PMID- 33133245 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240330 IS - 1759-720X (Print) IS - 1759-7218 (Electronic) IS - 1759-720X (Linking) VI - 12 DP - 2020 TI - Choosing the right treatment for patients with psoriatic arthritis. PG - 1759720X20962623 LID - 10.1177/1759720X20962623 [doi] LID - 1759720X20962623 AB - Psoriatic arthritis (PsA) is a chronic inflammatory condition with articular and extra-articular manifestations: peripheral arthritis, axial disease, enthesitis, dactylitis, psoriasis, inflammatory bowel disease and uveitis. Anti-tumour necrosis factors (anti-TNFs) have demonstrated clinical efficacies exceeding those of conventional disease-modifying antirheumatic drugs (DMARDs). New understanding in pathogenic pathways have led to novel therapeutic targets. The current treatment paradigms emphasize early diagnosis and treatment, and treating towards remission and low disease activity status, particularly in long-standing disease. This review addresses the evidence of current treatment options for each of the domains of PsA. We present a simple guide that weighs on clinical efficacies for each PsA domain to aid clinicians in choosing the most appropriate treatment for patients. We highlight the unmet need for biomarkers of treatment response, and future perspectives with precision medicine in PsA. CI - (c) The Author(s), 2020. FAU - Noviani, Maria AU - Noviani M AD - Department of Rheumatology and Immunology, Singapore General Hospital, Singapore. FAU - Feletar, Marie AU - Feletar M AD - Rheumatologist, Melbourne, Victoria, Australia. FAU - Nash, Peter AU - Nash P AD - School of Medicine, Griffith University, Brisbane, Queensland, Australia. FAU - Leung, Ying Ying AU - Leung YY AUID- ORCID: 0000-0001-8492-6342 AD - Department of Rheumatology and Immunology, Singapore General Hospital, level 4, Academia, 20 College Road, Outram Road, Singapore 169608, Singapore Duke-NUS Medical School, Singapore. LA - eng PT - Journal Article PT - Review DEP - 20201013 PL - England TA - Ther Adv Musculoskelet Dis JT - Therapeutic advances in musculoskeletal disease JID - 101517322 PMC - PMC7576918 OTO - NOTNLM OT - manifestations OT - psoriatic arthritis OT - review OT - therapies COIS- Conflict of interest statement: The authors declare that there is no conflict of interest. EDAT- 2020/11/03 06:00 MHDA- 2020/11/03 06:01 PMCR- 2020/10/13 CRDT- 2020/11/02 06:16 PHST- 2020/07/06 00:00 [received] PHST- 2020/09/02 00:00 [accepted] PHST- 2020/11/02 06:16 [entrez] PHST- 2020/11/03 06:00 [pubmed] PHST- 2020/11/03 06:01 [medline] PHST- 2020/10/13 00:00 [pmc-release] AID - 10.1177_1759720X20962623 [pii] AID - 10.1177/1759720X20962623 [doi] PST - epublish SO - Ther Adv Musculoskelet Dis. 2020 Oct 13;12:1759720X20962623. doi: 10.1177/1759720X20962623. eCollection 2020.