Spondyloarthritis & psoriatic arthritis
Knowledge, Awareness, and Attitudes Regarding Axial Spondylarthritis Among Nonrheumatology Physicians in the United States
Authors' conclusion
There is a substantial lack of knowledge and awareness about nomenclature, laboratory testing, and proper imaging of axSpA among NRPs. Unnecessary laboratory tests are commonly ordered by NRPs and rheumatologists.
Study context
- Population
- Physicians in the United Statesresponse rate 24%
- Participants
- 750 physicians
- Exposure
- Nonrheumatology physicians vs rheumatologists
- Outcome
- Knowledge, awareness and attitudes regarding axSpA among NRPs
Methodological detailsonline questionnaire, nationwide
- Online questionnaire
- Nationwide
Main finding
As reported in the abstract
- Nonrheumatology physicians (NRPs) identifying > 4 of 8 inflammatory back pain (IBP) items
- 87%
- NRPs routinely assessing for IBP in practice
- 41%
- NRPs screening patients for axial spondyloarthritis (axSpA) risk factors
- ≤ 50% of the time
- NRPs correctly answering sacroiliac/pelvic radiograph as initial imaging test
- 50%
- NRPs correctly selecting MRI of the pelvis as next imaging test
- 37%
- NRPs unfamiliar with the term axSpA
- 11%
- NRPs unfamiliar with the term nonradiographic axSpA
- 35%
Observational data: associations, not effects.
Original publication
Knowledge, Awareness, and Attitudes Regarding Axial Spondylarthritis Among Nonrheumatology Physicians in the United States. J Rheumatol. Published 1 March 2025. doi:10. 3899/ jrheum. 2024-0552
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