A single center experience: physician related diagnostic delay and demographic and clinical differences between patients with ankylosing spondylitis and non-radiographic axial spondyloarthritis.

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL
Romanian Journal of Internal Medicine Pub Date : 2021-08-26 Print Date: 2021-09-01 DOI:10.2478/rjim-2021-0004
Firdevs Ulutaş, Veli Çobankara, Hande Şenol, Uğur Karasu, Serdar Kaymaz, Canan Albayrak Yaşar, Zeynep Dündar Ök, Murat Yiğit
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引用次数: 1

Abstract

Background. A large number of comparative studies have been conducted for ankylosing spondylitis (AS) and non-radiographic axial spondyloarthritis (nr-axSpA), including disease burden, treatment modalities and patient characteristics. The aim of this study was to compare physician related diagnostic delay time between patients with AS and nr-axSpA. Methods. In our retrospective study we included 266 patients with axSpA. Patients were classified into two subgroups, AS and nr-axSpA. The time from back pain onset until diagnosis of axSpA was defined as the diagnostic delay. The first specialist referred to and the first diagnosis for each patient was noted in detail. Patient characteristics, clinical manifestations and laboratory and imaging results at diagnosis were also compared between subgroups. Results. The diagnostic delay time was significantly longer for AS patients [6 ± 8.14 years vs 1.62 ± 2.54 years]. 40.9% of all patients were initially consulted by specialists in physical therapy and rehabilitation, followed by 29.7% consulted by a neurosurgeon and 19.9% by a rheumatologist. The most common initial diagnosis was fibromyalgia, 52.6% (140), followed by ankylosing spondylitis, 28.9% (77), and lumbar disc hernia, 12.7% (34). Conclusion. The vast majority of patients were initially evaluated by healthcare providers other than rheumatologists and mostly diagnosed with fibromyalgia. Efforts to increase awareness and to educate first healthcare providers may shorten the diagnostic delay time.

单中心经验:强直性脊柱炎和非影像学中轴性脊柱炎患者的医师相关诊断延迟、人口学和临床差异。
背景。对强直性脊柱炎(AS)和非影像学轴向性脊柱炎(nr-axSpA)进行了大量的对比研究,包括疾病负担、治疗方式和患者特征。本研究的目的是比较AS和nr-axSpA患者的医生相关诊断延迟时间。方法。在我们的回顾性研究中,我们纳入了266例axSpA患者。患者分为AS和nr-axSpA两个亚组。从背痛发作到axSpA诊断的时间被定义为诊断延迟。详细记录了每个病人的第一个专家和第一个诊断。亚组间患者特征、临床表现及诊断时的实验室和影像学结果也进行了比较。结果。AS患者的诊断延迟时间明显更长(6±8.14年vs 1.62±2.54年)。40.9%的患者最初咨询的是物理治疗和康复专家,其次是29.7%的神经外科医生和19.9%的风湿病学家。最常见的初始诊断是纤维肌痛,占52.6%(140),其次是强直性脊柱炎,占28.9%(77),腰椎间盘突出,占12.7%(34)。结论。绝大多数患者最初是由除风湿病学家以外的医疗保健提供者评估的,大多数诊断为纤维肌痛。努力提高认识和教育第一医疗保健提供者可以缩短诊断延误时间。
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来源期刊
Romanian Journal of Internal Medicine
Romanian Journal of Internal Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
5.30%
发文量
35
审稿时长
15 weeks
期刊介绍: Romanian Journal of Physics is a journal publishing physics contributions on the following themes: •Theoretical Physics & Applied Mathematics •Nuclear Physics •Solid State Physics & Materials Science •Statistical Physics & Quantum Mechanics •Optics •Spectroscopy •Plasma & Lasers •Nuclear & Elementary Particles Physics •Atomic and Molecular Physics •Astrophysics •Atmosphere and Earth Science •Environment Protection
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