Inflammatory back pain:a concept, not a diagnosis

Coath, Fiona Louise and Gaffney, Karl (2021) Inflammatory back pain:a concept, not a diagnosis. Current Opinion in Rheumatology, 33 (4). pp. 319-325. ISSN 1040-8711

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Abstract

PURPOSE OF REVIEW: The concept of inflammatory back pain (IBP) describes a cohort of patients with chronic back pain (CBP) who have distinct clinical characteristics, rather than being a diagnosis in and of itself. IBP is a common and important feature of axial spondyloarthritis (axSpA) but this is not the only differential. This review examines the utility of IBP in both primary and secondary care settings. RECENT FINDINGS: There are a number of suggested referral strategies for patients with suspected axSpA that include IBP. These strategies attempt to strike a balance between ensuring potential axSpA patients are not overlooked, whilst simultaneously not overwhelming secondary care services. Their success relies on the clinicians who first encounter these patients being familiar with IBP as a concept; however, it is still poorly recognized by many healthcare professionals. IBP may be helpful as part of a referral strategy; however, other clinical features, laboratory investigations and radiology must be incorporated for the final diagnostic outcome in axSpA. SUMMARY: Delayed diagnosis is a major clinical problem in axSpA and is associated with worse clinical outcomes. When recognized and utilized correctly, IBP can be a useful tool to promote prompt referral to rheumatology services.

Item Type: Article
Uncontrolled Keywords: rheumatology ,/dk/atira/pure/subjectarea/asjc/2700/2745
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 12 Oct 2021 01:20
Last Modified: 25 Oct 2021 00:40
URI: https://ueaeprints.uea.ac.uk/id/eprint/81651
DOI: 10.1097/BOR.0000000000000807

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