Quality statement 5: Assessing for psoriatic arthritis

Quality statement

People with psoriasis having treatment are offered an annual assessment for psoriatic arthritis.

Rationale

Psoriatic arthritis is a form of arthritis that is seen in people with psoriasis. This condition is often undiagnosed, leading to poorer long-term outcomes such as damage to joints and functional ability. Annual assessment for the condition (which may form part of a holistic review of response to treatment and disease severity and impact) could help to identify people with psoriatic arthritis earlier, so that treatment can be planned accordingly and before joint damage occurs.

Quality measures

Structure

Evidence of local arrangements for people with psoriasis having treatment to receive an annual assessment for psoriatic arthritis.

Data source: Local data collection.

Process

Proportion of people with psoriasis having treatment who receive an annual assessment for psoriatic arthritis.

Numerator – the number of people in the denominator who receive an annual assessment for psoriatic arthritis.

Denominator – the number of people with psoriasis having treatment.

Data source: Local data collection. Contained in NICE clinical guideline 153 audit support for non-specialist services and audit support for specialist services.

What the quality statement means for service providers, healthcare practitioners, and commissioners

Service providers ensure that systems are in place for people with psoriasis having treatment to be offered an annual assessment for psoriatic arthritis.

Healthcare practitioners ensure that people with psoriasis having treatment are offered an annual assessment for psoriatic arthritis.

Commissioners ensure that they commission services for people with psoriasis having treatment to be offered an annual assessment for psoriatic arthritis.

What the quality statement means for patients, service users and carers

People with psoriasis having treatment are offered an annual assessment for psoriatic arthritis (a type of joint disease).

Source guidance

Psoriasis: assessment and management (2012, updated 2017) NICE guideline CG153, recommendations 1.2.2.1 and 1.2.2.2

Definitions of terms used in this quality statement

People with psoriasis having treatments such as active topical therapy (for example, corticosteroids), phototherapy or systemic therapy, should be offered an annual assessment for psoriatic arthritis.

The Psoriasis Epidemiological Screening Tool (PEST) can be used to help assess for psoriatic arthritis, although it does not detect axial arthritis or inflammatory back pain and is not validated in children. However, children should still be clinically assessed for psoriatic arthritis.