Validation of a patient self-reported screening questionnaire for axial spondyloarthropathy in a UK Population.

Abstract:

STUDY DESIGN:Cross-sectional cohort study. OBJECTIVE:The aim of this study was to develop and validate a patient-completed screening questionnaire for axial spondyloarthropathy for use in the United Kingdom. SUMMARY OF BACKGROUND DATA:Axial spondyloarthropathy (axial SpA) can be difficult to diagnose in the early stages of disease, leading to diagnostic delay and morbidity. Existing population screening tools lack sensitivity or have not been validated in the UK population. METHODS:Questionnaires were sent to 295 patients with definite ankylosing spondylitis (meeting modified New York criteria), nonradiographical axial SpA (sacroiliitis on magnetic resonance imaging), or mechanical back pain. Responses from 190 patients were analyzed. Binary logistic regression was used to develop a model differentiating inflammatory from mechanical pain. RESULTS:The final model (male sex, onset of symptoms by age 33 years, no radiation of pain, pain gets better as day goes on, pain increases with rest, and personal history of iritis) correctly classified 86% of cases with Nagelkerke R = 0.486. A numerical score (with 1 point assigned for each feature present) was calculated and receiver operating characteristic curve was constructed, with area under the curve of 0.911 (95% confidence interval: 0.87-0.96). A score of ≥3/6 had sensitivity of 75.6% and specificity of 87.9% for inflammation. CONCLUSION:We have developed a model that differentiates patients with ankylosing spondylitis/axial SpA from those with mechanical spinal disease and can be used as a self-completed screening tool.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Hamilton L,Macgregor A,Newman D,Belkhiri A,Toms A,Gaffney K

doi

10.1097/BRS.0b013e318273aa4f

subject

Has Abstract

pub_date

2013-03-15 00:00:00

pages

502-6

issue

6

eissn

0362-2436

issn

1528-1159

journal_volume

38

pub_type

杂志文章

相关文献

SPINE文献大全
  • Differences in the relationship between psychosocial distress and self-reported disability in patients with chronic low back pain in six pain rehabilitation centers in the Netherlands.

    abstract:STUDY DESIGN:A cross sectional multicenter study in six outpatient Rehabilitation Centers (RCs) in the Netherlands. OBJECTIVE:This study aims to confirm or refute the finding that a strong relationship exists between psychosocial distress and self-reported disability in patients with nonspecific chronic low back pain ...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/BRS.0b013e3181e8af83

    authors: Preuper HR,Boonstra AM,Wever D,Heuts PH,Dekker JH,Smeets RJ,Brouwer S,Geertzen JH,Reneman MF

    更新日期:2011-05-20 00:00:00

  • Molecular interactions between human cartilaginous endplates and nucleus pulposus cells: a preliminary investigation.

    abstract:STUDY DESIGN:Conditioned media (CM) of cartilaginous endplates (CEPs) of intervertebral discs were analyzed in a bioassay with regard to their influence on matrix turnover and inflammatory factors on nucleus pulposus (NP) cells of the same patient. CEP tissue underwent further histological and ultrastructural analysis....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000372

    authors: Neidlinger-Wilke C,Boldt A,Brochhausen C,Galbusera F,Carstens C,Copf F,Schultheiss M,Lazary A,Brayda-Bruno M,Ignatius A,Wilke HJ

    更新日期:2014-08-01 00:00:00

  • Comparison of disc space heights after anterior lumbar interbody fusion.

    abstract::Thirty-one consecutive patients underwent anterior interbody fusion of 40 levels of the lumbar spine using autogenous, autologous, or mixed iliac crest graft. Each patient's disc space height was measured preoperatively, immediately postoperatively, and an average of 29 months postoperatively. The immediate postoperat...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198908000-00019

    authors: Dennis S,Watkins R,Landaker S,Dillin W,Springer D

    更新日期:1989-08-01 00:00:00

  • The effect of fear of movement beliefs on pain and disability after surgery for lumbar and cervical degenerative conditions.

    abstract:STUDY DESIGN:Prospective cohort study. OBJECTIVE:To examine differences between preoperative and postoperative fear of movement and investigate the relationship between fear of movement and pain, disability and physical health after spinal surgery for degenerative conditions. SUMMARY OF BACKGROUND DATA:Consistent evi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181f8c6f4

    authors: Archer KR,Wegener ST,Seebach C,Song Y,Skolasky RL,Thornton C,Khanna AJ,Riley LH 3rd

    更新日期:2011-09-01 00:00:00

  • The predictive value of the fulcrum bending radiograph in spontaneous apical vertebral derotation in adolescent idiopathic scoliosis.

