医学
轴性脊柱炎
德尔菲法
物理疗法
德尔菲
强直性脊柱炎
协商一致会议
骶髂关节炎
家庭医学
内科学
统计
数学
计算机科学
操作系统
作者
Victoria Navarro-Compán,Diego Benavent,Dafne Capelusnik,Désirée van der Heijde,Robert Landewé,Denis Poddubnyy,Astrid van Tubergen,Xenofon Baraliakos,Filip Van den Bosch,F. van Gaalen,Lianne S. Gensler,Clementina López-Medina,Helena Marzo‐Ortega,Anna Moltó,Rodolfo Pérez-Alamino,Martín Rudwaleit,Marleen van de Sande,Raj Sengupta,Ulrich Weber,Josef S Smolen
标识
DOI:10.1136/ard-2023-224232
摘要
To develop a consensual definition for the term 'early axial spondyloarthritis-axSpA'-and 'early peripheral spondyloarthritis-pSpA'.The ASAS (Assessment of SpondyloArthritis international Society-Spondyloarthritis EARly definition) steering committee convened an international working group (WG). Five consecutive steps were followed: (1) systematic literature review (SLR); (2) discussion of SLR results within the WG and ASAS community; (3) a three-round Delphi survey inviting all ASAS members to select the items that should be considered for the definition; (4) presentation of Delphi results to the WG and ASAS community and (5) ASAS voting and endorsement (2023 annual meeting).Following the SLR, consensus was to proceed with an expert-based definition for early axSpA (81% in favour) but not for pSpA (54% against). Importantly, early axSpA should be based on symptom duration taking solely axial symptoms into account. 151-164 ASAS members participated in the Delphi surveys. Consensus was achieved for considering the following items within early axSpA definition: duration of symptoms ≤2 years; axial symptoms defined as cervical/thoracic/back/buttock pain or morning stiffness; regardless of the presence/absence of radiographic damage. The WG agreed that in patients with a diagnosis of axSpA 'early axSpA' should be defined as a duration of ≤2 years of axial symptoms. Axial symptoms should include spinal/buttock pain or morning stiffness and should be considered by a rheumatologist as related to axSpA. The ASAS community endorsed this proposal (88% in favour).Early axSpA has newly been defined, based on expert consensus. This ASAS definition should be adopted in research studies addressing early axSpA.
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