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Vol. 19. Issue 1.
Pages 59 (January 2023)
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Vol. 19. Issue 1.
Pages 59 (January 2023)
Letter to the Editor
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Development and feasibility of four checklists for the evaluation of comorbidity in patients with rheumatoid arthritis, spondyloarthriti saxial and psoriatic arthritis: GECOAI project
Desarrollo y viabilidad de cuatro checklists para la evaluación de la comorbilidad en pacientes con artritis reumatoide, espondiloartritis axial y artritis psoriásica: proyecto GECOAI
Danitza del Rosario Meneses-Bardales, Maryan Azalia Valdivia-Lapa
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Corresponding author.
Escuela Profesional de Medicina Humana, Universidad Privada San Juan Bautista, Filial Ica, Ica, Peru
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Dear Editor,

In an article recently published in your journal, Santos Castañeda et al. aimed to develop a way to correlate the comorbidities of patients with rheumatoid arthritis, axial spondyloarthritis and psoriatic arthritis using four checklists. This study was carried out using the method of the GECOAR, GECOAX and GECOAP,1–3 projects, and the use of external pages for the bibliographic search of the comorbidities of these diseases, in order to select those that are most closely related to each other.

In terms of strengths, we found that it is the only published study which groups the comorbidities of the 3 diseases in a systematic way in order to achieve adequate management in the future. We observed that it has a didactic design as it took into account the degree of understanding of medical language of the participants in relation to the comorbidities (first checklist), as well as in the checklists developed by the health personnel. The study also considered the opinion of the patients with this type of disease, for a better elaboration of the checklists.

With regard to its weaknesses, we found that there are few participants in the study, and there could be a selection bias in the selection of participants for such a small study. There is no evidence of how long the study was conducted and there is no follow-up of the participants, so there is no evidence that the proposed checklists help prevent the common comorbidities of rheumatoid arthritis, axial spondyloarthritis4 and psoriatic arthritis.

We believe that more evaluations need to be done in the country of origin and in other countries, with more participants, as well as a follow-up to demonstrate positive or negative results of the checklists at a multicentre level, so that it can be presented in health centres as a useful tool for clinical use, as well as a follow-up of the participants to determine if the checklists have sensitivity and specificity.

J.C. Torre-Alonso, L. Carmona, M. Moreno, E. Galíndez, J. Babío, P. Zarco, et al.
Identification and management of comorbidity in psoriatic arthritis: evidence- and expert-based recommendations from a multidisciplinary panel from Spain.
Rheumatol Int, 37 (2017), pp. 1239-1248
J. Guazzelli Gonzalez, T. Vaske Júnior.
Feeding ecology of the beach silverside Atherinella blackburni (Atherinopsidae) in a tropical sandy beach, Southeastern Brazil.
Braz J Oceanogr, 65 (2017),
E. Loza, C. Lajas, J.L. Andreu, A. Balsa, I. González-Álvaro, O. Illera, et al.
Consensus statement on a framework for the management of comorbidity and extra-articular manifestations in rheumatoid arthritis.
Rheumatol Int, 35 (2015), pp. 445-458
R.A. Almodóvar.
Implementation of an assessment checklist for patients with spondyloarthritis in daily practice.
Clin Exp Rheumatol, 38 (2020),

Please cite this article as: Meneses-Bardales DR, Valdivia-Lapa MA. Desarrollo y viabilidad de cuatro checklists para la evaluación de la comorbilidad en pacientes con artritis reumatoide, espondiloartritis axial y artritis psoriásica: proyecto GECOAI. Reumatol Clín. 2023;19:59.

Reumatología Clínica (English Edition)
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