Performance of different criteria sets for inflammatory back pain in patients with axial spondyloarthritis with and without radiographic sacroiliitis
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Dosyalar
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer London
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
It is important to recognize inflammatory back pain (IBP) for an early diagnosis of ankylosing spondylitis (AS). Assessment of Spondyloarthritis International Society (ASAS) has recently published new criteria set for diagnosing IBP. In the present study, we evaluated the performance of the new ASAS IBP criteria and to compare the performance of IBP criteria sets in axial spondyloarthritis (axSpA) patients with and without radiographic sacroiliitis. The study sample included a total of 274 patients with a diagnosis of axSpA and 50 patients with a diagnosis of chronic (>3 months) mechanical back pain (MBP). A face-to-face interview by using a standardized questionnaire addressing all the components of IBP was performed. Data about HLA-B27 status and C-reactive protein levels were obtained from the patients’ charts. There were significantly more male patients (P < 0.001) in the AS group (68.6 %) than in the non-radiographic axSpA group (29.6 %) and also than in the MBP group (37.5 %). Among the criteria sets, the Calin criteria showed the best sensitivity (91.2 %), and the Berlin criteria showed the best specificity (82.4 %) in differentiation of IBP from MBP. If the morning stiffness item of the Calin criteria was defined as lasting >30 min (Calin 30), the specificity improved (72.9 %), but at a price of loss in sensitivity (82.4 %). In this study, new ASAS criteria for IBP performed almost as good as but not better than the existing criteria sets. Performances of the criteria sets were quite comparable in the differentiation of IBP from MBP in patients with and without radiographic sacroiliitis. © 2014, Clinical Rheumatology.
Açıklama
Anahtar Kelimeler
Ankylosing spondylitis, ASAS inflammatory back pain criteria, Berlin criteria, Calin criteria, Inflammatory back pain, Spondyloarthritis, C reactive protein, HLA B27 antigen, biological marker, C reactive protein, HLA B27 antigen, adult, Article, Assessment of Spondyloarthritis International Society inflammatory back pain criteria, axial spondyloarthritis, backache, Berlin criteria, Calin criteria, controlled study, diagnostic test accuracy study, diagnostic value, disease duration, female, human, inflammatory back pain, interview, major clinical study, male, mechanical back pain, morning stiffness, musculoskeletal disease assessment, protein blood level, questionnaire, sacroiliitis, sensitivity and specificity, spondylarthritis, Back Pain, biomechanics, blood, case control study, classification, comorbidity, comparative study, complication, diagnostic procedure, differential diagnosis, evaluation study, inflammation, metabolism, middle aged, pathophysiology, physiology, radiography, sacroiliitis, second cervical vertebra, spondylarthritis, Adult, Axis, Back Pain, Biological Markers, Biomechanical Phenomena, C-Reactive Protein, Case-Control Studies, Comorbidity, Diagnosis, Differential, Diagnostic Techniques and Procedures, Female, HLA-B27 Antigen, Humans, Inflammation, Male, Middle Aged, Questionnaires, Sacroiliitis, Sensitivity and Specificity, Spondylarthritis
Kaynak
Clinical Rheumatology
WoS Q Değeri
Scopus Q Değeri
Q2
Cilt
33
Sayı
10
