How to Choose the Best Treatment for Psoriatic Arthritis

Treatment guidelines can tell you in generality, what is the best available treatment for psoriatic arthritis. How risk adverse the patients are and there are several other things that we individualize. Comorbidities will change what medication I'm going to use past treatments. And lastly and very importantly, unfortunately, in the US, it's what their insurance is going to allow. What is their out of pocket expense is something that we in daily practice take into account when deciding what treatment choices are the best.