Research ArticleArticle
Advancing Early Identification of Axial Spondyloarthritis: An Interobserver Comparison of Extended Role Practitioners and Rheumatologists
Laura Passalent, Christopher Hawke, Daeria O. Lawson, Ahmed Omar, Khalid A. Alnaqbi, Dinny Wallis, Hillary Steinhart, Mark Silverberg, Stephen Wolman, Larissa Derzko-Dzulynsky, Nigil Haroon and Robert D. Inman
The Journal of Rheumatology May 2019, jrheum.180787; DOI: https://doi.org/10.3899/jrheum.180787
Laura Passalent
From the Spondylitis Program, Toronto Western Hospital; and Faculty of Medicine, University of Toronto, Krembil Research Institute, Toronto, Ontario, Canada. Supported by a research grant from the Canadian Initiative for Outcomes in Rheumatology cAre (CIORA). L. Passalent, MHSc, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; C. Hawke, BSc Hons (PT), Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; D.O. Lawson, HBSc, Spondylitis Program, Toronto Western Hospital; A. Omar, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; K.A. Alnaqbi, MD, Rheumatology Division, Al Ain Hospital, United Arab Emirates; D. Wallis, MD, University Hospital Southampton, Southampton, UK; H. Steinhart, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; M. Silverberg, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; S. Wolman, MD, Faculty of Medicine, University of Toronto, Toronto General Hospital, Toronto; L. Derzko-Dzulynsky, MD, Faculty of Medicine, University of Toronto, St. Michael’s Hospital, Toronto; N. Haroon, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; R.D. Inman, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute. Address correspondence to L. Passalent, Toronto Western Hospital, Spondylitis Program, East Wing 2-412A, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada. E-mail: laura.passalent@uhn.ca Accepted for publication April 9, 2019.
Christopher Hawke
From the Spondylitis Program, Toronto Western Hospital; and Faculty of Medicine, University of Toronto, Krembil Research Institute, Toronto, Ontario, Canada. Supported by a research grant from the Canadian Initiative for Outcomes in Rheumatology cAre (CIORA). L. Passalent, MHSc, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; C. Hawke, BSc Hons (PT), Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; D.O. Lawson, HBSc, Spondylitis Program, Toronto Western Hospital; A. Omar, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; K.A. Alnaqbi, MD, Rheumatology Division, Al Ain Hospital, United Arab Emirates; D. Wallis, MD, University Hospital Southampton, Southampton, UK; H. Steinhart, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; M. Silverberg, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; S. Wolman, MD, Faculty of Medicine, University of Toronto, Toronto General Hospital, Toronto; L. Derzko-Dzulynsky, MD, Faculty of Medicine, University of Toronto, St. Michael’s Hospital, Toronto; N. Haroon, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; R.D. Inman, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute. Address correspondence to L. Passalent, Toronto Western Hospital, Spondylitis Program, East Wing 2-412A, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada. E-mail: laura.passalent@uhn.ca Accepted for publication April 9, 2019.
Daeria O. Lawson
From the Spondylitis Program, Toronto Western Hospital; and Faculty of Medicine, University of Toronto, Krembil Research Institute, Toronto, Ontario, Canada. Supported by a research grant from the Canadian Initiative for Outcomes in Rheumatology cAre (CIORA). L. Passalent, MHSc, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; C. Hawke, BSc Hons (PT), Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; D.O. Lawson, HBSc, Spondylitis Program, Toronto Western Hospital; A. Omar, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; K.A. Alnaqbi, MD, Rheumatology Division, Al Ain Hospital, United Arab Emirates; D. Wallis, MD, University Hospital Southampton, Southampton, UK; H. Steinhart, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; M. Silverberg, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; S. Wolman, MD, Faculty of Medicine, University of Toronto, Toronto General Hospital, Toronto; L. Derzko-Dzulynsky, MD, Faculty of Medicine, University of Toronto, St. Michael’s Hospital, Toronto; N. Haroon, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; R.D. Inman, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute. Address correspondence to L. Passalent, Toronto Western Hospital, Spondylitis Program, East Wing 2-412A, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada. E-mail: laura.passalent@uhn.ca Accepted for publication April 9, 2019.
