Spondyloarthritis & psoriatic arthritis

Individual Regression Modeling of Spinal Mobility Measurements in Long‐Term Ankylosing Spondylitis: In‐Depth Analyses With Comparison to Norm Data

Arthritis Care Res (Hoboken)Published Longitudinal cohort study

Authors' conclusion

Based on median constants of our data, mobility restrictions related to AS seem to mainly occur during the first years of disease

Study context

Population
Patients with long-term ankylosing spondylitis (AS) (median age 20.9 years at symptom onset), followed for a median of 34 years since symptom onset111 men and 30 women
Exposure
Spinal mobility decline in AS vs age-related norm data
Outcome
Linearity of spinal mobility deterioration (LSF, ST10, CE, CR) vs normal age-related decline
Methodological detailsindividual linear regression modelling, comparison with age-related norm data, 9,697 spinal mobility measurements analysed
  • Individual linear regression modelling
  • Comparison with age-related norm data
  • 9,697 spinal mobility measurements analysed

Main finding

As reported in the abstract

Yearly linear decline in spinal mobility (individual regression beta)

AS

−0.62°

median · IQR −1.16–-0.22

Norm data

−0.35°

median · IQR −0.35–-0.35

Observational data: associations, not effects.

Further findings

Temporary fluctuations in lateral spinal flexion (LSF) and chest expansion (CE)

Significantly higher during the early phase of the disease, with decreasing residuals over time

Original publication

Individual Regression Modeling of Spinal Mobility Measurements in Long‐Term Ankylosing Spondylitis: In‐Depth Analyses With Comparison to Norm Data. Arthritis Care Res (Hoboken). Published 18 November 2022. doi:10.1002/acr.24895

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