Cargando…
Spondyloarthritis in inflammatory bowel disease cohorts: systematic literature review and critical appraisal of study designs
To critically appraise study designs evaluating spondyloarthritis (SpA) phenotypes in patients with inflammatory bowel disease (IBD). A systematic literature review of PubMed, Ovid, Scopus, Cinahl, Medline, Web of Science, and Cochrane databases was performed. Articles published from January 2000 -...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8772455/ https://www.ncbi.nlm.nih.gov/pubmed/35046098 http://dx.doi.org/10.1136/rmdopen-2021-001777 |
_version_ | 1784635850137534464 |
---|---|
author | Schwartzman, Monica Ermann, Joerg Kuhn, Kristine A Schwartzman, Sergio Weisman, Michael H |
author_facet | Schwartzman, Monica Ermann, Joerg Kuhn, Kristine A Schwartzman, Sergio Weisman, Michael H |
author_sort | Schwartzman, Monica |
collection | PubMed |
description | To critically appraise study designs evaluating spondyloarthritis (SpA) phenotypes in patients with inflammatory bowel disease (IBD). A systematic literature review of PubMed, Ovid, Scopus, Cinahl, Medline, Web of Science, and Cochrane databases was performed. Articles published from January 2000 - March 2020 were included if they evaluated the prevalence/incidence of musculoskeletal disease in cohorts of IBD patients. Most of the 69 included studies were clinic based (54/69, 78%), single center (47/69, 68%) and cross-sectional (60/69, 87%). The median prevalence of axial and peripheral SpA in IBD was 5% (range 1 - 46%) and 16% (range 1 - 43%), respectively. In 38 studies that evaluated axial disease in prospectively enrolled patients, inflammatory back pain was analyzed in 53%. SpA classification criteria were used in 68% and imaging was performed in 76%. In 35 studies that evaluated peripheral disease in prospectively enrolled patients, SpA classification criteria were used in 46%. A physical exam was performed in 74%, and it was performed by a rheumatologist in 54% of studies with a physical exam. Sub-phenotypes of peripheral SpA (mono- or oligo-arthritis, polyarthritis, enthesitis, dactylitis) were variably reported. Seventy-four percent of studies did not mention whether osteoarthritis and fibromyalgia had been assessed or excluded. The spectrum of SpA phenotypes in IBD patients remains incompletely characterized. Future studies should focus on standardizing the variables collected in IBD-SpA cohorts and defining musculoskeletal phenotypes in IBD-SpA in order to better characterize this disease entity and advance the field for clinical and research purposes. |
format | Online Article Text |
id | pubmed-8772455 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-87724552022-02-04 Spondyloarthritis in inflammatory bowel disease cohorts: systematic literature review and critical appraisal of study designs Schwartzman, Monica Ermann, Joerg Kuhn, Kristine A Schwartzman, Sergio Weisman, Michael H RMD Open Spondyloarthritis To critically appraise study designs evaluating spondyloarthritis (SpA) phenotypes in patients with inflammatory bowel disease (IBD). A systematic literature review of PubMed, Ovid, Scopus, Cinahl, Medline, Web of Science, and Cochrane databases was performed. Articles published from January 2000 - March 2020 were included if they evaluated the prevalence/incidence of musculoskeletal disease in cohorts of IBD patients. Most of the 69 included studies were clinic based (54/69, 78%), single center (47/69, 68%) and cross-sectional (60/69, 87%). The median prevalence of axial and peripheral SpA in IBD was 5% (range 1 - 46%) and 16% (range 1 - 43%), respectively. In 38 studies that evaluated axial disease in prospectively enrolled patients, inflammatory back pain was analyzed in 53%. SpA classification criteria were used in 68% and imaging was performed in 76%. In 35 studies that evaluated peripheral disease in prospectively enrolled patients, SpA classification criteria were used in 46%. A physical exam was performed in 74%, and it was performed by a rheumatologist in 54% of studies with a physical exam. Sub-phenotypes of peripheral SpA (mono- or oligo-arthritis, polyarthritis, enthesitis, dactylitis) were variably reported. Seventy-four percent of studies did not mention whether osteoarthritis and fibromyalgia had been assessed or excluded. The spectrum of SpA phenotypes in IBD patients remains incompletely characterized. Future studies should focus on standardizing the variables collected in IBD-SpA cohorts and defining musculoskeletal phenotypes in IBD-SpA in order to better characterize this disease entity and advance the field for clinical and research purposes. BMJ Publishing Group 2022-01-19 /pmc/articles/PMC8772455/ /pubmed/35046098 http://dx.doi.org/10.1136/rmdopen-2021-001777 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Spondyloarthritis Schwartzman, Monica Ermann, Joerg Kuhn, Kristine A Schwartzman, Sergio Weisman, Michael H Spondyloarthritis in inflammatory bowel disease cohorts: systematic literature review and critical appraisal of study designs |
title | Spondyloarthritis in inflammatory bowel disease cohorts: systematic literature review and critical appraisal of study designs |
title_full | Spondyloarthritis in inflammatory bowel disease cohorts: systematic literature review and critical appraisal of study designs |
title_fullStr | Spondyloarthritis in inflammatory bowel disease cohorts: systematic literature review and critical appraisal of study designs |
title_full_unstemmed | Spondyloarthritis in inflammatory bowel disease cohorts: systematic literature review and critical appraisal of study designs |
title_short | Spondyloarthritis in inflammatory bowel disease cohorts: systematic literature review and critical appraisal of study designs |
title_sort | spondyloarthritis in inflammatory bowel disease cohorts: systematic literature review and critical appraisal of study designs |
topic | Spondyloarthritis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8772455/ https://www.ncbi.nlm.nih.gov/pubmed/35046098 http://dx.doi.org/10.1136/rmdopen-2021-001777 |
work_keys_str_mv | AT schwartzmanmonica spondyloarthritisininflammatoryboweldiseasecohortssystematicliteraturereviewandcriticalappraisalofstudydesigns AT ermannjoerg spondyloarthritisininflammatoryboweldiseasecohortssystematicliteraturereviewandcriticalappraisalofstudydesigns AT kuhnkristinea spondyloarthritisininflammatoryboweldiseasecohortssystematicliteraturereviewandcriticalappraisalofstudydesigns AT schwartzmansergio spondyloarthritisininflammatoryboweldiseasecohortssystematicliteraturereviewandcriticalappraisalofstudydesigns AT weismanmichaelh spondyloarthritisininflammatoryboweldiseasecohortssystematicliteraturereviewandcriticalappraisalofstudydesigns |