    abstract:STUDY DESIGN:A prospective cohort study of Cobb angles (CA) and apical vertebral rotations (AVR) in 25 patients who had adolescent idiopathic scoliosis. OBJECTIVE:To assess in vivo the concomitant vertebral derotation occurring with correction of scoliosis deformity as a result of coupling effect by using the fulcrum ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31824f108f

    authors: Luk KD,Cheung WY,Wong Y,Cheung KM,Wong YW,Samartzis D

    更新日期:2012-07-01 00:00:00

  • Changes in proteoglycans of intervertebral disc in diabetic patients. A possible cause of increased back pain.

    abstract:STUDY DESIGN:Characterization of the analytic profile of proteoglycans in the intervertebral discs at L4-L5 of nondiabetic (n = 5) and diabetic (n = 5) age-matched subjects. The discs used were discarded material from operations. OBJECTIVES:To clarify the reason for the higher risk of disc prolapse in diabetic patient...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199804150-00001

    authors: Robinson D,Mirovsky Y,Halperin N,Evron Z,Nevo Z

    更新日期:1998-04-15 00:00:00

  • An analysis of lateral predominance in adolescent idiopathic scoliosis with special reference to convexity of the curve.

    abstract::An analysis of lateral predominance of 51 patients with adolescent idiopathic scoliosis is presented. Determination of handedness, the dominant foot, and the dominant eye was performed. Postural equilibrium was studied by stabilometry, and the vestibular function was evaluated with electronystagmography. Central and p...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198011000-00005

    authors: Sahlstrand T

    更新日期:1980-11-01 00:00:00

  • The role of anterior spinal instrumentation and allograft fibula for the treatment of pott disease.

    abstract:STUDY DESIGN:The authors retrospectively reviewed 28 patients with multilevel Pott disease who underwent anterior radical débridement, decompression, and fusion with anterior spinal instrumentation and fibular allograft replacement. OBJECTIVES:To assess the efficacy of allograft fibular fusion and anterior spinal stab...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000048666.17934.17

    authors: Ozdemir HM,Us AK,Oğün T

    更新日期:2003-03-01 00:00:00

  • Progression of vertebral wedging in an asymmetrically loaded rat tail model.

    abstract:STUDY DESIGN:A rat tail model was used to test the hypothesis that angulation and asymmetric axial compressive loading would lead to vertebral wedging because of asymmetric longitudinal growth in the physes. OBJECTIVES:To study the effect of angulation and asymmetric loading on the progression of spinal curvature in a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199706150-00003

    authors: Mente PL,Stokes IA,Spence H,Aronsson DD

    更新日期:1997-06-15 00:00:00

  • Clinical practice guidelines. Particular reference to the management of pain in the lumbosacral spine.

    abstract::Clinical practice guidelines and protocols are a seductive way of trying to improve the standard of clinical practice. If these are to be most effective, they must evaluate rigorously the evidence supporting a particular management strategy and make appropriate recommendations based on this information. This process n...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199607010-00021

    authors: Steven ID,Fraser RD

    更新日期:1996-07-01 00:00:00

  • Surgeon specialty and outcomes after elective spine surgery.

    abstract:STUDY DESIGN:Retrospective cohort analysis of prospectively collected clinical data. OBJECTIVE:To compare outcomes of elective spine fusion and laminectomy when performed by neurological and orthopedic surgeons. SUMMARY OF BACKGROUND DATA:The relationship between primary specialty training and outcome of spinal surge...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000489

    authors: Seicean A,Alan N,Seicean S,Neuhauser D,Benzel EC,Weil RJ

    更新日期:2014-09-01 00:00:00

  • Latent psoas abscess after anterior spinal fusion.

    abstract::This case is presented to emphasize that late infection should be considered in all postoperative patients as a cause of pain. A psoas abscess may remain dormant for many years after an anterior spinal procedure. It should be considered in the differential diagnosis of back pain and lumbar radiculopathy after anterior...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199205000-00019

    authors: Hresko MT,Hall JE

    更新日期:1992-05-01 00:00:00

  • Biologic Responses to Orthopedic Implants: Innate and Adaptive Immune Responses to Implant Debris.

    abstract::Almost 20% of joint replacement implants fail at 15 to 20 years. Reports suggest that systemic effects of metal-on-metal implants and local effects of total joint arthroplasty implants contributing to implant failure are immune system based. Sometimes implant wear debris can cause implant failure resulting from bone f...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001436

    authors: Hallab NJ

    更新日期:2016-04-01 00:00:00

  • The cervical zygapophysial joints as a source of neck pain.

