Spondyloarthritis & psoriatic arthritis
Clinical and laboratory factors associated with the bamboo spine in patients with axial spondyloarthritis: are there clues for the bamboo spine?
Authors' conclusion
Bamboo spine was more common in the male sex and associated with a delay in diagnosis, high BMI, hip involvement, and enthesitis.
Study context
- Population
- Patients fulfilling the 2009 ASAS classification criteria for axSpA in the TReasure database, radiographs assessed by Bath Ankylosing Spondylitis Radiologic Index (BASRI)1,246 with eligible radiographs
- Participants
- 5,060 patients
- Exposure
- Bamboo spine vs longstanding disease without syndesmophytes
- Group 1n = 111
- Outcome
- Clinical and laboratory factors associated with bamboo spine
Methodological detailsnational, multicentre, longitudinal, observational database (TReasure), multivariate logistic regression
- National, multicentre, longitudinal, observational database (TReasure)
- Multivariate logistic regression
Main finding
As reported in the abstract
Factors associated with bamboo spine
Bamboo spine prevalence among patients with eligible radiographs
111
8.9%
Observational data: associations, not effects.
Further findings
Hip arthritis, present or documented by a physician
P = 0.004
Median
| Outcome | Group 1 | Group 2 | P value |
|---|---|---|---|
| BMI | 27.7 (range as printed 25.8–31.1) | 25.9 (range as printed 22.9–29.2) | P < 0.001 |
Enthesitis
- Tendency towards more prevalent enthesitis in patients with bamboo spine (Group 1) vs Group 2
- 29.1% (25/86) vs. 15.9%(11/69), p=0.054
Male sex
- Male sex more common among patients with bamboo spine
HLA-B27 status
- Did not differ between groups
Smoking
- More prevalent in Group 1
Multivariate logistic regression
- Male sex, BMI, hip arthritis and enthesitis associated with bamboo spine in axSpA
Original publication
Clinical and laboratory factors associated with the bamboo spine in patients with axial spondyloarthritis: are there clues for the bamboo spine? Clin Exp Rheumatol. Published 4 December 2021. doi:10. 55563/ clinexprheumatol/ eb1zpo
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