Evidence map›Paper›PMID 31041666›Full record

ArticleRheumatology and therapy2019

Real-World Patient Experience on the Path to Diagnosis of Ankylosing Spondylitis.

Alexis Ogdie, W Benjamin Nowell, Regan Reynolds, Kelly Gavigan, Shilpa Venkatachalam, Marie de la Cruz, Emuella Flood, Ethan J Schwartz, Beverly Romero, Yujin Park

Open access · goldAbstract read
In one paragraph

Article in Rheumatology and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. Spondyloarthritis in Latin America: a difficult-to-diagnose challenge.Therapeutic advances in musculoskeletal disease · 2026
    Review
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  16. Article
  17. Clinical Manifestations and Diagnosis of Axial Spondyloarthritis.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2021
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Alexis OgdiePerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. alexis.ogdie@uphs.upenn.edu.
W Benjamin NowellGlobal Healthy Living Foundation, Upper Nyack, NY, USA.
Regan ReynoldsGlobal Healthy Living Foundation, Upper Nyack, NY, USA.
Kelly GaviganGlobal Healthy Living Foundation, Upper Nyack, NY, USA.
Shilpa VenkatachalamGlobal Healthy Living Foundation, Upper Nyack, NY, USA.
Marie de la CruzICON, Gaithersburg, MD, USA.
Emuella FloodICON, Gaithersburg, MD, USA.
Ethan J SchwartzICON, Gaithersburg, MD, USA.
Beverly RomeroICON, Gaithersburg, MD, USA.
Yujin ParkNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Global Healthy Living Foundation · USIcon (United States) · USNovartis (United States) · USUniversity of Pennsylvania · US

Funding

Novartis Pharmaceuticals Corporation N/A
6 · The paper itself

Abstract

introductionWe describe the journey to diagnosis of ankylosing spondylitis (AS) from the patient perspective and examine differences in this journey by sex.

methodsUS adults aged ≥ 18 years with a self-reported AS diagnosis were recruited online through CreakyJoints, a patient support community, and ArthritisPower, a patient research registry. Respondents completed a web-based survey on sociodemographics, disease burden, and diagnosis history. Results were stratified by sex and time to diagnosis using two-sample t tests and χ

resultsAmong 235 respondents, 174 (74.0%) were female. Mean (SD) ages of female and male respondents were 48.6 (10.6) and 53.1 (10.3) years, respectively. From the time respondents began seeking medical attention, 87 were diagnosed within ≤ 1 year, 71 in 2-9 years, and 77 after ≥ 10 years. Symptoms that led respondents to seek treatment were back pain (73.2%) and joint pain (63.8%); fatigue and difficulty sleeping were more common among respondents with longer times to diagnosis. During the diagnosis process, men with AS tended to receive quicker AS diagnosis compared with women. Overall, commonly reported initial diagnoses among respondents with longer time to AS diagnosis included back problems and psychosomatic disorders. Significantly more women reported misdiagnoses of fibromyalgia (20.7 vs. 6.6%) and psychosomatic disorders (40.8 vs. 23.0%) compared with men.

conclusionsDiagnosis delays and misdiagnoses were common among respondents with AS. Increasing awareness about AS among referring providers may minimize diagnosis delay.

fundingNovartis Pharmaceuticals Corporation. Plain language summary available for this article.

Indexed as

Ankylosing spondylitisDiagnosisMisdiagnosisPatient experienceReal-world study

Identifiers

PMID31041666
PMCPMC6513959
OpenAlexW2943611601

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.