Description

Sieper et al reported new criteria for the diagnosis of inflammatory back pain (IBP). This can help to identify a patient with chronic back pain who may have axial spondyloarthritis. The authors are members of the Assessment in SpondylArthritis international Society (ASAS).


 

Patient selection: chronic back pain (> 3 months)

 

Parameters:

(1) age at onset

(2) manner of onset

(3) improvement with exercise

(4) improvement with rest

(5) pain at night

 

Parameter

Finding

Points

age at onset

< 40 years

1

 

>= 40 years

0

manner of onset

insidious

1

 

not insidious (acute, other)

0

improvement with exercise

no

0

 

yes

1

improvement with rest

no

1

 

yes

0

pain at night

no

0

 

yes (with improvement on getting up)

1

 

total score =

= SUM(points for all 5 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 5

• A score >= 4 was associated with the presence of inflammatory back pain.

 

Performance:

• A score >= 4 was 77% sensitive and 92% specific for IBP in the initial set of workshop patients but a lower specificity (72%) in a validation cohort..

 


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