Performance of different criteria sets for inflammatory back pain in patients with axial spondyloarthritis with and without radiographic sacroiliitis

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dc.authorscopusid24345297000
dc.authorscopusid7004438602
dc.authorscopusid35774663300
dc.authorscopusid6506745817
dc.authorscopusid18133526900
dc.authorscopusid48461283300
dc.authorscopusid6603398650
dc.contributor.authorSolmaz, Dilek
dc.contributor.authorAkar, Servet
dc.contributor.authorSoysal, Özgül
dc.contributor.authorAkkoç, Yeşim
dc.contributor.authorCan, Gerçek
dc.contributor.authorGerdan, Vedat
dc.contributor.authorAkkoç, Nurullah
dc.date.accessioned2022-05-11T14:12:38Z
dc.date.available2022-05-11T14:12:38Z
dc.date.issued2014
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı
dc.description.abstractIt 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.
dc.identifier.doi10.1007/s10067-014-2622-2
dc.identifier.endpage1479
dc.identifier.issn0770-3198
dc.identifier.issue10en_US
dc.identifier.pmid24770795
dc.identifier.scopus2-s2.0-84919932576
dc.identifier.scopusqualityQ2
dc.identifier.startpage1475
dc.identifier.urihttps://doi.org/10.1007/s10067-014-2622-2
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5621
dc.identifier.volume33
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSolmaz, Dilek
dc.language.isoen
dc.publisherSpringer London
dc.relation.ispartofClinical Rheumatology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAnkylosing spondylitis
dc.subjectASAS inflammatory back pain criteria
dc.subjectBerlin criteria
dc.subjectCalin criteria
dc.subjectInflammatory back pain
dc.subjectSpondyloarthritis
dc.subjectC reactive protein
dc.subjectHLA B27 antigen
dc.subjectbiological marker
dc.subjectC reactive protein
dc.subjectHLA B27 antigen
dc.subjectadult
dc.subjectArticle
dc.subjectAssessment of Spondyloarthritis International Society inflammatory back pain criteria
dc.subjectaxial spondyloarthritis
dc.subjectbackache
dc.subjectBerlin criteria
dc.subjectCalin criteria
dc.subjectcontrolled study
dc.subjectdiagnostic test accuracy study
dc.subjectdiagnostic value
dc.subjectdisease duration
dc.subjectfemale
dc.subjecthuman
dc.subjectinflammatory back pain
dc.subjectinterview
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmechanical back pain
dc.subjectmorning stiffness
dc.subjectmusculoskeletal disease assessment
dc.subjectprotein blood level
dc.subjectquestionnaire
dc.subjectsacroiliitis
dc.subjectsensitivity and specificity
dc.subjectspondylarthritis
dc.subjectBack Pain
dc.subjectbiomechanics
dc.subjectblood
dc.subjectcase control study
dc.subjectclassification
dc.subjectcomorbidity
dc.subjectcomparative study
dc.subjectcomplication
dc.subjectdiagnostic procedure
dc.subjectdifferential diagnosis
dc.subjectevaluation study
dc.subjectinflammation
dc.subjectmetabolism
dc.subjectmiddle aged
dc.subjectpathophysiology
dc.subjectphysiology
dc.subjectradiography
dc.subjectsacroiliitis
dc.subjectsecond cervical vertebra
dc.subjectspondylarthritis
dc.subjectAdult
dc.subjectAxis
dc.subjectBack Pain
dc.subjectBiological Markers
dc.subjectBiomechanical Phenomena
dc.subjectC-Reactive Protein
dc.subjectCase-Control Studies
dc.subjectComorbidity
dc.subjectDiagnosis, Differential
dc.subjectDiagnostic Techniques and Procedures
dc.subjectFemale
dc.subjectHLA-B27 Antigen
dc.subjectHumans
dc.subjectInflammation
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectQuestionnaires
dc.subjectSacroiliitis
dc.subjectSensitivity and Specificity
dc.subjectSpondylarthritis
dc.titlePerformance of different criteria sets for inflammatory back pain in patients with axial spondyloarthritis with and without radiographic sacroiliitis
dc.typeArticle

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