Spondyloarthritis & psoriatic arthritis

Frequency of Spondyloarthritis Symptoms Among US Patients With Inflammatory Bowel Disease: A Cross‐Sectional Multi‐Center Study

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

A substantial proportion of patients with IBD have symptoms suggestive of SpA, and many of these may have undiagnosed SpA. The IBIS-Q questionnaire appears to identify more potential SpA cases than DETAIL.

Study context

Population
Consecutive patients with inflammatory bowel disease (IBD) attending IBD specialty clinics in six US academic medical centres; median age 40 years (IQR 30–54), median disease duration 12 years (IQR 6–22), moderate to severe IBDanalysed
Participants
669 patients
Exposure
DETAIL vs IBD Identification of Spondyloarthritis Questionnaire (IBIS-Q)
Outcome
Positive spondyloarthritis (SpA) screen with DETAIL and IBIS-Q questionnaires
Methodological detailsmulticentre, six US academic medical centres, consecutive patients
  • Multicentre
  • Six US academic medical centres
  • Consecutive patients

Main finding

As reported in the abstract

Positive SpA screen
Screen positive with either questionnaire
275 (41%)

Observational data: associations, not effects.

Further findings

Prior inflammatory rheumatic disease diagnosis and rheumatology consultation

Diagnosis of an inflammatory rheumatic disease
81 (12%)
Consulted a rheumatologist during the previous year
75 (11%)

Screen-positive patients without documented inflammatory rheumatic disease diagnosis or rheumatologist visit within the past year

189 out of 275 screen-positive patients
69%

Symptom type

Axial symptoms more frequently reported than peripheral musculoskeletal complaints

Original publication

Frequency of Spondyloarthritis Symptoms Among US Patients With Inflammatory Bowel Disease: A Cross‐Sectional Multi‐Center Study. Arthritis Care Res (Hoboken). Published 1 February 2025. doi:10.1002/acr.25493

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