Ahmed Omar
From the Spondylitis Program, Toronto Western Hospital; and Faculty of Medicine, University of Toronto, Krembil Research Institute, Toronto, Ontario, Canada. Supported by a research grant from the Canadian Initiative for Outcomes in Rheumatology cAre (CIORA). L. Passalent, MHSc, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; C. Hawke, BSc Hons (PT), Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; D.O. Lawson, HBSc, Spondylitis Program, Toronto Western Hospital; A. Omar, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; K.A. Alnaqbi, MD, Rheumatology Division, Al Ain Hospital, United Arab Emirates; D. Wallis, MD, University Hospital Southampton, Southampton, UK; H. Steinhart, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; M. Silverberg, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; S. Wolman, MD, Faculty of Medicine, University of Toronto, Toronto General Hospital, Toronto; L. Derzko-Dzulynsky, MD, Faculty of Medicine, University of Toronto, St. Michael’s Hospital, Toronto; N. Haroon, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; R.D. Inman, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute. Address correspondence to L. Passalent, Toronto Western Hospital, Spondylitis Program, East Wing 2-412A, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada. E-mail: laura.passalent@uhn.ca Accepted for publication April 9, 2019.
Khalid A. Alnaqbi
From the Spondylitis Program, Toronto Western Hospital; and Faculty of Medicine, University of Toronto, Krembil Research Institute, Toronto, Ontario, Canada. Supported by a research grant from the Canadian Initiative for Outcomes in Rheumatology cAre (CIORA). L. Passalent, MHSc, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; C. Hawke, BSc Hons (PT), Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; D.O. Lawson, HBSc, Spondylitis Program, Toronto Western Hospital; A. Omar, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; K.A. Alnaqbi, MD, Rheumatology Division, Al Ain Hospital, United Arab Emirates; D. Wallis, MD, University Hospital Southampton, Southampton, UK; H. Steinhart, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; M. Silverberg, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; S. Wolman, MD, Faculty of Medicine, University of Toronto, Toronto General Hospital, Toronto; L. Derzko-Dzulynsky, MD, Faculty of Medicine, University of Toronto, St. Michael’s Hospital, Toronto; N. Haroon, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; R.D. Inman, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute. Address correspondence to L. Passalent, Toronto Western Hospital, Spondylitis Program, East Wing 2-412A, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada. E-mail: laura.passalent@uhn.ca Accepted for publication April 9, 2019.
Dinny Wallis
From the Spondylitis Program, Toronto Western Hospital; and Faculty of Medicine, University of Toronto, Krembil Research Institute, Toronto, Ontario, Canada. Supported by a research grant from the Canadian Initiative for Outcomes in Rheumatology cAre (CIORA). L. Passalent, MHSc, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; C. Hawke, BSc Hons (PT), Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; D.O. Lawson, HBSc, Spondylitis Program, Toronto Western Hospital; A. Omar, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; K.A. Alnaqbi, MD, Rheumatology Division, Al Ain Hospital, United Arab Emirates; D. Wallis, MD, University Hospital Southampton, Southampton, UK; H. Steinhart, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; M. Silverberg, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; S. Wolman, MD, Faculty of Medicine, University of Toronto, Toronto General Hospital, Toronto; L. Derzko-Dzulynsky, MD, Faculty of Medicine, University of Toronto, St. Michael’s Hospital, Toronto; N. Haroon, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; R.D. Inman, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute. Address correspondence to L. Passalent, Toronto Western Hospital, Spondylitis Program, East Wing 2-412A, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada. E-mail: laura.passalent@uhn.ca Accepted for publication April 9, 2019.
