2021 clinical practice guideline for the early detection, diagnosis, treatment, and monitoring of patients with axial spondyloarthritis. Colombian Association of Rheumatology

Bautista-Molano, W.; Saldarriaga-Rivera, Lina María; Junca-Ramírez, Alejandro; Fernández-Aldana, Andrés R.; Fernández-Ávila, Daniel G.; Jaimes, Diego Alejandro Rojas; Jáuregui, Edwin; Segura-Charry, Juan S.; Romero-Sánchez, Consuelo; Felipe-Diaz, Oscar J.

doi:10.1016/j.rcreue.2022.03.001

Cited by 1 publication

(2 citation statements)

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“…The continuum of axial spondyloarthritis (axSpA) is an expanding field in rheumatology practice. The emerging terminology classifies axSpA in radiographic (r-axSpA) and non-radiographic (r-axSpA) [ 1 , 2 ]. AxSpA presents a high societal burden predominantly affecting patients during their most productive years, usually younger than 45 years old, who may present a higher risk of comorbidities [ 1 , 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…The emerging terminology classifies axSpA in radiographic (r-axSpA) and non-radiographic (r-axSpA) [ 1 , 2 ]. AxSpA presents a high societal burden predominantly affecting patients during their most productive years, usually younger than 45 years old, who may present a higher risk of comorbidities [ 1 , 3 , 4 ]. In addition, a significant diagnostic delay is usually observed and may be as long as 14 years [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of axial spondyloarthritis in Colombia: data from the National Health Registry 2017–2021

Barahona-Correa,

Herrera-Leaño,

Bernal-Macías

et al. 2023

Clin Rheumatol

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Introduction Registries allow ascertaining the epidemiology of chronic diseases such as axial spondyloarthritis (axSpA). The Colombian Ministry of Health has implemented a National Health Registry (SISPRO) that collects data from each medical contact in the system, which provides close to universal coverage (around 98%). Objective To establish the 5-year prevalence of axSpA in Colombia, and to describe its demographics, using data from January 1st, 2017, to December 31st, 2021. Methods We performed an observational, cross-sectional study using the International Statistical Classification of Diseases and Related Health Problems as search terms related to ax-SpA, based on SISPRO data. We estimated the prevalence using three approaches: (1) ankylosing spondylitis (AS) diagnoses; (2) diagnoses compatible with axSpA; and (3) diagnoses compatible with axSpA, including sacroiliitis. We calculated prevalence per 100,000 inhabitants. Results Based on our three approaches, patients with a primary diagnosis compatible with ax-SpA ranged between 12,684 and 117,648, with an estimated 5-year adjusted prevalence between 26.3 and 244 cases per 100,000 inhabitants (0.03–0.2%). The male-to-female ratio ranged between 1.2:1 and 0.4:1, which was markedly skewed towards a higher prevalence in women when we included the code for sacroiliitis. We found the highest frequency of cases in the 50–54 years group. A differential prevalence was observed between different regions in our country, particularly in regions known to have European ancestors. Conclusion This is the first study that describes demographic characteristics of ax-SpA in Colombia and offers valuable information for stakeholders. Key Points• Using the official country-level health database, the prevalence of axSpA in Colombia ranges between 26.3 and 244 cases per 100,000 inhabitants (0.03% - 0.2%)• The prevalence of axSpA peaked among the 50-54 years patient group, suggesting an increased survival• Nations with a substantial admixture, such as Colombia, may present a differential prevalence of axSpA among regions within the country• Including the ICD-10 code for sacroiliitis (M46.1) in epidemiological studies probably overestimates the frequency of axSpA

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