Spondyloarthritis & psoriatic arthritis
Disparities in Time to Diagnosis of Radiographic Axial Spondyloarthritis
Main finding · Time from back pain to r-axSpA diagnosisResult — go to the resultIncrease in time to diagnosis 21% 95% CI 0.93–1.56Authors' 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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