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Figure 2. Number of patients meeting the ASAS classification criteria according to clinical diagnosis made by rheumatologist.
Clinical diagnosis
AS n=169
uSpA n=230
ReA n=156
PsA n=21
IBD n=5
0 169 0
77 76 77
131 0 25
6 4 11 230
Classification
ASAS Peripheral SpA n=143
ASAS Axial SpA n=252
ASAS, Assessment of Spondyloarthritis international Society; AS, ankylosing spondylitis; uSpA, undifferentiated SpA; ReA, reactive arthritis; PsA, psoriatic arthritis; IBD, SpA associated with inflammatory bowel disease.
Figure-3 and Table-3 describe criteria overlap in two manners: Table-3 describes the concordance rates between ASAS, ESSG and Amor, as well as these rates with MRI-modified ESSG and Amor- criteria. Concordance between ASAS and ESSG is approximately 70% and between ASAS and Amor approximately 60%. Of note, the concordance rates did not increase significantly by substituting the radiologic criterion by the MRI criterion. Figure-3 starts with a clinical diagnosis of SpA. The large majority of patients with a clinical diagnosis fulfill any of the existing criteria, but there is marked heterogeneity in doing so: all combinations of criteria can be found, and there is only a small fraction of patients that classifies consistently negative.
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