{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:05:25Z","timestamp":1777878325422,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Chronic Disease"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Consensus among dermatologists and rheumatologists in the diagnosis and assessment of musculoskeletal diseases in psoriasis (PsO) patients is needed. This study assesses characteristics of musculoskeletal pain in patients with PsO for the presence of psoriatic arthritis (PsA) and evaluation of a novel 16-item visual instrument (PsA-Disk).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Data were collected from eight dermatological\/rheumatological centres across Italy. Patients with PsO completed PEST (Psoriasis Epidemiology Screening Tool) and PsA-Disk questionnaires during the first visit. A rheumatological visit was performed to confirm the presence of PsA. Both validity and reliability of PsA-Disk were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 573 patients with PsO were examined at the first visit, and 120 (21%) were diagnosed with PsA. Patients with PsA compared with patients with PsO ( n = 119) presented statistically significant differences for: nail involvement, PEST score \u2a7e3, higher erythrocyte sedimentation rate (ESR), Nail Psoriasis Severity Index (NAPSI)-feet, NAPSI-(hands + feet) and PsA-Disk scores (73.9\u2009\u00b1\u200932.1 versus 58.1\u2009\u00b1\u200939.8, p\u2009&lt;\u20090.001). Patients with PsA with knee arthritis had higher PsA-Disk scores (98.4\u2009\u00b1\u200926 versus 71.5\u2009\u00b1\u200931.9, p\u2009=\u20090.006) that were also correlated with number of swollen ( r\u2009=\u20090.2, p &lt; 0.05) and tender joints ( r = 0.24, p = 0.021), patient ( r = 0.4, p &lt; 0.001) and physician-pain-visual analogue scale (VAS; r = 0.33, p &lt; 0.001), patient global assessment (PGA)-VAS ( r = 0.23, p = 0.025), physician-health assessment questionnaire (HAQ; r = 0.38, p = 0.011), Disease Activity Score (DAS)-44 ( r = 0.25, p = 0.023) and Disease Activity in Psoriatic Arthritis (DAPSA; r = 0.31, p = 0.005). The instrument had excellent reliability in terms of internal consistency (Cronbach\u2019s alpha = 0.90) and stability (intraclass correlation = 0.98). Moderate agreement between PsA-Disk and PEST (Cohen\u2019s kappa = 0.46) was observed, while construct validity appeared appropriate [PsA + patients: PsA-Disk score (interquartile range; IQR) =71 (50\u201396); PsA-patients: PsA-Disk score (IQR)=50 (20\u201390); p &lt; 0.001].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>PsA-Disk may be considered a valid novel instrument aiding both dermatologists and rheumatologists in the rapid detection and assessment of musculoskeletal disease characteristics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2040622319847056","type":"journal-article","created":{"date-parts":[[2019,5,15]],"date-time":"2019-05-15T01:18:18Z","timestamp":1557883098000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["PsA-Disk, a novel visual instrument to evaluate psoriatic arthritis in psoriatic patients: an Italian derma-rheuma multicentre study"],"prefix":"10.1177","volume":"10","author":[{"given":"Maria Sole","family":"Chimenti","sequence":"first","affiliation":[{"name":"Department of Systems Medicine, Rheumatology, Allergology and Clinical Immunology, University of Rome \u2018Tor Vergata\u2019, Viale Oxford 81, Rome, 00133, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Esposito","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University of Rome, \u2018Tor Vergata\u2019, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dario","family":"Graceffa","sequence":"additional","affiliation":[{"name":"Istituto Dermatologico San Gallicano, IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Teoli","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University of Rome, \u2018Tor Vergata\u2019, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giusy","family":"Peluso","sequence":"additional","affiliation":[{"name":"Institute of Rheumatology and Affine Sciences, Division of Rheumatology, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico","family":"Birra","sequence":"additional","affiliation":[{"name":"Institute of Rheumatology and Affine Sciences, Division of Rheumatology, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaia","family":"Moretta","sequence":"additional","affiliation":[{"name":"Institute of Dermatology, Catholic University of the Sacred Heart, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Galossi","sequence":"additional","affiliation":[{"name":"Medicina Generale-UOS Reumatologia Asl Rm6, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Carboni","sequence":"additional","affiliation":[{"name":"Dermatologia Aziendale, As Rm6, Ospedale di Frascati, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felice","family":"Sensi","sequence":"additional","affiliation":[{"name":"Reumatologia, Ospedale San Camillo-Forlanini, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annamaria","family":"Mazzotta","sequence":"additional","affiliation":[{"name":"Dermatologia, Ospedale San Camillo-Forlanini, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosalba","family":"Caccavale","sequence":"additional","affiliation":[{"name":"Dipartimento di Scienze e Biotecnologie Medico-Chirurgiche, Sapienza Universit\u00e0 di Roma, Polo Pontino, Latina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicoletta","family":"Bernardini","sequence":"additional","affiliation":[{"name":"Dermatology Unit \u201cDaniele Innocenzi\u201d, Department of Medical-Surgical Sciences and Bio-Technologies, Sapienza University of Rome, Fiorini Hospital, Polo Pontino, Terracina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Sessa","sequence":"additional","affiliation":[{"name":"Reumatologia, Dipartimento di Medicina Interna e Specialit\u00e0 Mediche, Sapienza Universit\u00e0 di Roma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Richetta","sequence":"additional","affiliation":[{"name":"Dermatologia, Dipartimento di Medicina Interna e Specialit\u00e0 Mediche Policlinico Umberto I, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ester","family":"Del Duca","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University of Rome, \u2018Tor Vergata\u2019, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Urbani","sequence":"additional","affiliation":[{"name":"Department of Systems Medicine, Rheumatology, Allergology and Clinical Immunology, University of Rome \u2018Tor Vergata\u2019, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Severino","family":"Persechino","sequence":"additional","affiliation":[{"name":"Dermatology Unit, NESMOS Department, S. 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