Priority 14 from the Psoriatic Arthritis PSP

UNCERTAINTY: What is best way of predicting and preventing joint and soft tissue damage in patients with psoriatic arthritis?  (JLA PSP Priority 14)
Overall ranking 14
JLA question ID 0108/14
Explanatory note This question explores whether healthcare professionals can predict which people living with psoriatic arthritis will develop joint or soft tissue damage. Also, if we can identify these people, can we recommend specific treatments (drug or non-drug) to prevent the person from developing joint or soft tissue damage? For example, which patients will develop erosive disease? Can exercise prevent erosive disease? Which approach is best suited to predict the likelihood of developing permanent joint or soft tissue damage? 
Evidence

This is an area of uncertainty. No systematic reviews or guidelines identified. 
Health Research Classification System category Inflammatory and immune system
Extra information provided by this PSP
Original uncertainty examples How can we tell which patients will not develop joint damage? 
Submitted by  12 uncertainties submitted
PSP information
PSP unique ID 0108
PSP name Psoriatic Arthritis
Total number of uncertainties identified by this PSP. 46  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 12 July 2021