Performance of referral recommendations in patients with chronic back pain and suspected axial spondyloarthritis

Brandt, H.; Spiller, Inge; Song, In‐Ho; Vahldiek, Janis L.; Rudwaleit, Martín; Sieper, Joachim

doi:10.1136/ard.2006.068734

Cited by 163 publications

(106 citation statements)

References 17 publications

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“…Despite capturing parameters for both RA (27) and SpA (28,29,42), the ERRR did not detect any of the 4 AS cases in the study. The CEAC were also insensitive to the detection of the AS cases.…”

Section: Discussionmentioning

confidence: 67%

“…The CEAC were also insensitive to the detection of the AS cases. Clinical onset of AS may be better characterized by inflammatory back pain and stiffness (29). Despite the omission of the AS cases from these 2 potential classification methods, 78% of rheumatologic evaluations for AS cases were classified as non-early IA.…”

Section: Discussionmentioning

confidence: 99%

“…Early referral to rheumatology recommendations (27)(28)(29), common inclusion criteria for early IA cohorts (13,23-25,30 -34), and classification criteria for prevalent IA conditions (15)(16)(17)35,36) were identified from the literature as potential early IA classification methods. The following 3 classification methods were selected for investigation: 1) early referral recommendation to rheumatology for rheumatoid arthritis (ERRR) (27), i.e., at least 3 swollen joints, a positive squeeze test for the metacarpophalangeal (MCP) or metatarsophalangeal (MTP) joints, or at least 30 minutes of morning stiffness; 2) common early arthritis cohort inclusion criteria (CEAC), i.e., at least 2 swollen joints (30 -33) and 6 -52 weeks of symptom duration (13,(23)(24)(25)30,34); and 3) fulfillment of either the American College of Rheumatology (ACR; formerly the American Rheumatism Association) classification criteria for rheumatoid arthritis (RA) (15) or the European Spondylarthropathy Study Group (ESSG) classification criteria for spondylarthritis (SpA) (16).…”

Section: Tavares Et Almentioning

confidence: 99%

“…The ERRR is an RA-specific recommendation, but includes as a criterion at least 30 minutes of morning stiffness (27), a measure of inflammatory back pain included in the early referral recommendation for ankylosing spondylitis (AS) (28,29). The early referral recommendation for AS was excluded because only 1 study case fulfilled its screening requirements.…”

Section: Tavares Et Almentioning

confidence: 99%

See 3 more Smart Citations

Classification of rheumatologic opinion on early inflammatory arthritis: Harmonization of a heterogeneous standard

Tavares

Wells

Scarf

et al. 2010

Arthritis Care & Research

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Tavares Et Almentioning

confidence: 99%

Section: Tavares Et Almentioning

confidence: 99%

See 2 more Smart Citations

Classification of rheumatologic opinion on early inflammatory arthritis: Harmonization of a heterogeneous standard

Tavares

Wells

Scarf

et al. 2010

Arthritis Care & Research

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show abstract

“…, and various strategies have been proposed to determine their best use [16][17][18][19][20][21][22][23].…”

mentioning

confidence: 99%

Impact of an Awareness Campaign for the Detection of Axial Spondyloarthritis in Patients with Inflammatory Back Pain

Schneeberger¹,

Citera²,

Buschiazzo³

et al. 2017

JRAD

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The objectives of the study are to identify patients with Inflammatory Back Pain (IBP) through an awareness campaign to the general population and to assess the impact of different advertising media. Methods:A four-week awareness campaign was presented through various communication media venues, raising awareness about AxSpA, and encouraging patients with IBP to contact us via e-mail or telephone call. If they met the inclusion criteria they were given an appointment. If the patient did not meet the diagnostic criteria at the first appointment, HLA-B27 and magnetic resonance imaging were performed.Results: A total of 900 patients replied (449 by telephone and 451 by e-mail). After excluding ineffective calls and emails, 587 patients were included (226from phone calls and 361from e-mails); 61.5% of this patients replied after seen a TV advertisement. Following the initial questionnaire, 70% of the patients from the call center and 7.3% via email met the inclusion criteria. 157 appointments were given, and only 80 (50.9%) attended. After clinical evaluation, 42 of the 80 patients (52.5%) definitively met the inclusion criteria. After clinical evaluations, 9 patients were classified as AxSpa. When we compared those with and without an AxSpA diagnosis, axial morning stiffness and higher enthesis score were significantly more frequent in the AxSpA group. Conclusion:The frequency of AxSpA in patients with IBP in our population was similar to that reported in literature. Television was clearly the best venue of communication, and the call center was the most effective way to contact potential patients.

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Association Between Inflammatory Back Pain Characteristics and Magnetic Resonance Imaging Findings in the Spine and Sacroiliac Joints

Arnbak

Jurik

Jensen

et al. 2018

Arthritis Care & Research

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Performance of referral recommendations in patients with chronic back pain and suspected axial spondyloarthritis

Abstract: The proposed referral parameters have proven useful when applied in primary care in identifying patients with AS/pre-radiographic axial SpA among young to middle-aged patients with chronic low back pain.

Cited by 163 publications

References 17 publications

Classification of rheumatologic opinion on early inflammatory arthritis: Harmonization of a heterogeneous standard

Classification of rheumatologic opinion on early inflammatory arthritis: Harmonization of a heterogeneous standard

Impact of an Awareness Campaign for the Detection of Axial Spondyloarthritis in Patients with Inflammatory Back Pain

Association Between Inflammatory Back Pain Characteristics and Magnetic Resonance Imaging Findings in the Spine and Sacroiliac Joints

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