Diagnostic delay in axial spondylarthritis:A lost battle?

Barnett, Rosemarie, Gaffney, Karl ORCID: https://orcid.org/0000-0002-7863-9176 and Sengupta, Raj (2023) Diagnostic delay in axial spondylarthritis:A lost battle? Best Practice and Research: Clinical Rheumatology, 37 (3). ISSN 1521-6942

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Abstract

Diagnostic delay in axial spondylarthritis (axSpA) remains an unacceptable worldwide problem; with evidence suggesting significant detrimental impact both clinically on the individual, and economically on society. There is therefore, a need for global action across various healthcare professions that come into contact with patients living, and suffering, with undiagnosed axSpA. Recent estimates of the median diagnostic delay suggest that globally, individuals with axSpA wait between 2 and 6 years for a diagnosis – revealing a clear benchmark for improvement. This timespan presents a window of opportunity for earlier diagnosis and intervention, which will likely improve patient outcomes. This review describes the current diagnostic delay as estimated across countries and over time, before presenting evidence from published strategies that may be implemented to improve this delay across primary and secondary care, including for specialties treating extra-musculoskeletal manifestations of axSpA (ophthalmology, gastroenterology, dermatology). Ongoing campaigns tackling delayed diagnosis in axSpA are also highlighted.

Item Type: Article
Additional Information: Funding Information: We would like to thank Shreena Patel, Department of Psychology, University of Bath, for her assistance in the screening of relevant publications after conducting the targeted PubMed literature search. Publisher Copyright: © 2023 The Authors
Uncontrolled Keywords: axial spondyloarthritis,diagnosis,early referral,healthcare professional education,quality improvement,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: 02 Dec 2023 03:34
Last Modified: 03 Jan 2024 03:18
URI: https://ueaeprints.uea.ac.uk/id/eprint/93852
DOI: 10.1016/j.berh.2023.101870

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