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Review ArticleArticle

Determinants of Early Radiographic Progression in Ankylosing Spondylitis

PAMIR ATAGUNDUZ, SIBEL ZEHRA AYDIN, CENGIZ BAHADIR, BURAK ERER and HANER DIRESKENELI
The Journal of Rheumatology November 2010, 37 (11) 2356-2361; DOI: https://doi.org/10.3899/jrheum.100094
PAMIR ATAGUNDUZ
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  • For correspondence: pamiratagunduz@yahoo.com
SIBEL ZEHRA AYDIN
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CENGIZ BAHADIR
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BURAK ERER
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HANER DIRESKENELI
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Article Figures & Data

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    Table 1.

    Demographic and clinical features of study patients with AS.

    FeaturesWhole GroupWomenMenp
    No. (%)235 (100)96 (41)139 (59)
    Mean age, yrs, ± SD39.1 ± 11.241.8 ± 11.437.2 ± 10.70.75
    Mean age at onset, yrs, ± SD27.1 ± 9.829.7 ± 10.225.1 ± 9.00.87
    Mean disease duration, yrs, ± SD12.4 ± 9.312.14 ± 9.012.14 ± 9.50.94
    Delay in diagnosis, yrs, ± SD6.7 ± 7.47.4 ± 7.96.2 ± 7.10.78
    HLA-B27, %70.263.375.50.05
    Peripheral arthritis, %42.153.330.90.001
    Enthesitis, %50.664.836.40.001
    Hip involvement, %51.052.050.00.65
    Uveitis, %23.426.220.60.09
    Early axial ankylosing, %26.415.034.80.001
    • View popup
    Table 2.

    Demographic and clinical features of AS patients according to radiographic progression.

    FeaturesSlow ProgressionRapid Progressionp
    No. women/men85/8815/470.001
    Mean age, yrs, ± SD37.5 ± 11.044.0 ± 9.40.07
    Mean age at onset, yrs, ± SD27.2 ± 9.727.5 ± 9.90.36
    Mean disease duration, yrs, ± SD10.6 ± 8.512.8 ± 8.70.09
    Delay in diagnosis, yrs, ± SD6.4 ± 7.17.8 ± 7.10.08
    HLA-B27, %63860.005
    Peripheral arthritis, %47210.001
    Enthesitis, %54240.001
    Hip involvement, %53460.35
    Uveitis, %20280.26
    • View popup
    Table 3.

    Factors associated with axial ankylosis in patients with AS.

    VariablesMean BASRI-lumbar Score
    Whole GrouppMen with ASpWomen with ASp
    Women0.97 ± 0.14—0.97 ± 0.14
    Men1.77 ± 0.11< 0.00011.77 ± 0.11—
    HLA-B27-positive1.58 ± 0.121.83 ± 0.161.10 ± 0.18
    HLA-B27-negative0.85 ± 0.180.0020.81 ± 0.320.0060.90 ± 0.200.47
    Peripheral arthritis
      Present0.93 ± 0.141.21 ± 0.220.68 ± 0.16
      Absent1.78 ± 0.11< 0.00012.04 ± 0.150.0031.30 ± 0.160.011
    Enthesitis
      Present1.02 ± 0.181.42 ± 0.300.74 ± 0.19
      Absent1.72 ± 0.170.0071.98 ± 0.210.130.98 ± 0.260.47
    Uveitis
      Present1.57 ± 0.212.21 ± 0.331.00 ± 0.25
      Absent1.41 ± 0.110.531.68 ± 0.150.151.00 ± 0.150.96
    Hip involvement
      Present1.36 ± 0.131.60 ± 0.191.00 ± 0.16
      Absent1.55 ± 0.130.331.96 ± 0.180.180.93 ± 0.180.65
    • View popup
    Table 4.

    Logistic regression analysis of early axial ankylosis.

    Characteristicß EstimateSEp95% CI
    Estimate in patients with AS*
      Sex0.790.410.051.10–4.90
      HLA-B271.050.500.031.06–7.76
      Absence of peripheral arthritis1.160.420.0070.13–0.72
      Uveitis0.670.420.110.85–4.49
      Hip involvement−0.340.380.370.33–1.50
      Constant−1.470.27< 0.0001
    In men with AS**
      HLA-B271.690.800.031.12–26.71
      Absence of peripheral arthritis1.010.530.050.12–0.90
      Uveitis1.040.540.051.02–8.32
      Hip involvement−0.200.470.960.38–0.50
      Constant−1.160.430.005
    In women with AS***
      HLA-B270.630.710.370.46–7.55
      Absence of peripheral arthritis1.420.760.050.05–1.02
      Uveitis0.280.730.700.31–3.60
      Hip involvement−0.910.700.190.10–1.58
      Constant−1.940.40< 0.0001
    • ↵* Overall predictive value is 77.4%.

    • ↵** Overall predictive value is 71.4%.

    • ↵*** Overall predictive value is 84.4%.

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1 Nov 2010
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Determinants of Early Radiographic Progression in Ankylosing Spondylitis
PAMIR ATAGUNDUZ, SIBEL ZEHRA AYDIN, CENGIZ BAHADIR, BURAK ERER, HANER DIRESKENELI
The Journal of Rheumatology Nov 2010, 37 (11) 2356-2361; DOI: 10.3899/jrheum.100094

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Determinants of Early Radiographic Progression in Ankylosing Spondylitis
PAMIR ATAGUNDUZ, SIBEL ZEHRA AYDIN, CENGIZ BAHADIR, BURAK ERER, HANER DIRESKENELI
The Journal of Rheumatology Nov 2010, 37 (11) 2356-2361; DOI: 10.3899/jrheum.100094
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