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The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective

Received: 24 September 2020     Accepted: 15 October 2020     Published: 30 October 2020
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Abstract

Background & Objective: The lag time of diagnosis of axial spondyloarthrits varies from country to country. The aim of this study was to find out the lag time of diagnosis of axial spondyloarthritis in Bangladesh based on the patients visiting the morning Rheumatology OPD of a tertiary-care hospital. Materials & Methods: This study was conducted in the Department of Rheumatology of Enam Medical College & Hospital, Savar, Dhaka, Bangladesh from October, 2018 to December, 2019. Ninety six patients with axial spondyloarthritis were recruited and they were enquired about their ages, places of residence, educational qualifications and duration of axial pain as well as peripheral pain. The participants also underwent estimation of ESR by Westergren method. Results: Mean age of the participants was 39.98 years. The mean and median lag times of diagnosis were 58.17 and 36 months respectively. The lag time of diagnosis followed a nonnormal (right-skewed) distribution. There was no significant difference between males and females (p≈0.921), between rural and urban participants (p≈0.221), between those with and without peripheral involvement (p≈0.387) as well as between those with and without elevated ESR according to Mann-Whitney U test. But the median lag time in those who were highly educated, ie. those who completed at least a bachelor degree was significantly (p≈0.016) shorter than that in those who were not highly educated. Conclusion: There is a considerable median delay in the diagnosis of axial spondyloarthritis in Bangladesh. Further research is required to identify the factors contributing to the delay so that those can be addressed to shorten the lag time.

Published in American Journal of Internal Medicine (Volume 8, Issue 6)
DOI 10.11648/j.ajim.20200806.12
Page(s) 254-257
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Axial Spondyloarthritis, Lag Time, Diagnosis, Bangladesh

References
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[3] Zeidler H, Amor B. The Assessment in Spondyloarthritis International Society (ASAS) classification criteria for peripheral spondyloarthritis and for spondyloarthritis in general: the spondyloarthritis concept in progress. Ann Rheum Dis 2011; 70: 1.
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[9] Sieper J, van der Heijde D, Dougados M et al. Efficacy and safety of adalimumab in patients with non-radiographic axial spondyloarthritis: results of a randomised placebocontrolled trial (ABILITY-1). Ann Rheum Dis 2013; 72: 81522.
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[16] van der Heide I, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters E. The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey. Journal of health communication. 2013 Dec 4; 18 (sup 1): 172-84.
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  • APA Style

    Abu Tahir Muhammad Tanveer Hasan, Muhammad Abdul Alim. (2020). The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective. American Journal of Internal Medicine, 8(6), 254-257. https://doi.org/10.11648/j.ajim.20200806.12

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    ACS Style

    Abu Tahir Muhammad Tanveer Hasan; Muhammad Abdul Alim. The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective. Am. J. Intern. Med. 2020, 8(6), 254-257. doi: 10.11648/j.ajim.20200806.12

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    AMA Style

    Abu Tahir Muhammad Tanveer Hasan, Muhammad Abdul Alim. The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective. Am J Intern Med. 2020;8(6):254-257. doi: 10.11648/j.ajim.20200806.12

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  • @article{10.11648/j.ajim.20200806.12,
      author = {Abu Tahir Muhammad Tanveer Hasan and Muhammad Abdul Alim},
      title = {The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective},
      journal = {American Journal of Internal Medicine},
      volume = {8},
      number = {6},
      pages = {254-257},
      doi = {10.11648/j.ajim.20200806.12},
      url = {https://doi.org/10.11648/j.ajim.20200806.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20200806.12},
      abstract = {Background & Objective: The lag time of diagnosis of axial spondyloarthrits varies from country to country. The aim of this study was to find out the lag time of diagnosis of axial spondyloarthritis in Bangladesh based on the patients visiting the morning Rheumatology OPD of a tertiary-care hospital. Materials & Methods: This study was conducted in the Department of Rheumatology of Enam Medical College & Hospital, Savar, Dhaka, Bangladesh from October, 2018 to December, 2019. Ninety six patients with axial spondyloarthritis were recruited and they were enquired about their ages, places of residence, educational qualifications and duration of axial pain as well as peripheral pain. The participants also underwent estimation of ESR by Westergren method. Results: Mean age of the participants was 39.98 years. The mean and median lag times of diagnosis were 58.17 and 36 months respectively. The lag time of diagnosis followed a nonnormal (right-skewed) distribution. There was no significant difference between males and females (p≈0.921), between rural and urban participants (p≈0.221), between those with and without peripheral involvement (p≈0.387) as well as between those with and without elevated ESR according to Mann-Whitney U test. But the median lag time in those who were highly educated, ie. those who completed at least a bachelor degree was significantly (p≈0.016) shorter than that in those who were not highly educated. Conclusion: There is a considerable median delay in the diagnosis of axial spondyloarthritis in Bangladesh. Further research is required to identify the factors contributing to the delay so that those can be addressed to shorten the lag time.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective
    AU  - Abu Tahir Muhammad Tanveer Hasan
    AU  - Muhammad Abdul Alim
    Y1  - 2020/10/30
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajim.20200806.12
    DO  - 10.11648/j.ajim.20200806.12
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
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    EP  - 257
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    UR  - https://doi.org/10.11648/j.ajim.20200806.12
    AB  - Background & Objective: The lag time of diagnosis of axial spondyloarthrits varies from country to country. The aim of this study was to find out the lag time of diagnosis of axial spondyloarthritis in Bangladesh based on the patients visiting the morning Rheumatology OPD of a tertiary-care hospital. Materials & Methods: This study was conducted in the Department of Rheumatology of Enam Medical College & Hospital, Savar, Dhaka, Bangladesh from October, 2018 to December, 2019. Ninety six patients with axial spondyloarthritis were recruited and they were enquired about their ages, places of residence, educational qualifications and duration of axial pain as well as peripheral pain. The participants also underwent estimation of ESR by Westergren method. Results: Mean age of the participants was 39.98 years. The mean and median lag times of diagnosis were 58.17 and 36 months respectively. The lag time of diagnosis followed a nonnormal (right-skewed) distribution. There was no significant difference between males and females (p≈0.921), between rural and urban participants (p≈0.221), between those with and without peripheral involvement (p≈0.387) as well as between those with and without elevated ESR according to Mann-Whitney U test. But the median lag time in those who were highly educated, ie. those who completed at least a bachelor degree was significantly (p≈0.016) shorter than that in those who were not highly educated. Conclusion: There is a considerable median delay in the diagnosis of axial spondyloarthritis in Bangladesh. Further research is required to identify the factors contributing to the delay so that those can be addressed to shorten the lag time.
    VL  - 8
    IS  - 6
    ER  - 

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Author Information
  • Department of Rheumatology, Enam Medical College & Hospital, Dhaka, Bangladesh

  • Department of Medicine, MH Samorita Hospital and Medical College, Dhaka, Bangladesh

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