Artículo
A Benchmarking Study Evaluating Axial Spondyloarthritis Burden in Spain and Other European Countries. Results from the Spanish Atlas and the European Map of Axial Spondyloarthritis (EMAS) Studies
Autor/es | Garrido Cumbrera, Marco
Gratacós, Jordi Collantes Estévez, Eduardo Zarco Montejo, Pedro Sastre, Carlos Christen, Laura Sanz Gómez, Sergio Correa Fernández, José Navarro Compán, Victoria |
Departamento | Universidad de Sevilla. Departamento de Geografía Física y Análisis Geográfico Regional Universidad de Sevilla. Departamento de Psiquiatría |
Fecha de publicación | 2021 |
Fecha de depósito | 2022-10-19 |
Publicado en |
|
Resumen | Aim: To compare the burden of disease in Spanish patients with axial spondyloarthritis
(axSpA) vs other European countries (OEC).
Methods: Data from 2846 unselected patients from the European Map of Axial
Spondyloarthritis ... Aim: To compare the burden of disease in Spanish patients with axial spondyloarthritis (axSpA) vs other European countries (OEC). Methods: Data from 2846 unselected patients from the European Map of Axial Spondyloarthritis (EMAS) and the Atlas of Axial Spondyloarthritis in Spain (Atlas) were collected through online surveys. Comparative analysis was carried out between Spanish patients (2016) and patients from 12 OEC ( 2017-2018). Socio-demographic characteristics, life habits, and patient-reported outcomes (Bath Ankylosing Spondylitis Disease Activity Index 0-10, spinal stiffness 3-12, functional limitation 0-54, the 12-Item General Health Questionnaire [GHQ-12] for psychological distress 0-12) were compared. Chi-square and Mann-Whitney tests were used for qualitative and quantitative variables respectively. Results: 680 (23.9%) Spanish axSpA patients were compared to 2166 axSpA patients (76.1%) from OEC. Compared to Spain, the OEC group had a higher percentage of females (64.1% vs 52.5%; P < .001) and university-educated participants (51.7% vs 36.9%; P < .001). Spanish patients showed a greater diagnostic delay (8.5 ± 7.7 vs 7.2 ± 8.6 years; P < .001), visits to orthopedic specialists before diagnosis (56.9% vs 25.3%; P < .001), human leukocyte antigen-B27 carriership (77.1% vs 70.1%; P = .003), disease activity (5.7 ± 2.0 vs 5.4 ± 2.0; P = .024), and higher unemployment rates (21.7% vs 9.2%; P < .001). Despite lower rates of diagnosed anxiety and depression, Spanish patients were at higher risk of psychological distress according to the GHQ-12 (5.7 ± 4.5 vs 4.8 ± 4.0; P < .001). Conclusion: Compared to European axSpA patients, Spanish patients experience a longer diagnostic delay and greater psychological distress. Being wrongly referred to orthopedic specialists and facing a more precarious labor scenario appear as possible causal factors, highlighting the need to increase the number of rheumatologists, the training of healthcare professionals, and improving axSpA patients' working conditions |
Cita | Garrido Cumbrera, M., Gratacós, J., Collantes Estévez, E., Zarco Montejo, P., Sastre, C., Christen, L.,...,Navarro Compán, V. (2021). A Benchmarking Study Evaluating Axial Spondyloarthritis Burden in Spain and Other European Countries. Results from the Spanish Atlas and the European Map of Axial Spondyloarthritis (EMAS) Studies. INTERNATIONAL JOURNAL OF RHEUMATIC DISEASES, 24 (9), 1127-1136. https://doi.org/10.1111/1756-185X.14173. |
Ficheros | Tamaño | Formato | Ver | Descripción |
---|---|---|---|---|
doi.org10.11111756-185X.14173.pdf | 786.7Kb | [PDF] | Ver/ | |
Este registro aparece en las siguientes colecciones
Este documento está protegido por los derechos de propiedad intelectual e industrial. Sin perjuicio de las exenciones legales existentes, queda prohibida su reproducción, distribución, comunicación pública o transformación sin la autorización del titular de los derechos, a menos que se indique lo contrario.