Psoriatic Arthritis Guidelines

The National Psoriasis Foundation (NPF) have released treatment guidelines for psoriatic arthritis (PsA). The guidelines are significant because they provide health care professionals with the most accurate, up-to-date, evidence-based standards for treating PsA patients.

The guidelines could have a significant impact on the way active PsA is treated, especially for those people with PsA:

  1. Who have never been treated for PsA
  2. Who have tried and failed different treatments

The top three recommendations in the guidelines:

1. Follow a Treat to Target Approach

PsA can cause irreversible joint damage. According to the NPF-ACR guidelines, using a treat-to-target strategy is recommended over not following such a strategy in patients with active PsA.  Such an approach may delay or prevent further damage and could improve pain and quality of life.  Health care providers should partner with each patient to determine the best treatment plan.

2. Use Tumor Necrosis Factor Inhibitor (TNFi) Biologics As First-Line Therapy 

According to the guidelines, a TNFi biologic agent is recommended over an oral small molecule as a first-line option in patients who have not received therapy for active PsA. However, certain situations may require an alternate treatment course.

3. Don’t Smoke

Smoking has been shown to reduce the efficacy of biologics and has long been linked to mortality, cancer, heart disease and lung disease. It is recommended that health care professionals encourage PsA patients to not smoke, offering smoking cessation aids as needed.

PsA Guideline FAQ

Do these guidelines apply to me? What should I do?

The guidelines apply to you if you have been diagnosed with psoriatic arthritis but you’ve never been treated, or if you have been treated but your PsA is still active and affects your life. Ask your rheumatologist about what the guidelines mean for your treatment, especially if you’re not already taking a TNFi biologic.

What if I don’t have a rheumatologist?

We can help you find one. Just contact our Patient Navigation Center for free assistance locating a health care provider in your area who truly understands PsA. Patient navigators can also offer resources if you have other questions about psoriatic disease.

More Questions About the Guidelines?

The Patient Navigation Center can help point you in the right direction.

Contact a Patient Navigator today

Stay in the Know

Expert tips, can’t-miss events, and the latest news, straight to your inbox.

National Health Council Standards of ExcellenceCharity NavigatorCommunity Health Charities logo

Copyright © 1996-2023 National Psoriasis Foundation/USA

Duplication, rebroadcast, republication, or other use of content appearing on this website is prohibited without written permission of the National Psoriasis Foundation (NPF).

NPF does not endorse or accept any responsibility for the content of external websites.

NPF does not endorse any specific treatments or medications for psoriasis and psoriatic arthritis.

We use cookies to offer you a better experience and analyze our site traffic. By continuing to use this website, you consent to the use of cookies in accordance with our Privacy Policy.