医学
骶髂关节炎
射线照相术
磁共振成像
热情
单变量分析
放射科
超声波
逻辑回归
优势比
内科学
外科
多元分析
肌腱
作者
Rodrigo García Salinas,Gisele Reyes Jara,Juan Carlos Arguello,Santiago Ruta,Felicia Almada,Darío Aguerre
出处
期刊:Jcr-journal of Clinical Rheumatology
[Ovid Technologies (Wolters Kluwer)]
日期:2024-03-21
标识
DOI:10.1097/rhu.0000000000002063
摘要
The aims were to estimate the frequency of axial spondyloarthritis (axSpA) in women and to analyze the clinical, laboratory, and imaging differences with respect to men at the time of diagnosis.Consecutive patients older than 18 years with a diagnosis of axSpA were included between 2017 and 2022 admitted to the "Reuma-check" SpA program. At baseline, all patients underwent clinical assessment, laboratory tests including C-reactive protein and human leukocyte antigen B27, and imaging (plain radiography [x-ray] and magnetic resonance imaging of sacroiliac joints, and ultrasound of heel entheses). All evaluators were blinded to the results of the other evaluations.One hundred sixteen patients with a diagnosis of axSpA were included. The frequency in women at diagnosis was 61.55%. In the univariate analysis, the significant differences between women and men at diagnosis of axSpA were good response to nonsteroidal anti-inflammatory drugs, elevated C-reactive protein, New York Criteria (+), enthesis ultrasound (+), years of education, number of swollen joints, erythrosedimentation rate, and the very low frequency of bone bridges in the magnetic resonance imaging of the sacroiliac joints. In the logistic regression analysis, the dependent variable was "men," and the only feature that was independently associated was having radiographic compromise according to the New York criteria (odds ratio, 2.6).The frequency in women in our axSpA cohort was 61.55%, and clinical, laboratory, and imaging differences were observed. The difference that was independently associated was less radiographic compromise in women.
科研通智能强力驱动
Strongly Powered by AbleSci AI