The Assessment of Knowledge in a Sample of Iraqi Patients with Psoriatic Arthritis: A Cross-Sectional Study
DOI:
https://doi.org/10.54133/ajms.v7i2.829Keywords:
Iraqi patients, Knowledge, Psoriatic arthritis, PsoriasisAbstract
Background: Psoriatic arthritis is an inflammatory arthritis associated with psoriasis. Patient education limits disability in rheumatic diseases and improves quality of life. Objective: To assess the patients’ knowledge about their disease in a sample of Iraqi patients with psoriatic arthritis and determine the relationship between sociodemographic, clinical characteristics and knowledge score. Methods: A sample of 100 adult Iraqi patients who met CASPAR criteria agreed to participate in this study over the period December 2021–July 2022. We reported the sociodemographic and clinical data, and after the participants completed the knowledge questionnaire, we ranked them into three categories: good, average, and bad. Results: There were 88 patients with good knowledge (88%), 12 (12%) with average knowledge, and no patient had bad knowledge. There were no significant statistical relationships between the mean total knowledge score and gender, age, marital status, smoking, occupation, educational level, and family history of psoriasis or psoriatic arthritis. There was a significant negative statistical relationship between the mean total knowledge score and the age at onset of arthritis. The mean total knowledge score did not exhibit any statistical relationships with the age at onset of skin disease, the duration of arthritis, the duration between skin disease and arthritis, or BMI. Conclusions: Iraqi patients with psoriatic arthritis have a good level of knowledge about their disease, despite inadequate awareness about specific aspects related to their disease. There was a significant negative relationship between the Iraqi PsA patients` knowledge and the age at onset of arthritis.
Downloads
References
Wright V, Moll JMH, (Eds.), Psoriatic arthritis. In Seronegative Polyarthritis. Amsterdam, North Holland Publishing Co. The Netherlands; 1976;169–223. doi: 10.1016/0049-0172(73)90035-8. DOI: https://doi.org/10.1016/0049-0172(73)90035-8
Ritchlin CT, Colbert RA, Gladman DD. Psoriatic arthritis. N Engl J Med. 2017;376(10):957–970. doi: 10.1056/NEJMra1505557. DOI: https://doi.org/10.1056/NEJMra1505557
Ogdie A, Schwartzman S, Eder L, Maharaj AB, Zisman D, Raychaudhuri SP, et al. Comprehensive treatment of psoriatic arthritis: managing comorbidities and extraarticular manifestations. J Rheumatol. 2014;41(11):2315-2322. doi: 10.3899/jrheum.140882. DOI: https://doi.org/10.3899/jrheum.140882
Mahmood AN, Saeed MY. Extracutaneous manifestations of adult psoriatic patients attending dermatology teaching center in Slemani, Iraq. Bali Med J. 2020;9(1):121–124. doi: 10.15562/bmj.v9i1.1766. DOI: https://doi.org/10.15562/bmj.v9i1.1766
Haddad A, Zisman D. Comorbidities in patients with psoriatic arthritis. Rambam Maimonides Med J. 2017;8(1):e0004. doi: 10.5041/RMMJ.10279. DOI: https://doi.org/10.5041/RMMJ.10279
Scriffignano S, Perrotta FM, De Socio A, Lubrano E. Role of comorbidities in spondyloarthritis including psoriatic arthritis. Clin Rheumatol. 2019;38(1):3-10. doi: 10.1007/s10067-018-4332-7. DOI: https://doi.org/10.1007/s10067-018-4332-7
Shah K, Paris M, Mellars L, Changolkar A, Mease PJ. Real-world burden of comorbidities in US patients with psoriatic arthritis. RMD Open. 2017;3(2):e000588. doi: 10.1136/rmdopen-2017-000588. DOI: https://doi.org/10.1136/rmdopen-2017-000588
Salman S, Alnuaimi S, Lateef N, Kadhum R. Assessment of knowledge and attitude in a sample of patients with rheumatoid arthritis and its association with disease activity and severity: A cross-sectional study. Open J Rheumatol Autoimmune Dis. 2014;4:226-234. doi: 10.4236/ojra.2014.44031. DOI: https://doi.org/10.4236/ojra.2014.44031
Jassim NA, Majeed SH. Assessment of knowledge in sample of Iraqi patients with ankylosing spondylitis. Rheumatol. 2020;28(1):31-40. doi: 10.35465/28.1.2020.pp31-40. DOI: https://doi.org/10.35465/28.1.2020.pp31-40
Zangi HA, Ndosi M, Adams J, Andersen L, Bode C, Boström C, et al. EULAR recommendations for patient education for people with inflammatory arthritis. Ann Rheum Dis. 2015;74(6):954-962. doi: 10.1136/annrheumdis-2014-206807. DOI: https://doi.org/10.1136/annrheumdis-2014-206807
Austin K, Prasad R. Patient education in psoriatic arthritis: A service evaluation at one year. Ann Rheum Dis. 2020;79(Suppl 1):1926–1927. doi: 10.1136/annrheumdis-2020-eular.5032. DOI: https://doi.org/10.1136/annrheumdis-2020-eular.5032
Drăgoi RG, Ndosi M, Sadlonova M, Hill J, Duer M, Graninger W, et al. Patient education, disease activity and physical function: can we be more targeted? A cross sectional study among people with rheumatoid arthritis, psoriatic arthritis and hand osteoarthritis. Arthritis Res Ther. 2013;15(5):R156. doi: 10.1186/ar4339.
