J 2019

Cross-sectional study of patients with axial spondyloarthritis fulfilling imaging arm of ASAS classification criteria: baseline clinical characteristics and subset differences in a single-centre cohort

BUBOVA, Kristyna, Sarka FOREJTOVA, Katerina ZEGZULKOVA, Monika GREGOVA, Marketa HUSAKOVA et. al.

Základní údaje

Originální název

Cross-sectional study of patients with axial spondyloarthritis fulfilling imaging arm of ASAS classification criteria: baseline clinical characteristics and subset differences in a single-centre cohort

Autoři

BUBOVA, Kristyna (203 Česká republika), Sarka FOREJTOVA (203 Česká republika), Katerina ZEGZULKOVA (203 Česká republika), Monika GREGOVA (203 Česká republika), Marketa HUSAKOVA (203 Česká republika), Maria FILKOVA (203 Česká republika), Jana HORINKOVA (203 Česká republika), Jindriska GATTEROVA (203 Česká republika), Michal TOMCIK (203 Česká republika), Lenka SZCZUKOVÁ (203 Česká republika, domácí), Karel PAVELKA (203 Česká republika) a Ladislav SENOLT (203 Česká republika, garant)

Vydání

BMJ Open, London, BMJ Publishing Group, 2019, 2044-6055

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30218 General and internal medicine

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.496

Kód RIV

RIV/00216224:14110/19:00112846

Organizační jednotka

Lékařská fakulta

UT WoS

000471157200071

Klíčová slova anglicky

ANKYLOSING-SPONDYLITIS PATIENTS; DISEASE-ACTIVITY; PART

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 31. 1. 2020 10:03, Mgr. Tereza Miškechová

Anotace

V originále

Objective This study compared demographic, clinical and laboratory characteristics between patients with radiographic and non-radiographic axial spondyloarthritis (axSpA). Methods In this single-centre cross-sectional study, a total of 246 patients with axSpA fulfilling the imaging arm of Assessment of SpondyloArthritis International Society classification criteria were recruited. A total of 140 patients were diagnosed as non-radiographic axial spondyloarthritis (nr-axSpA), and 106 patients had ankylosing spondylitis (AS). Sociodemographic characteristics, disease manifestations, clinical and laboratory disease activity and their differences between subsets were analysed. P values below 0.05 with CI 95% were considered statistically significant. Results More nr-axSpA patients were women (61.4%) compared with 24.7% of AS patients. First symptoms developed earlier in AS patients compared with nr-axSpA (23.0 (IQR 17.5-30.0) vs 27.8 (IQR 21.0-33.7) years, p=0.001). Disease manifestations did not differ, but patients with nr-axSpA experienced peripheral arthritis more frequently (35.7% vs 17.0%, p=0.001) with less hip involvement (8.6% vs 18.9%, p=0.022) compared with patients with AS. Patients with AS exhibited worse spinal mobility and physical function compared with nr-axSpA. AS Disease Activity Scores and CRP levels were significantly higher in patients with AS compared with nr-axSpA (2.4 (IQR 1.7-2.8) vs 2.0 (IQR 1.1-2.3), p=0.022 and 7.1 (IQR 2.6-14.9) vs 2.5 (IQR 0.8-8.2) mg/L, p<0.001, respectively). Conclusions Our data demonstrated some known and also novel differences between the two imaging arm fulfilling axSpA subgroups. Non-radiographic patients were mostly women who had experienced shorter disease duration, milder disease activity and better functional status with less hip involvement but more peripheral arthritis compared with patients with AS.