Hillary Steinhart
From the Spondylitis Program, Toronto Western Hospital; and Faculty of Medicine, University of Toronto, Krembil Research Institute, Toronto, Ontario, Canada. Supported by a research grant from the Canadian Initiative for Outcomes in Rheumatology cAre (CIORA). L. Passalent, MHSc, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; C. Hawke, BSc Hons (PT), Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; D.O. Lawson, HBSc, Spondylitis Program, Toronto Western Hospital; A. Omar, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; K.A. Alnaqbi, MD, Rheumatology Division, Al Ain Hospital, United Arab Emirates; D. Wallis, MD, University Hospital Southampton, Southampton, UK; H. Steinhart, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; M. Silverberg, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; S. Wolman, MD, Faculty of Medicine, University of Toronto, Toronto General Hospital, Toronto; L. Derzko-Dzulynsky, MD, Faculty of Medicine, University of Toronto, St. Michael’s Hospital, Toronto; N. Haroon, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; R.D. Inman, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute. Address correspondence to L. Passalent, Toronto Western Hospital, Spondylitis Program, East Wing 2-412A, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada. E-mail: laura.passalent@uhn.ca Accepted for publication April 9, 2019.
Mark Silverberg
From the Spondylitis Program, Toronto Western Hospital; and Faculty of Medicine, University of Toronto, Krembil Research Institute, Toronto, Ontario, Canada. Supported by a research grant from the Canadian Initiative for Outcomes in Rheumatology cAre (CIORA). L. Passalent, MHSc, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; C. Hawke, BSc Hons (PT), Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; D.O. Lawson, HBSc, Spondylitis Program, Toronto Western Hospital; A. Omar, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; K.A. Alnaqbi, MD, Rheumatology Division, Al Ain Hospital, United Arab Emirates; D. Wallis, MD, University Hospital Southampton, Southampton, UK; H. Steinhart, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; M. Silverberg, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; S. Wolman, MD, Faculty of Medicine, University of Toronto, Toronto General Hospital, Toronto; L. Derzko-Dzulynsky, MD, Faculty of Medicine, University of Toronto, St. Michael’s Hospital, Toronto; N. Haroon, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; R.D. Inman, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute. Address correspondence to L. Passalent, Toronto Western Hospital, Spondylitis Program, East Wing 2-412A, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada. E-mail: laura.passalent@uhn.ca Accepted for publication April 9, 2019.
Stephen Wolman
From the Spondylitis Program, Toronto Western Hospital; and Faculty of Medicine, University of Toronto, Krembil Research Institute, Toronto, Ontario, Canada. Supported by a research grant from the Canadian Initiative for Outcomes in Rheumatology cAre (CIORA). L. Passalent, MHSc, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; C. Hawke, BSc Hons (PT), Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; D.O. Lawson, HBSc, Spondylitis Program, Toronto Western Hospital; A. Omar, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; K.A. Alnaqbi, MD, Rheumatology Division, Al Ain Hospital, United Arab Emirates; D. Wallis, MD, University Hospital Southampton, Southampton, UK; H. Steinhart, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; M. Silverberg, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; S. Wolman, MD, Faculty of Medicine, University of Toronto, Toronto General Hospital, Toronto; L. Derzko-Dzulynsky, MD, Faculty of Medicine, University of Toronto, St. Michael’s Hospital, Toronto; N. Haroon, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; R.D. Inman, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute. Address correspondence to L. Passalent, Toronto Western Hospital, Spondylitis Program, East Wing 2-412A, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada. E-mail: laura.passalent@uhn.ca Accepted for publication April 9, 2019.
Larissa Derzko-Dzulynsky
From the Spondylitis Program, Toronto Western Hospital; and Faculty of Medicine, University of Toronto, Krembil Research Institute, Toronto, Ontario, Canada. Supported by a research grant from the Canadian Initiative for Outcomes in Rheumatology cAre (CIORA). L. Passalent, MHSc, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; C. Hawke, BSc Hons (PT), Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; D.O. Lawson, HBSc, Spondylitis Program, Toronto Western Hospital; A. Omar, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; K.A. Alnaqbi, MD, Rheumatology Division, Al Ain Hospital, United Arab Emirates; D. Wallis, MD, University Hospital Southampton, Southampton, UK; H. Steinhart, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; M. Silverberg, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; S. Wolman, MD, Faculty of Medicine, University of Toronto, Toronto General Hospital, Toronto; L. Derzko-Dzulynsky, MD, Faculty of Medicine, University of Toronto, St. Michael’s Hospital, Toronto; N. Haroon, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; R.D. Inman, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute. Address correspondence to L. Passalent, Toronto Western Hospital, Spondylitis Program, East Wing 2-412A, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada. E-mail: laura.passalent@uhn.ca Accepted for publication April 9, 2019.
