Spondyloarthritis & psoriatic arthritis
Evaluation of the agreement between the ACR 1990 fibromyalgia tender points and an enthesitis score in patients with axial spondyloarthritis
Authors' conclusion
These results suggest a significant overlap between both scores in patients with axSpA, including in those without concomitant FM.
Study context
- Population
- Patients with axial spondyloarthritis (axSpA) (rheumatologist diagnosis) with an indication to start a TNF blocker; screened for FM by the FiRST questionnaire202 (38%) with FM
- Participants
- 526 patients
- Exposure
- MASES enthesitis score vs ACR 1990 fibromyalgia tender points
- Outcome
- Agreement between MASES and ACR 1990 TPs by intraclass correlation coefficient (ICC), also stratified by presence/absence of FM (FiRST)
Methodological detailsancillary analysis of the Predict-SpA study, A physician assessed 31 anatomically described sites in random order, blinded to which instrument each site belonged
- Ancillary analysis of the Predict-SpA study
- A physician assessed 31 anatomically described sites in random order, blinded to which instrument each site belonged
Main finding
As reported in the abstract
ACR 1990 tender points (TP)
5.4
mean · SD 4.6
MASES
4.2
mean · SD 3.6
- Intraclass correlation coefficient (ICC) between ACR 1990 TP and MASES scores, 95% CI (0.6, 0.8)
- 0.7
Observational data: associations, not effects.
Further findings
Agreement between ACR 1990 TP and MASES (ICC), patients with FM (FiRST)
- ICC between ACR 1990 TP and MASES scores, 95% CI (0.3, 0.8)
- 0.6
Agreement between ACR 1990 TP and MASES (ICC), patients without FM (FiRST)
- ICC between ACR 1990 TP and MASES scores, 95% CI (0.6, 0.7)
Original publication
Evaluation of the agreement between the ACR 1990 fibromyalgia tender points and an enthesitis score in patients with axial spondyloarthritis. Rheumatology (Oxford). Published 27 December 2022. doi:10. 1093/ rheumatology/ keac683
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