Evidence map›Paper›PMID 37418106›Full record

ArticleIrish journal of medical science2024

Characteristics and burden of disease in patients with radiographic versus non-radiographic axial spondyloarthritis in the ASRI cohort.

Sean Quinn, Sinead Maguire, Finbar O'Shea, Lorraine O'Neill, Eamonn Molloy, Ursula Fearon, Phil Gallagher, Douglas J Veale

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Article in Irish journal of medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Sean QuinnRheumatology Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. Seanquinn_102@yahoo.ie.ORCID http://orcid.org/0000-0003-1683-2226
Sinead MaguireRheumatology Department, St James' Hospital, Dublin 8, Ireland.
Finbar O'SheaRheumatology Department, St James' Hospital, Dublin 8, Ireland.
Lorraine O'NeillRheumatology Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Eamonn MolloyRheumatology Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Ursula FearonMolecular Rheumatology, Trinity Biomedical Sciences Institute, Pearse St., Dublin 2, Ireland.
Phil GallagherRheumatology Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Douglas J VealeThe EULAR Centre for Arthritis and Rheumatic Disease, St Vincent's University Hospital, Elm Park and University College Dublin, Dublin 4, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAxial spondyloarthritis (axSpA) comprises patients with both radiographic and non-radiographic features. Previous studies have shown similar burden of disease between these two groups.

aimsThe Ankylosing Spondylitis Registry of Ireland (ASRI) was formed with the objective to measure the burden of axial spondyloarthritis in the population and identify early predictors of a poor outcome. For this analysis, the ASRI database was used to compare the characteristics and burden of disease in patients with radiographic versus non-radiographic axial spondyloarthritis.

methodsPatients with radiographic axial spondyloarthritis (r-axSpA) were defined as those with X-ray evidence of sacroiliitis. Patients with non-radiographic axial spondyloarthritis (nr-axSpA) were defined as having MRI evidence of sacroiliitis but no X-ray evidence of sacroiliitis.

resultsIn total, 764 patients were included. Analysis of radiographic status showed 88.1% (n = 673) of patients with r-axSpA and 11.9% (n = 91) with nr-axSpA (Table 1). Patients with nr-axSpA were younger (41.3 vs. 46.6 years, p < 0.01), had shorter disease duration (14.8 vs. 20.2 years, p < 0.01) and had lower proportion of males (66.6% vs. 78.4%, p = 0.02) with lower frequency of HLA-B27 positivity (73.6% vs. 90.5%, p < 0.01). The nr-axSpA group had lower BASDAI (3.37 vs. 4.05, p = 0.01), BASFI (2.46 vs. 3.88, p < 0.01), BASMI (2.33 vs. 4.34, p < 0.01), ASQoL (5.2 vs. 6.67, p = 0.02) and HAQ scores (0.38 vs. 0.57, p < 0.01). There were no significant differences in the prevalence of extra-musculoskeletal manifestations or use of medications.

conclusionsThis study provides evidence to suggest that the burden of disease is less in patients with non-radiographic axial spondyloarthritis than radiographic axial spondyloarthritis.

Indexed as

Non-Radiographic Axial SpondyloarthritisSacroiliitisSpondylarthritisSpondylitis, AnkylosingCost of IllnessHumansIrelandMaleRegistriesAxial spondyloarthritisBurden of diseaseMRIQuality of lifeX-ray

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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.