Nigil Haroon
From the Spondylitis Program, Toronto Western Hospital; and Faculty of Medicine, University of Toronto, Krembil Research Institute, Toronto, Ontario, Canada. Supported by a research grant from the Canadian Initiative for Outcomes in Rheumatology cAre (CIORA). L. Passalent, MHSc, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; C. Hawke, BSc Hons (PT), Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; D.O. Lawson, HBSc, Spondylitis Program, Toronto Western Hospital; A. Omar, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; K.A. Alnaqbi, MD, Rheumatology Division, Al Ain Hospital, United Arab Emirates; D. Wallis, MD, University Hospital Southampton, Southampton, UK; H. Steinhart, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; M. Silverberg, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; S. Wolman, MD, Faculty of Medicine, University of Toronto, Toronto General Hospital, Toronto; L. Derzko-Dzulynsky, MD, Faculty of Medicine, University of Toronto, St. Michael’s Hospital, Toronto; N. Haroon, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; R.D. Inman, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute. Address correspondence to L. Passalent, Toronto Western Hospital, Spondylitis Program, East Wing 2-412A, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada. E-mail: laura.passalent@uhn.ca Accepted for publication April 9, 2019.
Robert D. Inman
From the Spondylitis Program, Toronto Western Hospital; and Faculty of Medicine, University of Toronto, Krembil Research Institute, Toronto, Ontario, Canada. Supported by a research grant from the Canadian Initiative for Outcomes in Rheumatology cAre (CIORA). L. Passalent, MHSc, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; C. Hawke, BSc Hons (PT), Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; D.O. Lawson, HBSc, Spondylitis Program, Toronto Western Hospital; A. Omar, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto; K.A. Alnaqbi, MD, Rheumatology Division, Al Ain Hospital, United Arab Emirates; D. Wallis, MD, University Hospital Southampton, Southampton, UK; H. Steinhart, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; M. Silverberg, MD, Faculty of Medicine, University of Toronto, Mount Sinai Hospital, Toronto; S. Wolman, MD, Faculty of Medicine, University of Toronto, Toronto General Hospital, Toronto; L. Derzko-Dzulynsky, MD, Faculty of Medicine, University of Toronto, St. Michael’s Hospital, Toronto; N. Haroon, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute; R.D. Inman, MD, Spondylitis Program, Toronto Western Hospital, Faculty of Medicine, University of Toronto, Krembil Research Institute. Address correspondence to L. Passalent, Toronto Western Hospital, Spondylitis Program, East Wing 2-412A, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada. E-mail: laura.passalent@uhn.ca Accepted for publication April 9, 2019.
In this issue
The Journal of Rheumatology
Vol. 51, Issue 3
1 Mar 2024
Advancing Early Identification of Axial Spondyloarthritis: An Interobserver Comparison of Extended Role Practitioners and Rheumatologists
Laura Passalent, Christopher Hawke, Daeria O. Lawson, Ahmed Omar, Khalid A. Alnaqbi, Dinny Wallis, Hillary Steinhart, Mark Silverberg, Stephen Wolman, Larissa Derzko-Dzulynsky, Nigil Haroon, Robert D. Inman
The Journal of Rheumatology May 2019, jrheum.180787; DOI: 10.3899/jrheum.180787
Advancing Early Identification of Axial Spondyloarthritis: An Interobserver Comparison of Extended Role Practitioners and Rheumatologists
Laura Passalent, Christopher Hawke, Daeria O. Lawson, Ahmed Omar, Khalid A. Alnaqbi, Dinny Wallis, Hillary Steinhart, Mark Silverberg, Stephen Wolman, Larissa Derzko-Dzulynsky, Nigil Haroon, Robert D. Inman
The Journal of Rheumatology May 2019, jrheum.180787; DOI: 10.3899/jrheum.180787