Increased Musculoskeletal Surgery Rates During Diagnostic Delay in Psoriatic Arthritis: A Retrospective Cohort Study

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dc.contributor.authorYolbas, Servet
dc.contributor.authorGunduz, Ilyas
dc.contributor.authorKara, Mahmut
dc.contributor.authorCay, Emrah
dc.contributor.authorYamancan, Guelsah
dc.contributor.authorYalcin, Nevra
dc.contributor.authorInanc, Elif
dc.date.accessioned2026-04-04T13:31:10Z
dc.date.available2026-04-04T13:31:10Z
dc.date.issued2025
dc.departmentİnönü Üniversitesi
dc.description.abstractBackground/Objectives: Delayed diagnosis in psoriatic arthritis (PsA) is associated with significant health consequences. We hypothesize that musculoskeletal (MSK) surgery rates may be higher during the diagnostic delay period. This study aimed to compare the frequency of MSK surgeries in PsA patients during the period of diagnostic delay with the frequency of MSK surgeries post-diagnosis. Methods: This retrospective cohort study included PsA patients who fulfilled CASPAR criteria and were followed up on in our outpatient clinic. The pre-diagnosis symptomatic period was considered as the period of diagnostic delay. Data on MSK surgeries were obtained from patient records. The annual number of surgeries was calculated separately for the diagnostic delay and post-diagnosis periods. Results: The study included 84 PsA patients. The mean diagnostic delay in PsA patients was 7.49 years. During this period, 27.4% of patients underwent at least one MSK surgery. The mean annual number of MSK surgeries was significantly higher during the diagnostic delay period compared to the post-diagnosis period (Z = -3.18, p = 0.001, r = 0.35). Conclusions: Following PsA diagnosis, a reduction in MSK surgery rates was observed compared to during the diagnostic delay period. This suggests that inflammatory symptoms in PsA patients, which could have been managed with medical therapy, may have led to avoidable MSK surgeries. These findings highlight the potential for early diagnosis to reduce the rate of musculoskeletal surgery and associated healthcare costs.
dc.identifier.doi10.3390/diagnostics15091125
dc.identifier.issn2075-4418
dc.identifier.issue9
dc.identifier.orcid0000-0001-8516-9769
dc.identifier.orcid0009-0008-5911-6864
dc.identifier.orcid0000-0003-4706-2308
dc.identifier.orcid0000-0001-5730-2286
dc.identifier.orcid0009-0002-3090-8696
dc.identifier.pmid40361943
dc.identifier.scopus2-s2.0-105005111472
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.3390/diagnostics15091125
dc.identifier.urihttps://hdl.handle.net/11616/108619
dc.identifier.volume15
dc.identifier.wosWOS:001486348200001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMdpi
dc.relation.ispartofDiagnostics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250329
dc.subjectpsoriatic arthritis
dc.subjectmusculoskeletal system
dc.subjectorthopaedic procedures
dc.subjectsurgery
dc.subjectdelayed diagnosis
dc.titleIncreased Musculoskeletal Surgery Rates During Diagnostic Delay in Psoriatic Arthritis: A Retrospective Cohort Study
dc.typeArticle

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