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Spondyloarthritis Research Consortium of Canada (SPARCC) enthesitis index in turkish patients with ankylosing spondylitis: Relationship with disease activity and quality of life

Aim The aim of this study was to investigate the relationship between Spondyloarthritis Research Consortium of Canada (SPARCC) enthesitis index and disease activity and health‐related quality of life in patients with ankylosing spondylitis (AS). Methods Eighty‐six AS patients not receiving antitumou...

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Published in:International journal of rheumatic diseases 2014-02, Vol.17 (2), p.173-180
Main Authors: Zahiroglu, Yeliz, Ulus, Yasemin, Akyol, Yesim, Tander, Berna, Durmus, Dilek, Bilgici, Ayhan, Kuru, Omer
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container_title International journal of rheumatic diseases
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creator Zahiroglu, Yeliz
Ulus, Yasemin
Akyol, Yesim
Tander, Berna
Durmus, Dilek
Bilgici, Ayhan
Kuru, Omer
description Aim The aim of this study was to investigate the relationship between Spondyloarthritis Research Consortium of Canada (SPARCC) enthesitis index and disease activity and health‐related quality of life in patients with ankylosing spondylitis (AS). Methods Eighty‐six AS patients not receiving antitumour necrosis factor (TNF) therapy were included in the study. Spinal pain by visual analogue scale (pain VAS rest and activity), disease activity by Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), functional capacity by Bath Ankylosing Spondylitis Functional Index (BASFI), enthesitis severity by SPARCC index, quality of life by Short Form‐36 (SF‐36), and Bath Ankylosing Spondylitis Metrology Index (BASMI) were assessed in patients. In the laboratory evaluations, the erythrocyte sedimentation rates and serum C‐reactive protein levels of the patients were determined. Results All participants were aged between 18 and 65 years, with a mean age of 36.9 ± 11.13 years. The most frequent region of enthesitis was Achilles tendon insertion into calcaneum (55.8%). Pain VAS rest and activity, BASFI and all parameters of SF‐36 were significantly different in AS patients with and without enthesitis. SPARCC index was significantly correlated with pain VAS activity (P 
doi_str_mv 10.1111/1756-185X.12067
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Methods Eighty‐six AS patients not receiving antitumour necrosis factor (TNF) therapy were included in the study. Spinal pain by visual analogue scale (pain VAS rest and activity), disease activity by Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), functional capacity by Bath Ankylosing Spondylitis Functional Index (BASFI), enthesitis severity by SPARCC index, quality of life by Short Form‐36 (SF‐36), and Bath Ankylosing Spondylitis Metrology Index (BASMI) were assessed in patients. In the laboratory evaluations, the erythrocyte sedimentation rates and serum C‐reactive protein levels of the patients were determined. Results All participants were aged between 18 and 65 years, with a mean age of 36.9 ± 11.13 years. The most frequent region of enthesitis was Achilles tendon insertion into calcaneum (55.8%). Pain VAS rest and activity, BASFI and all parameters of SF‐36 were significantly different in AS patients with and without enthesitis. SPARCC index was significantly correlated with pain VAS activity (P &lt; 0.05), pain VAS rest, BASDAI, BASFI and all parameters of SF‐36 (P &lt; 0.001). There were no correlations between SPARCC index and BASMI, disease duration and laboratory parameters (P &gt; 0.05). Conclusion The clinical assessment of enthesitis in AS is an important outcome measure, and enthesitis indexes such as SPARCC enthesitis index can be valuable tools in the evaluation of disease activity in AS patients not receiving anti‐TNF therapy.</description><identifier>ISSN: 1756-1841</identifier><identifier>EISSN: 1756-185X</identifier><identifier>DOI: 10.1111/1756-185X.12067</identifier><identifier>PMID: 24576273</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; ankylosing spondylitis ; Back Pain - blood ; Back Pain - diagnosis ; Back Pain - physiopathology ; Back Pain - psychology ; Biomarkers - blood ; Blood Sedimentation ; C-Reactive Protein - analysis ; Disability Evaluation ; disease activity ; enthesitis ; Female ; Health Status ; Health Status Indicators ; Humans ; Inflammation Mediators - blood ; Male ; Middle Aged ; Pain Measurement ; Predictive Value of Tests ; Prognosis ; Quality of Life ; Severity of Illness Index ; Spondylitis, Ankylosing - blood ; Spondylitis, Ankylosing - diagnosis ; Spondylitis, Ankylosing - physiopathology ; Spondylitis, Ankylosing - psychology ; Surveys and Questionnaires ; Turkey ; Young Adult</subject><ispartof>International journal of rheumatic diseases, 2014-02, Vol.17 (2), p.173-180</ispartof><rights>2013 The Authors International Journal of Rheumatic Diseases © 2013 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd</rights><rights>2013 The Authors International Journal of Rheumatic Diseases © 2013 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd.