Spondyloarthritis & psoriatic arthritis

Achilles enthesitis on physical examination leads to worse outcomes after 2 years of follow up in patients with ankylosing spondylitis from REGISPONSER-AS registry

Arthritis Res TherPublished Prospective cohort study

Authors' conclusion

In patients with AS, the presence of Achilles' tendon enthesitis was associated with worse scores on the outcome measures after 2 years of follow-up, leading to a lower probability of achieving low disease activity.

Study context

Population
Patients with ankylosing spondylitis (AS) in the REGISPONSER-AS registry, 2 years of follow-up
Participants
749 patients
Exposure
Achilles enthesitis at baseline vs no Achilles enthesitis
  • Achilles enthesitisn = 46
Outcome
Impact of baseline Achilles enthesitis on outcome measures (PROs)
Follow-up
2 years
Methodological detailsobservational, registry-based (REGISPONSER-AS), linear regression and mixed models adjusted for age, body mass index (BMI) and anti-TNF intake
  • Observational
  • Registry-based (REGISPONSER-AS)
  • Linear regression and mixed models adjusted for age, BMI and anti-TNF intake

Main finding

As reported in the abstract

ASDAS low disease activity (ASDAS < 2.1)

P = 0.030

Observational data: associations, not effects.

Further findings

Patient-reported outcome (PRO) scores at baseline

Higher global VAS, BASDAI, mBASDAI, ASDAS-CRP and BASFI with Achilles enthesitis vs without

Original publication

Achilles enthesitis on physical examination leads to worse outcomes after 2 years of follow up in patients with ankylosing spondylitis from REGISPONSER-AS registry. Arthritis Res Ther. Published 13 January 2023. doi:10.1186/s13075-023-02988-x

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