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Awareness of axial spondyloarthritis among chiropractors and osteopaths: findings from a UK Web-based survey

OBJECTIVE: Chiropractors and osteopaths are important professional partners in the management of axial spondyloarthritis (axSpA). In view of recent advances in diagnosis and treatment, we sought to understand their current knowledge and working practices. METHODS: A Web-based survey was advertised t...

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Autores principales: Yong, Cee Y, Hamilton, Jill, Benepal, Jatinder, Griffiths, Katie, Clark, Zoë E, Rush, Amanda, Sengupta, Raj, Martindale, Jane, Gaffney, Karl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785804/
https://www.ncbi.nlm.nih.gov/pubmed/31616854
http://dx.doi.org/10.1093/rap/rkz034
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author Yong, Cee Y
Hamilton, Jill
Benepal, Jatinder
Griffiths, Katie
Clark, Zoë E
Rush, Amanda
Sengupta, Raj
Martindale, Jane
Gaffney, Karl
author_facet Yong, Cee Y
Hamilton, Jill
Benepal, Jatinder
Griffiths, Katie
Clark, Zoë E
Rush, Amanda
Sengupta, Raj
Martindale, Jane
Gaffney, Karl
author_sort Yong, Cee Y
collection PubMed
description OBJECTIVE: Chiropractors and osteopaths are important professional partners in the management of axial spondyloarthritis (axSpA). In view of recent advances in diagnosis and treatment, we sought to understand their current knowledge and working practices. METHODS: A Web-based survey was advertised to chiropractors and osteopaths via the Royal College of Chiropractors and the Institute of Osteopathy. RESULTS: Of 382 completed responses [237 chiropractors (62%) and 145 osteopaths (38%)], all were familiar with AS, but only 63 and 25% were familiar with the terms axSpA and non-radiographic axSpA, respectively. Seventy-seven per cent were confident with inflammatory back pain. Respondents routinely asked about IBD (91%), psoriasis (81%), acute anterior uveitis (49%), peripheral arthritis (71%), genitourinary/gut infection (56%), enthesitis (30%) and dactylitis (20%). Eighty-seven per cent were aware of the association between axSpA and HLA-B27. Only 29% recognized that axSpA was common in women. Forty per cent recommend an X-ray (pelvic in 80%) and, if normal, 27% would recommend MRI of the sacroiliac joints and whole spine. Forty-four per cent were aware of biologic therapies. Forty-three per cent were confident with the process of onward referral to rheumatology via the general practitioner (GP). The principal perceived barrier to onward referral was reluctance by the GP to accept their professional opinion. CONCLUSION: Overall knowledge of ankylosing spondylitis is good, but the term axSpA is poorly understood. Specific learning needs include gender preponderance, awareness of acute anterior uveitis and the availability of biological therapies. There is lack of confidence in the onward referral process to rheumatology via the GP.
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spelling pubmed-67858042019-10-15 Awareness of axial spondyloarthritis among chiropractors and osteopaths: findings from a UK Web-based survey Yong, Cee Y Hamilton, Jill Benepal, Jatinder Griffiths, Katie Clark, Zoë E Rush, Amanda Sengupta, Raj Martindale, Jane Gaffney, Karl Rheumatol Adv Pract Original Article OBJECTIVE: Chiropractors and osteopaths are important professional partners in the management of axial spondyloarthritis (axSpA). In view of recent advances in diagnosis and treatment, we sought to understand their current knowledge and working practices. METHODS: A Web-based survey was advertised to chiropractors and osteopaths via the Royal College of Chiropractors and the Institute of Osteopathy. RESULTS: Of 382 completed responses [237 chiropractors (62%) and 145 osteopaths (38%)], all were familiar with AS, but only 63 and 25% were familiar with the terms axSpA and non-radiographic axSpA, respectively. Seventy-seven per cent were confident with inflammatory back pain. Respondents routinely asked about IBD (91%), psoriasis (81%), acute anterior uveitis (49%), peripheral arthritis (71%), genitourinary/gut infection (56%), enthesitis (30%) and dactylitis (20%). Eighty-seven per cent were aware of the association between axSpA and HLA-B27. Only 29% recognized that axSpA was common in women. Forty per cent recommend an X-ray (pelvic in 80%) and, if normal, 27% would recommend MRI of the sacroiliac joints and whole spine. Forty-four per cent were aware of biologic therapies. Forty-three per cent were confident with the process of onward referral to rheumatology via the general practitioner (GP). The principal perceived barrier to onward referral was reluctance by the GP to accept their professional opinion. CONCLUSION: Overall knowledge of ankylosing spondylitis is good, but the term axSpA is poorly understood. Specific learning needs include gender preponderance, awareness of acute anterior uveitis and the availability of biological therapies. There is lack of confidence in the onward referral process to rheumatology via the GP. Oxford University Press 2019-09-30 /pmc/articles/PMC6785804/ /pubmed/31616854 http://dx.doi.org/10.1093/rap/rkz034 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the British Society for Rheumatology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Original Article
Yong, Cee Y
Hamilton, Jill
Benepal, Jatinder
Griffiths, Katie
Clark, Zoë E
Rush, Amanda
Sengupta, Raj
Martindale, Jane
Gaffney, Karl
Awareness of axial spondyloarthritis among chiropractors and osteopaths: findings from a UK Web-based survey
title Awareness of axial spondyloarthritis among chiropractors and osteopaths: findings from a UK Web-based survey
title_full Awareness of axial spondyloarthritis among chiropractors and osteopaths: findings from a UK Web-based survey
title_fullStr Awareness of axial spondyloarthritis among chiropractors and osteopaths: findings from a UK Web-based survey
title_full_unstemmed Awareness of axial spondyloarthritis among chiropractors and osteopaths: findings from a UK Web-based survey
title_short Awareness of axial spondyloarthritis among chiropractors and osteopaths: findings from a UK Web-based survey
title_sort awareness of axial spondyloarthritis among chiropractors and osteopaths: findings from a uk web-based survey
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785804/
https://www.ncbi.nlm.nih.gov/pubmed/31616854
http://dx.doi.org/10.1093/rap/rkz034
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