</rights><rights>International Journal of Rheumatic Diseases © 2014 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4097-fbe1e77d8cbca3a58975790bd8d41c96fced51537ccea1eeea3f18c8b236bb603</citedby><cites>FETCH-LOGICAL-c4097-fbe1e77d8cbca3a58975790bd8d41c96fced51537ccea1eeea3f18c8b236bb603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27915,27916</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24576273$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zahiroglu, Yeliz</creatorcontrib><creatorcontrib>Ulus, Yasemin</creatorcontrib><creatorcontrib>Akyol, Yesim</creatorcontrib><creatorcontrib>Tander, Berna</creatorcontrib><creatorcontrib>Durmus, Dilek</creatorcontrib><creatorcontrib>Bilgici, Ayhan</creatorcontrib><creatorcontrib>Kuru, Omer</creatorcontrib><title>Spondyloarthritis Research Consortium of Canada (SPARCC) enthesitis index in turkish patients with ankylosing spondylitis: Relationship with disease activity and quality of life</title><title>International journal of rheumatic diseases</title><addtitle>Int J Rheum Dis</addtitle><description>Aim The aim of this study was to investigate the relationship between Spondyloarthritis Research Consortium of Canada (SPARCC) enthesitis index and disease activity and health‐related quality of life in patients with ankylosing spondylitis (AS). Methods Eighty‐six AS patients not receiving antitumour necrosis factor (TNF) therapy were included in the study. Spinal pain by visual analogue scale (pain VAS rest and activity), disease activity by Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), functional capacity by Bath Ankylosing Spondylitis Functional Index (BASFI), enthesitis severity by SPARCC index, quality of life by Short Form‐36 (SF‐36), and Bath Ankylosing Spondylitis Metrology Index (BASMI) were assessed in patients. In the laboratory evaluations, the erythrocyte sedimentation rates and serum C‐reactive protein levels of the patients were determined. Results All participants were aged between 18 and 65 years, with a mean age of 36.9 ± 11.13 years. The most frequent region of enthesitis was Achilles tendon insertion into calcaneum (55.8%). Pain VAS rest and activity, BASFI and all parameters of SF‐36 were significantly different in AS patients with and without enthesitis. SPARCC index was significantly correlated with pain VAS activity (P &lt; 0.05), pain VAS rest, BASDAI, BASFI and all parameters of SF‐36 (P &lt; 0.001). There were no correlations between SPARCC index and BASMI, disease duration and laboratory parameters (P &gt; 0.05). Conclusion The clinical assessment of enthesitis in AS is an important outcome measure, and enthesitis indexes such as SPARCC enthesitis index can be valuable tools in the evaluation of disease activity in AS patients not receiving anti‐TNF therapy.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>ankylosing spondylitis</subject><subject>Back Pain - blood</subject><subject>Back Pain - diagnosis</subject><subject>Back Pain - physiopathology</subject><subject>Back Pain - psychology</subject><subject>Biomarkers - blood</subject><subject>Blood Sedimentation</subject><subject>C-Reactive Protein - analysis</subject><subject>Disability Evaluation</subject><subject>disease activity</subject><subject>enthesitis</subject><subject>Female</subject><subject>Health Status</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Inflammation Mediators - blood</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain Measurement</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Quality of Life</subject><subject>Severity of Illness Index</subject><subject>Spondylitis, Ankylosing - blood</subject><subject>Spondylitis, Ankylosing - diagnosis</subject><subject>Spondylitis, Ankylosing - physiopathology</subject><subject>Spondylitis, Ankylosing - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Turkey</subject><subject>Young Adult</subject><issn>1756-1841</issn><issn>1756-185X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqFkU9P3DAQxaOqVaGUc2-VpV7oIWAnsZ30to0KVFoB4o_KzXLsSWM2mwTbAfZj9RvWIbCHXuqDPfL83ryRXhR9IviQhHNEOGUxyentIUkw42-i3e3P222dkZ3og3N3GDOSMv4-2kkyylnC093oz9XQd3rT9tL6xhpvHLoEB9KqBpV953rrzbhGfY1K2Ukt0cHVxeKyLL8i6HwD7llhOg1P4UZ-tCvjGjRIb0LfoUfjGyS7VTBwpvuN3Ow2qb4FozZwwaQxw0xqE6wdIKm8eTB-E6Qa3Y-yneqwQ2tq-Bi9q2XrYP_l3Ytujn9cl6fx8vzkZ7lYxirDBY_rCghwrnNVKZlKmhec8gJXOtcZUQWrFWhKaMqVAkkAQKY1yVVeJSmrKobTvehgnjvY_n4E58XaOAVtKzvoRycIxSmlmGQT-uUf9K4fbRe2m6gkD76sCNTRTCnbO2ehFoM1a2k3gmAxpSmmvMSUnXhOMyg-v8wdqzXoLf8aXwDoDDyaFjb_mycWF8vXwfGsM87D01Yn7UqELqfi19mJKK7L77enoWDpXy6BvbM</recordid><startdate>201402</startdate><enddate>201402</enddate><creator>Zahiroglu, Yeliz</creator><creator>Ulus, Yasemin</creator><creator>Akyol, Yesim</creator><creator>Tander, Berna</creator><creator>Durmus, Dilek</creator><creator>Bilgici, Ayhan</creator><creator>Kuru, Omer</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>201402</creationdate><title>Spondyloarthritis Research Consortium of Canada (SPARCC) enthesitis index in turkish patients with ankylosing spondylitis: Relationship with disease activity and quality of life</title><author>Zahiroglu, Yeliz ; Ulus, Yasemin ; Akyol, Yesim ; Tander, Berna ; Durmus, Dilek ; Bilgici, Ayhan ; Kuru, Omer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4097-fbe1e77d8cbca3a58975790bd8d41c96fced51537ccea1eeea3f18c8b236bb603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>ankylosing spondylitis</topic><topic>Back Pain - blood</topic><topic>Back Pain - diagnosis</topic><topic>Back Pain - physiopathology</topic><topic>Back Pain - psychology</topic><topic>Biomarkers - blood</topic><topic>Blood Sedimentation</topic><topic>C-Reactive Protein - analysis</topic><topic>Disability Evaluation</topic><topic>disease activity</topic><topic>enthesitis</topic><topic>Female</topic><topic>Health Status</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Inflammation Mediators - blood</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain Measurement</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Quality of Life</topic><topic>Severity of Illness Index</topic><topic>Spondylitis, Ankylosing - blood</topic><topic>Spondylitis, Ankylosing - diagnosis</topic><topic>Spondylitis, Ankylosing - physiopathology</topic><topic>Spondylitis, Ankylosing - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Turkey</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zahiroglu, Yeliz</creatorcontrib><creatorcontrib>Ulus, Yasemin</creatorcontrib><creatorcontrib>Akyol, Yesim</creatorcontrib><creatorcontrib>Tander, Berna</creatorcontrib><creatorcontrib>Durmus, Dilek</creatorcontrib><creatorcontrib>Bilgici, Ayhan</creatorcontrib><creatorcontrib>Kuru, Omer</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of rheumatic diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zahiroglu, Yeliz</au><au>Ulus, Yasemin</au><au>Akyol, Yesim</au><au>Tander, Berna</au><au>Durmus, Dilek</au><au>Bilgici, Ayhan</au><au>Kuru, Omer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spondyloarthritis Research Consortium of Canada (SPARCC) enthesitis index in turkish patients with ankylosing spondylitis: Relationship with disease activity and quality of life</atitle><jtitle>International journal of rheumatic diseases</jtitle><addtitle>Int J Rheum Dis</addtitle><date>2014-02</date><risdate>2014</risdate><volume>17</volume><issue>2</issue><spage>173</spage><epage>180</epage><pages>173-180</pages><issn>1756-1841</issn><eissn>1756-185X</eissn><abstract>Aim The aim of this study was to investigate the relationship between Spondyloarthritis Research Consortium of Canada (SPARCC) enthesitis index and disease activity and health‐related quality of life in patients with ankylosing spondylitis (AS). Methods Eighty‐six AS patients not receiving antitumour necrosis factor (TNF) therapy were included in the study. Spinal pain by visual analogue scale (pain VAS rest and activity), disease activity by Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), functional capacity by Bath Ankylosing Spondylitis Functional Index (BASFI), enthesitis severity by SPARCC index, quality of life by Short Form‐36 (SF‐36), and Bath Ankylosing Spondylitis Metrology Index (BASMI) were assessed in patients. In the laboratory evaluations, the erythrocyte sedimentation rates and serum C‐reactive protein levels of the patients were determined. Results All participants were aged between 18 and 65 years, with a mean age of 36.9 ± 11.13 years. The most frequent region of enthesitis was Achilles tendon insertion into calcaneum (55.8%). Pain VAS rest and activity, BASFI and all parameters of SF‐36 were significantly different in AS patients with and without enthesitis. SPARCC index was significantly correlated with pain VAS activity (P &lt; 0.05), pain VAS rest, BASDAI, BASFI and all parameters of SF‐36 (P &lt; 0.001). There were no correlations between SPARCC index and BASMI, disease duration and laboratory parameters (P &gt; 0.05). Conclusion The clinical assessment of enthesitis in AS is an important outcome measure, and enthesitis indexes such as SPARCC enthesitis index can be valuable tools in the evaluation of disease activity in AS patients not receiving anti‐TNF therapy.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24576273</pmid><doi>10.1111/1756-185X.12067</doi><tpages>8</tpages></addata></record>
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subjects Adolescent
Adult
Aged
ankylosing spondylitis
Back Pain - blood
Back Pain - diagnosis
Back Pain - physiopathology
Back Pain - psychology
Biomarkers - blood
Blood Sedimentation
C-Reactive Protein - analysis
Disability Evaluation
disease activity
enthesitis
Female
Health Status
Health Status Indicators
Humans
Inflammation Mediators - blood
Male
Middle Aged
Pain Measurement
Predictive Value of Tests
Prognosis
Quality of Life
Severity of Illness Index
Spondylitis, Ankylosing - blood
Spondylitis, Ankylosing - diagnosis
Spondylitis, Ankylosing - physiopathology
Spondylitis, Ankylosing - psychology
Surveys and Questionnaires
Turkey
Young Adult
title Spondyloarthritis Research Consortium of Canada (SPARCC) enthesitis index in turkish patients with ankylosing spondylitis: Relationship with disease activity and quality of life
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