/10.1038/nrrheum.2015.129