Spondyloarthritis & psoriatic arthritis

Early Diagnosis of Axial Spondyloarthritis Is Associated With Less Long‐Term Spinal Structural Damage: A Longitudinal Analysis of the Swiss Clinical Quality Management in Rheumatic Diseases Registry

Arthritis RheumatolPublished Retrospective cohort study

Main finding · Long-term mSASSSResult — go to the resultDifference −3.85 mSASSS units 95% CI −7.28 to −0.42

Authors' conclusion

Early diagnosis of axSpA is associated with lower long-term spinal structural damage.

Study context

Population
Patients with axial spondyloarthritis (axSpA) with at least two sets of spinal radiographs, 2004–2024, Swiss Clinical Quality Management registry, under standard of care treatment1,181 sets of radiographs
Participants
376 patients
Exposure
Early axSpA vs established axSpA
  • Early axSpAn = 138
  • Established axSpAn = 238reference
Outcome
Longitudinal spinal radiographic progression (modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS)) from diagnosis
Methodological detailsregistry-based, longitudinal, four-parametric logistic model
  • Registry-based
  • Longitudinal
  • Four-parametric logistic model

Main finding

Long-term mSASSS

Difference

−3.85 mSASSS units

95% CI −7.28 to −0.42

Early axSpAvs Established axSpA
difference −3.85 mSASSS units (95% CI −7.28 to −0.42)

As reported in the abstract

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Early Diagnosis of Axial Spondyloarthritis Is Associated With Less Long‐Term Spinal Structural Damage: A Longitudinal Analysis of the Swiss Clinical Quality Management in Rheumatic Diseases Registry. Arthritis Rheumatol. Published 18 September 2026. doi:10.1002/art.70346

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