Spondyloarthritis & psoriatic arthritis

Disparities in Time to Diagnosis of Radiographic Axial Spondyloarthritis

J RheumatolPublished Retrospective cohort study

Main finding · Time from back pain to r-axSpA diagnosisResult — go to the resultIncrease in time to diagnosis 21% 95% CI 0.93–1.56

Authors' conclusion

This study reveals a trend toward diagnostic delay in r-axSpA related to social need, sex, race, and ethnicity.

Study context

Population
Patients with radiographic axial spondyloarthritis (r-axSpA) from a tertiary center, 2000 to 2022 (mean age 49 years; 38.6% female; 25.5% Black; 14.1% Hispanic)
Participants
404 patients
Exposure
Patients with vs without a documented social need
Outcome
Diagnostic delay: time from back pain and/or spinal pain to r-axSpA diagnosis
Methodological detailssingle tertiary centre, Observational Health Data Sciences and Informatics (OHDSI) network, accelerated failure time parametric survival model
  • Single tertiary centre
  • OHDSI network
  • Accelerated failure time parametric survival model

Main finding

Time from back pain to r-axSpA diagnosis

Increase in time to diagnosis

21%

95% CI 0.93–1.56

As reported in the abstract

Observational data: associations, not effects.

Further findings

Time to r-axSpA diagnosis from any r-axSpA-related condition

In patients with any r-axSpA-related condition, time to diagnosis similarly increased
21% (95% CI 0.92-1.57)

Original publication

Disparities in Time to Diagnosis of Radiographic Axial Spondyloarthritis. J Rheumatol. Published 1 November 2024. doi:10.3899/jrheum.2024-0574

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