Evidence map›Paper›PMID 37095710›Full record

ArticleACR open rheumatology2023

The International Map of Axial Spondyloarthritis Survey: A US Patient Perspective on Diagnosis and Burden of Disease.

Marina Magrey, Jessica A Walsh, Sandra Flierl, Richard A Howard, Renato C Calheiros, David Wei, Muhammad A Khan

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 13 citations in OpenAlex.

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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

7 authors at 1 institution in 2 countries.

Marina MagreyCase Western Reserve University School of Medicine and University Hospitals, Cleveland, Ohio.ORCID https://orcid.org/0000-0002-6520-5619
Jessica A WalshUniversity of Utah School of Medicine and Salt Lake City Veterans Affairs Medical Center, Salt Lake City, Utah.ORCID https://orcid.org/0000-0002-4563-0845
Sandra FlierlIpsos, Basel, Switzerland.
Richard A HowardSpondylitis Association of America, Encino, California.ORCID https://orcid.org/0000-0002-8589-1409
Renato C CalheirosClinical Development, Moderna, Cambridge, Massachusetts.
David WeiNovartis Pharmaceuticals Corporation, East Hanover, New Jersey.
Muhammad A KhanCase Western Reserve University School of Medicine, Cleveland, Ohio.ORCID https://orcid.org/0000-0003-4704-8311
University of Utah · US

Funding

Novartis Pharmaceuticals Corporation N/A
6 · The paper itself

Abstract

objectiveAxial spondyloarthritis (axSpA) is a chronic inflammatory disease that causes inflammation in the axial skeleton, resulting in structural damage and disability. We aimed to understand the effect of axSpA on work activity, day-to-day function, mental health, relationships, and quality of life and to examine barriers to early diagnosis.

methodsA 30-minute quantitative US version of the International Map of Axial Spondyloarthritis survey was administered online to US patients aged 18 years and older with a diagnosis of axSpA who were under the care of a health care provider from July 22 to November 10, 2021. This analysis describes demographics, clinical characteristics, journey to axSpA diagnosis, and disease burden.

resultsWe surveyed 228 US patients with axSpA. Patients had a mean diagnostic delay of 8.8 years, with a greater delay in women versus men (11.2 vs. 5.2 years), and 64.5% reported being misdiagnosed before receiving an axSpA diagnosis. Most patients (78.9%) had active disease (Bath Ankylosing Spondylitis Disease Activity Index score ≥4), reported psychological distress (57.0%; General Health Questionnaire 12 score ≥3), and experienced a high degree of impairment (81.6%; Assessment of Spondyloarthritis International Society Health Index score ≥6). Overall, 47% of patients had a medium or high limitation in activities of daily living, and 46% were not employed at survey completion.

conclusionThe majority of US patients with axSpA had active disease, reported psychological distress, and reported impaired function. US patients experienced a substantial delay in time to diagnosis of axSpA that was twice as long in women versus men.

Identifiers

PMID37095710
PMCPMC10184009
OpenAlexW4366990659

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.