Spondyloarthritis & psoriatic arthritis

Evaluation of the agreement between the ACR 1990 fibromyalgia tender points and an enthesitis score in patients with axial spondyloarthritis

Rheumatology (Oxford)Published Cross-sectional study

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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