Spondyloarthritis & psoriatic arthritis

Longitudinal association of early axial spondyloarthritis status at the time of diagnosis with disease activity over time: 10-year results from the German Spondyloarthritis Inception Cohort (GESPIC) cohort

RMD OpenPublished Prospective cohort study

Main finding · ASDAS, total effect of early axSpAResult — go to the resultTotal effect −0.42 95% CI −0.57 to −0.26

Authors' conclusion

Fulfilment of the ASAS early axSpA definition at inclusion was associated with lower disease activity over 10 years.

Study context

Population
Patients with axial spondyloarthritis (axSpA) in the German Spondyloarthritis Inception Cohort (GESPIC)277 nr-axSpA, 248 r-axSpA
Participants
525 patients
Exposure
Early axSpA vs non-early axSpA
  • Early axSpAn = 161
Outcome
Disease activity (Axial Spondyloarthritis Disease Activity Score (ASDAS))
Follow-up
Over 10 years
Methodological detailsinception cohort, 10-year longitudinal data, generalised estimating equations, confounders identified through a directed acyclic graph, stratification by radiographic status
  • Inception cohort
  • 10-year longitudinal data
  • Generalised estimating equations
  • Confounders identified through a directed acyclic graph
  • Stratification by radiographic status

Main finding

ASDAS, total effect of early axSpA

Total effect

−0.42

95% CI −0.57 to −0.26

As reported in the abstract

Observational data: associations, not effects.

Further findings

ASDAS inactive disease or low disease activity · baseline

ASDAS inactive disease or low disease activity · year 10

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Longitudinal association of early axial spondyloarthritis status at the time of diagnosis with disease activity over time: 10-year results from the GESPIC cohort. RMD Open. Published 23 September 2025. doi:10.1136/rmdopen-2025-005948

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