    abstract::Diagnostic cervical medial branch blocks and zygapophysial joint blocks were used to test the hypothesis that the cervical zygapophyseal joints can be the source of pain in patients with idiopathic neck pain. Complete temporary relief of all symptoms was obtained in 17 out of 24 consecutive patients. Two major groups ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Bogduk N,Marsland A

    更新日期:1988-06-01 00:00:00

  • A prospective and consecutive study of surgically treated lumbar spinal stenosis. Part II: Five-year follow-up by an independent observer.

    abstract:STUDY DESIGN:A prospective and consecutive study of surgical results obtained during serial follow-up investigations in patients who underwent surgery for central lumbar spinal stenosis. OBJECTIVES:To evaluate the result after surgical decompression for lumbar spinal stenosis, at regular intervals after surgery, and t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199712150-00017

    authors: Jönsson B,Annertz M,Sjöberg C,Strömqvist B

    更新日期:1997-12-15 00:00:00

  • The biomechanics of long versus short fixation for thoracolumbar spine fractures.

    abstract:STUDY DESIGN:Literature review. OBJECTIVE:Provide an overview of biomechanical strengths and weaknesses of long and short fixation constructs applied in thoracolumbar fractures, along with a discussion of specific indications for selecting an instrumentation construct for a given fracture. SUMMARY OF BACKGROUND DATA:...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/01.brs.0000218221.47230.dd

    authors: McLain RF

    更新日期:2006-05-15 00:00:00

  • Anterior extension of the thoracic vertebral bodies in Scheuermann's kyphosis. An anatomic study.

    abstract::Changes consistent with Scheuermann's kyphosis were noted in 103 specimens (7.4%) of a sample of 1,384 thoracic spines in the Hamann-Todd collection of human skeletons. In 94% of the affected vertebrae, a distinct anterior elongation of the vertebral centrum was present. This anterior extension was composed of mature ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198907000-00011

    authors: Digiovanni BF,Scoles PV,Latimer BM

    更新日期:1989-07-01 00:00:00

  • Bone Turnover Markers as a New Predicting Factor for Nonunion After Spinal Fusion Surgery.

    abstract:STUDY DESIGN:Retrospective observational study. OBJECTIVE:We investigated whether bone turnover markers could be a useful indicator for prediction of nonunion. SUMMARY OF BACKGROUND DATA:Nonunion is a major complication of lumbar spinal fusion surgery. The involvement of bone turnover in the process of bony union in ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001995

    authors: Inose H,Yamada T,Mulati M,Hirai T,Ushio S,Yoshii T,Kato T,Kawabata S,Okawa A

    更新日期:2018-01-01 00:00:00

  • The sagittal configuration and mobility of the spine in idiopathic scoliosis.

    abstract::The aim of this study is to see how the spinal sagittal configuration and mobility in 127 patients with idiopathic scoliosis are influenced by increasing scoliotic deformity and to determine when this deformity gets clinically significant compared to controls (n = 92). In patients with thoracic curves the degrees of t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198804000-00008

    authors: Ohlen G,Aaro S,Bylund P

    更新日期:1988-04-01 00:00:00

  • Biomechanical comparison of a fully threaded, variable pitch screw and a partially threaded lag screw for internal fixation of Type II dens fractures.

    abstract:STUDY DESIGN:Stiffness and load to failure were studied in a human cadaver model of Type II odontoid fractures stabilized with either a single partially threaded lag screw and washer or a headless fully threaded variable pitch screw. OBJECTIVE:To determine whether a headless fully threaded variable pitch screw provide...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31811ec2bb

    authors: Magee W,Hettwer W,Badra M,Bay B,Hart R

    更新日期:2007-08-01 00:00:00

  • Osteopromotion by a beta-tricalcium phosphate/bone marrow hybrid implant for use in spine surgery.

    abstract:STUDY DESIGN:Experimental animal study. OBJECTIVE.: Evaluate osteopromotive properties of a beta-tricalcium phosphate (TCP) implant with different osteogenic substances in an animal study. SUMMARY OF BACKGROUND DATA:Current research in spine surgery is focusing on resorbable bone implants because of the high morbidity...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000192762.40274.57

    authors: Becker S,Maissen O,Ponomarev I,Stoll T,Rahn B,Wilke I

    更新日期:2006-01-01 00:00:00

  • Predicting the outcome of selective thoracic fusion in false double major lumbar "C" cases with five- to twenty-four-year follow-up.

    abstract:STUDY DESIGN:Retrospective radiographic and clinical study. OBJECTIVE:To examine the long-term outcome of selective thoracic fusion (STF) performed for lumbar "C" modifier curves in adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:The efficacy of STF in lumbar "C" false double major curves is controversial...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181e5e36e

    authors: Chang MS,Bridwell KH,Lenke LG,Cho W,Baldus C,Auerbach JD,Crawford CH 3rd,O'Shaughnessy BA

