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

• DOI: 10.3390/diagnostics15091125
• Publication Date: 2025-04-28T15:48:33Z
• Authors: Servet Yolbas; İlyas Gündüz; Mahmut Kara; Emrah Çay; Gülşah Yamancan; Nevra Yalçın; Elif İnanç; Sezgin Zontul; Muhammed Köroğlu

Background/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 frequency of MSK surgeries PsA patients period post-diagnosis. Methods: retrospective cohort included who fulfilled CASPAR criteria and were followed up on our outpatient clinic. The pre-diagnosis symptomatic was considered as delay. Data obtained from patient records. annual number calculated separately for post-diagnosis periods. Results: 84 patients. mean 7.49 years. During this period, 27.4% underwent at least one surgery. significantly compared (Z = -3.18, p 0.001, r 0.35). Conclusions: Following diagnosis, a reduction observed suggests inflammatory symptoms patients, which could have been managed medical therapy, led avoidable surgeries. These findings highlight potential early reduce rate healthcare costs.