Diagnostic Delay In Psoriatic Arthritis Discussion
This order is for a 1 page discussion as well as finding 3 articles. I would like to explore an issue in rheumatology relating to psoriatic arthritis. The guidelines are below.
The graded discussion board post focuses on identifying one article from an EBP, Research, or QI design. Please avoid the use of review articles (such as systematic reviews or meta-analyses) as these are not Evidence Based Practice, Research, or Quality Improvement design. I would recommend using this time to begin exploring a topic that you may use for your final EBP project (in week 5). You are to find and choose the articles for this assignment; it will not be provided for you.
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Discussion Directions
- Select one (1) of the three (3) published EBP, QI, or research article you have selected.
- Identify it as a quality improvement article, a research article, or EBP.
- On Discussion Board post the title of the article, authors, purpose, and type of study (QI, Research, or EBP).
- Discuss why you believe it to be either a research article, EBP article, or a quality improvement article.
- Post your initial post by Wednesday, 1159. Diagnostic Delay In Psoriatic Arthritis Discussion
Discussion Post: PICOT Question
My field of interest is rheumatology, and my topic is the delayed diagnosis of Psoriatic Arthritis (PsA). Delayed diagnosis in PsA patients contributes to progressive joint damage and reduced quality of life. Despite the standard diagnostic practices for PsA diagnosis involving a combination of clinical examination, patient history, imaging, and laboratory tests, delayed diagnosis is still high (Karmacharya et al., 2021)Diagnostic Delay In Psoriatic Arthritis Discussion. Additionally, diagnosing PsA can be challenging, as its symptoms overlap with other types of arthritis, particularly rheumatoid arthritis (RA) and osteoarthritis. This discussion presents a Population Intervention Comparison Outcome and Time (PICOT) question developed to investigate the issue of delayed PsA diagnosis.
The PICOT question is as follows: Among adult patients presenting with Psoriatic Arthritis symptoms (P), does the use of Psoriasis Epidemiology Screening Tool (PEST) (I), compared to the use of standard diagnostic practices (C), lead to a reduction in time to diagnosis of PsA (O), within six months (T)?
P- The population of interest is adult patients with symptoms of PsA, such as joint pain and stiffness
I- the intervention of interest is the use of the Psoriasis Epidemiology Screening Tool (PEST), an early screening tool
C- the intervention will be compared with standard diagnostic practices, often relying on clinical judgment and observation of symptom progression
O- the Outcome is reduction in the time to diagnosis of PsA
T- the time frame is six months of symptom onset. Diagnostic Delay In Psoriatic Arthritis Discussion
References
Karmacharya, P., Wright, K., Achenbach, S. J., Bekele, D., Crowson, C. S., Ogdie, A., Duarte-García, A., Ernste, F. C., Tollefson, M. M., & Davis, J. M. (2021). Diagnostic Delay in Psoriatic Arthritis: A Population-based Study. The Journal of Rheumatology, 48(9), 1410–1416. https://doi.org/10.3899/jrheum.201199
Discussion Post: Articles Identification
This discussion aims to identify three articles related to my topic of interest, select one, and identify whether the article is an evidence-based Practice, Quality Improvement, or Research design. My field of interest is rheumatology, and my topic is the delayed diagnosis of Psoriatic Arthritis (PsA). Psoriatic Arthritis is a chronic musculoskeletal condition leading to progressive joint pain, destruction, and loss of function (Karmacharya et al., 2021)Diagnostic Delay In Psoriatic Arthritis Discussion. Delayed diagnosis in PsA patients contributes to progressive joint damage and reduced quality of life. Therefore, An evidence-based intervention is needed to improve early detection, supporting treatment and preventing disease progression.
The three articles selected in relation to delayed diagnosis of PsA are Karmacharya et al. (2021), Zundell et al. (2024), and Su (2020). The article selected for this discussion is “Diagnostic delay in psoriatic arthritis: A population-based study” by Karmacharya et al. (2020). It is a research study article. The authors are Paras Karmacharya, Kerry Wright, Sara J. Achenbach, Delamo Bekele, Cynthia S. Crowson, Alexis Ogdie, Alí Duarte-García, Floranne C. Ernste, Megha M. Tollefson and John M. Davis. The study’s primary purpose was to examine the diagnostic delay in PsA among the study population and the demographic and clinical characteristics associated with diagnostic delays in psoriatic arthritis.
The article is a research study because it employed a retrospective design. The study involved analyzing existing data from records for the research questions without manipulating variables or intervening in real time. Additionally, it is a population-based cohort study involving patients fulfilling the Classification of Psoriatic Arthritis (CASPAR) criteria for PsA. Diagnostic Delay In Psoriatic Arthritis Discussion
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References
Karmacharya, P., Wright, K., Achenbach, S. J., Bekele, D., Crowson, C. S., Ogdie, A., Duarte-García, A., Ernste, F. C., Tollefson, M. M., & Davis, J. M. (2021). Diagnostic delay in psoriatic arthritis: A population-based study. The Journal of Rheumatology, 48(9), 1410–1416. https://doi.org/10.3899/jrheum.201199
Su, Y. J. (2020). Early diagnosis of psoriatic arthritis among psoriasis patients: Clinical experience sharing. Clinical Rheumatology, 39, 3677–3684. https://doi.org/10.1007/s10067-020-05132-1
Zundell, M. P., Perez-Chada, L., Tapryal, N., Gondo, G. C., Husni, M. E., Ball, G. D., Woodbury, M. J., Merola, J. F., & Gottlieb, A. B. (2024). Diagnostic delay of psoriatic arthritis of more than six months contributes to poor patient-reported outcome measures in depression, social ability, and disease impact: A cross-sectional study. The Journal of Clinical and Aesthetic Dermatology, 17(10), 19–22. https://pmc.ncbi.nlm.nih.gov/articles/PMC11495158/ Diagnostic Delay In Psoriatic Arthritis Discussion