    更新日期:2010-11-15 00:00:00

  • Spinal motion after cervical fusion. In vivo assessment with roentgen stereophotogrammetry.

    abstract:STUDY DESIGN:A roentgen stereophotogrammetric (RS) technique using metallic markers was used to determine in vivo three-dimensional (3-D) motion data in the post-operative cervical spine. Two patients were examined with RS following fusion for up to 12 months at scheduled intervals. OBJECTIVES:The study was designed t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199410150-00015

    authors: Lee S,Harris KG,Goel VK,Clark CR

    更新日期:1994-10-15 00:00:00

  • The impact of mental processing and pacing on spine loading: 2002 Volvo Award in biomechanics.

    abstract:STUDY DESIGN:The impact of various levels of mental processing and pacing (during lifting) on spine loading was monitored under laboratory conditions. OBJECTIVES:To explore how mental demands and pacing influence the biomechanical response and subsequent spine loading and, to determine whether individual characteristi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200212010-00003

    authors: Davis KG,Marras WS,Heaney CA,Waters TR,Gupta P

    更新日期:2002-12-01 00:00:00

  • The role of bone graft force in stabilizing the multilevel anterior cervical spine plate system.

    abstract:STUDY DESIGN:The role of bone graft force in stabilizing an instrumented cervical spine was evaluated for one-level and three-level corpectomy models using in vitro experiments. OBJECTIVES:To investigate the role of bone graft force in enhancing stability of anterior cervical plate, and to study effects of fatigue loa...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200007010-00008

    authors: Wang JL,Panjabi MM,Isomi T

    更新日期:2000-07-01 00:00:00

  • Similarities and differences in the treatment of spine trauma between surgical specialties and location of practice.

    abstract:STUDY DESIGN:Questionnaires administered to practicing orthopedic and neurosurgical spine surgeons from various regions of the United States and abroad. OBJECTIVES:To determine similarities and differences in the treatment of spinal trauma. SUMMARY OF BACKGROUND DATA:Spinal trauma is generally referred to subspeciali...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000115137.11276.0e

    authors: Grauer JN,Vaccaro AR,Beiner JM,Kwon BK,Hilibrand AS,Harrop JS,Anderson G,Hurlbert J,Fehlings MG,Ludwig SC,Hedlund R,Arnold PM,Bono CM,Brodke DS,Dvorak MF,Fischer CG,Sledge JB,Shaffrey CI,Schwartz DG,Sears WR,Dickm

    更新日期:2004-03-15 00:00:00

  • Coexistence of cervical and lumbar disc disease.

    abstract::A retrospective analysis of 200 patients requiring cervical disc surgery was performed to determine the frequency of coexistent lumbar disc or spine abnormalities. The duration of follow-up ranged from 5 to 25 years, averaging 14 years. Sixty percent were women and 40% were men, their ages ranging from 25-73 years. An...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199012000-00006

    authors: Jacobs B,Ghelman B,Marchisello P

    更新日期:1990-12-01 00:00:00

  • The impact of cervical pedicle screws for primary stability in multilevel posterior cervical stabilizations.

    abstract:STUDY DESIGN:A total of 12 human cervical spines were tested in vitro in a biomechanical nondestructive set-up to compare the primary stability of different posterior cervical instrumentations after a bilevel corpectomy. OBJECTIVE:To evaluate the primary 3-dimensional stability with special focus on the impact of cerv...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181e6bc59

    authors: Schmidt R,Koller H,Wilke HJ,Brade J,Zenner J,Meier O,Ferraris L,Mayer M

    更新日期:2010-10-15 00:00:00

  • An anatomic study of foraminal nerve root lesions in the lumbar spine.

    abstract::An anatomic study of lumbar nerve root lesions in the foraminal zone was performed on 35 cadavers. Two morphologic abnormalities of the nerve roots in the intervertebral foramen were found. The first was an abnormal transverse course of the nerve roots. The second was an indentation on the dorsal root ganglia caused b...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199311000-00017

    authors: Sato K,Kikuchi S

    更新日期:1993-11-01 00:00:00

  • Experimental cervical spondylosis in the mouse.

    abstract::A reproducible experimental model of cervical spondylosis in mice was established by means of detachment of the posterior paravertebral muscles from the vertebrae and resection of the spinous processes along with the supraspinous and interspinous ligaments. Mechanical instability in the cervical spine elicited by this...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199110001-00008

    authors: Miyamoto S,Yonenobu K,Ono K

    更新日期:1991-10-01 00:00:00