title: Comprehensive Assessment of the Psoriasis Patient (CAPP): A Report from the GRAPPA 2015 Annual Meeting.
abstract: Outcome measures for psoriasis severity are complex because of the heterogeneous presentation of the disease. At the 2015 annual meeting of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), members introduced the Comprehensive Assessment of the Psoriasis Patient (CAPP), a novel disease severity measure to more accurately assess the full burden of plaque psoriasis and subtypes, including inverse, scalp, nail, palmoplantar, and genital psoriasis. The CAPP is based on a 5-point physician's global assessment for 7 psoriasis phenotypes and incorporates visual analog scale-based, patient-derived, patient-reported outcomes. By quantifying disease effects of plaque psoriasis, 6 other psoriasis subtypes, as well as quality of life and daily function, the CAPP survey identifies a subset of psoriasis patients with moderate to severe psoriasis that would not be considered moderate to severe when assessed by the Psoriasis Area and Severity Index. The current version of CAPP is focused entirely on psoriasis. Feedback from our industry colleagues and collaborators has suggested that a psoriatic arthritis (PsA) measure may be important to include in the CAPP. At the 2015 GRAPPA meeting, we administered a survey to 106 GRAPPA members to determine whether a PsA measure should be included. A majority (74%) of respondents across all professions agreed that the CAPP should include a measure of PsA. Although responses varied widely on how PsA should be measured, a majority of the respondents reported that presence of PsA in both peripheral and axial joint assessment was important.
authors.affiliation: From the Department of Dermatology, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA; Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; and Cleveland Clinic, Cleveland, Ohio, USA.S.Y. Paek, MD, Warren Alpert Medical School of Brown University; J.M. Thompson, BS, Warren Alpert Medical School of Brown University; A.A. Qureshi, MD, MPH, Department of Dermatology, Warren Alpert Medical School, Brown University; J.F. Merola, MD, MMSc, Brigham and Women's Hospital, Harvard Medical School; M.E. Husni, MD, Cleveland Clinic.
authors.forename: So Yeon
authors.initials: SY
authors.lastname: Paek
authors.affiliation: From the Department of Dermatology, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA; Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; and Cleveland Clinic, Cleveland, Ohio, USA.S.Y. Paek, MD, Warren Alpert Medical School of Brown University; J.M. Thompson, BS, Warren Alpert Medical School of Brown University; A.A. Qureshi, MD, MPH, Department of Dermatology, Warren Alpert Medical School, Brown University; J.F. Merola, MD, MMSc, Brigham and Women's Hospital, Harvard Medical School; M.E. Husni, MD, Cleveland Clinic.
authors.forename: Jordan M
authors.initials: JM
authors.lastname: Thompson
authors.affiliation: From the Department of Dermatology, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA; Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; and Cleveland Clinic, Cleveland, Ohio, USA.S.Y. Paek, MD, Warren Alpert Medical School of Brown University; J.M. Thompson, BS, Warren Alpert Medical School of Brown University; A.A. Qureshi, MD, MPH, Department of Dermatology, Warren Alpert Medical School, Brown University; J.F. Merola, MD, MMSc, Brigham and Women's Hospital, Harvard Medical School; M.E. Husni, MD, Cleveland Clinic.
authors.forename: Abrar A
authors.initials: AA
authors.lastname: Qureshi
authors.affiliation: From the Department of Dermatology, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA; Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; and Cleveland Clinic, Cleveland, Ohio, USA.S.Y. Paek, MD, Warren Alpert Medical School of Brown University; J.M. Thompson, BS, Warren Alpert Medical School of Brown University; A.A. Qureshi, MD, MPH, Department of Dermatology, Warren Alpert Medical School, Brown University; J.F. Merola, MD, MMSc, Brigham and Women's Hospital, Harvard Medical School; M.E. Husni, MD, Cleveland Clinic. jfmerola@bwh.harvard.edu.
authors.forename: Joseph F
authors.initials: JF
authors.lastname: Merola
authors.affiliation: From the Department of Dermatology, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA; Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; and Cleveland Clinic, Cleveland, Ohio, USA.S.Y. Paek, MD, Warren Alpert Medical School of Brown University; J.M. Thompson, BS, Warren Alpert Medical School of Brown University; A.A. Qureshi, MD, MPH, Department of Dermatology, Warren Alpert Medical School, Brown University; J.F. Merola, MD, MMSc, Brigham and Women's Hospital, Harvard Medical School; M.E. Husni, MD, Cleveland Clinic.
authors.forename: M Elaine
authors.initials: ME
authors.lastname: Husni
mesh_terms: D000203:Activities of Daily Living; D006801:Humans; D017063:Outcome Assessment, Health Care; D011565:Psoriasis / Q000175:diagnosis* / Q000503:physiopathology; D011788:Quality of Life; D012106:Research; D012219:Rheumatology; D012720:Severity of Illness Index; D063189:Symptom Assessment
keywords: GENITAL PSORIASIS; INVERSE PSORIASIS; NAIL PSORIASIS; PALMOPLANTAR PSORIASIS; PATIENT-REPORTED OUTCOMES; SCALP PSORIASIS