The Modular Approach

The Modular Approach for Rheumatologists

The PsA Assessment Academy gathered to discuss the assessment and diagnosis of psoriatic arthritis (PsA) based upon the available evidence. They recommended modular approaches for patients presenting to either a rheumatology or dermatology unit with an aim to:

  • Optimise initial assessment and monitoring of PsA

  • Improve coordination between rheumatology and dermatology services


Below is the recommended modular approach for rheumatology clinics that builds upon existing guidelines issued by:

  • British Society of Rheumatologists (BSR)

  • Group for Research and Assessment of Psoriasis (GRAPPA)

  • National Institute for Clinical Excellence and the Scottish Intercollegiate Guidance Network (SIGN).



Modular recommendation for rheumatology units (click to download)

 Assessment and screening of Psoriatic Disease in Rheumatology Clinics



Clinicial Assessment Pads

A core element to the modular approach are the two screening questions when the patient first enters the clinic. These were developed to streamline the assessments that should be conducted for each patient. Positive responses to these questions results in a patient completing a questionnaire – the DLQI or BASDAI.


Assessment tear-off pads have been created and are available to support the screening process. These printed pads can be completed by patients in the waiting room ahead of their consultation with the specialist.


tear-off    tear-off


Assessment Training Manual

For more information on the modular approach and how best to incorporate it into clinical practice please refer to the training manual linked below:
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