Psoriatic Arthritis (PsA): Beyond the Joint

Please take this 2-minute survey to help improve future education and patient care.

You are seeing a 45-year-old patient with PsA whose BMI has increased to 35 kg/m2 over the last year. They have previously expressed frustration when doctors mentioned their weight. Which of the following is the most appropriate initial statement to support shared decision-making and maintain trust?

A. "Your joint disease won't improve until we address your weight gain."

B. "What has your experience been managing your weight in the past? I want to understand what's worked and what hasn't."

C. "You must lose weight because obesity is a lifestyle failure."

D. "Let's refer you to a dietitian immediately so we can fix your BMI."

E. "I am changing your biologic today since your current weight makes it ineffective."