Renzi C, Di Pietro C, Gisondi P, Chinni LM, Fazio M, Ianni A, et al. Insufficient knowledge among psoriasis patients can represent a barrier to participation in decision-making. Acta Dermatol Venereol. 2006;86(6):528-534. doi: 10.2340/00015555-0145 DOI: https://doi.org/10.2340/00015555-0145
Drăgoi RG, Ndosi M, Sadlonova M, Hill J, Duer M, Graninger W, et al. Patient education, disease activity and physical function: can we be more targeted? A cross sectional study among people with rheumatoid arthritis, psoriatic arthritis and hand osteoarthritis. Arthritis Res Ther. 2013;15(5):R156. doi: 10.1186/ar4339. DOI: https://doi.org/10.1186/ar4339
Srinivasan S, Reddy DI, Sangaiah S, Kumar NA. A study using psoriasis knowledge assessment questionnaire in psoriasis affected patients. IP Indian J Clin Exp Dermatol. 2021;7(4):280-283. doi: 10.18231/j.ijced.2021.054. DOI: https://doi.org/10.18231/j.ijced.2021.054
Cingöz K, Gündüz K, İnanır I. Patients’ knowledge about psoriasis and comorbidities; their participation in treatment decisions. J Dermatol Treat. 2021;17;32(2):212–214. doi: 10.1080/09546634.2019.1638880. DOI: https://doi.org/10.1080/09546634.2019.1638880
Wahl AK, Moum T, Robinson HS, Langeland E, Larsen MH, Krogstad AL. Psoriasis patients' knowledge about the disease and treatments. Dermatol Res Pract. 2013;2013:921737. doi: 10.1155/2013/921737. DOI: https://doi.org/10.1155/2013/921737
Nagarajan P, Karunagari K, Thappa DM. A Questionnaire-based survey of patients’ knowledge regarding psoriasis. Int J Psychiatr Nurs. 2016;2(1):18. doi: 10.5958/2395-180X.2016.00004.9. DOI: https://doi.org/10.5958/2395-180X.2016.00004.9
Renzi C, di Pietro C, Tabolli S. Participation, satisfaction and knowledge level of patients with cutaneous psoriasis or psoriatic arthritis. Clin Exp Dermatol. 2011;36(8):885-888. doi: 10.1111/j.1365-2230.2011.04126.x. DOI: https://doi.org/10.1111/j.1365-2230.2011.04126.x
Marques ML, Ferreira RJO, Machado PM, Marques A, da Silva JAP, Ndosi M. Educational needs in people with ankylosing spondylitis and psoriatic arthritis: a cross-sectional study. Clin Exp Rheumatol. 2020;38(2):282-288. doi: 10.55563/clinexprheumatol/eyyx5h. DOI: https://doi.org/10.55563/clinexprheumatol/eyyx5h
Jamshidi F, Bouzari N, Seirafi H, Farnaghi F, Firooz A. The prevalence of psoriatic arthritis in psoriatic patients in Tehran, Iran. Arch Iran Med. 2008;11(2):162-165. PMID: 18298293.
Wilson FC, Icen M, Crowson CS, McEvoy MT, Gabriel SE, Kremers HM. Incidence and clinical predictors of psoriatic arthritis in patients with psoriasis: a population-based study. Arthritis Rheum. 2009;61(2):233-239. doi: 10.1002/art.24172. DOI: https://doi.org/10.1002/art.24172
Yang Q, Qu L, Tian H, Hu Y, Peng J, Yu X, et al. Prevalence and characteristics of psoriatic arthritis in Chinese patients with psoriasis. J Eur Acad Dermatol Venereol. 2011;25(12):1409-1414. doi: 10.1111/j.1468-3083.2011.03985.x. DOI: https://doi.org/10.1111/j.1468-3083.2011.03985.x

Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Al-Rafidain Journal of Medical Sciences ( ISSN 2789-3219 )

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Published by Al-Rafidain University College. This is an open access journal issued under the CC BY-NC-SA 4.0 license (https://creativecommons.org/licenses/by-nc-sa/4.0/).