masterThesis
Factores asociados al tiempo de diagnóstico de espondiloartritis axial en un centro de reumatología de Bogotá, Colombia
Autor
Vargas González, Juan Felipe
Ahcar Cabarcas, Nassin Sequi
Parada Arias, Luisa Fernanda
Institución
Resumen
Introduction: Axial spondyloarthritis is an autoinflammatory and chronic disease, which in many cases produces disability. Currently the diagnosis delay globally varies between 3 and 11 years. Early diagnosis and treatment have long-term benefits for patients and for the economy of the health care system. There are several international studies that evaluate some factors associated to the diagnosis delay but currently there are not studies in Colombian population. Objectives: To determine associated factors with the time for diagnosis of axial spondyloarthritis in a rheumatology center in Bogota, Colombia. Methods: Analytical cross-sectional study. Results: 101 patients with axial spondyloarthritis were included, 54 were women (53.5%). The median diagnosis delay was 2 years (IQR 1-7). The bivariate analysis showed that the factors associated with a longer diagnosis delay were a younger age of onset (p value 0.042) and previous lumbar degenerative disc disease diagnosis (p value 0.029). Data was divided into two groups according to the median of the diagnosis delay in order to perform a logistical regression, in which previous degenerative disc disease (OR 2.8; CI 95% 1.09-7.53) and fibromyalgia (OR 4.0; CI 95% 1.2-13.1) diagnosis were both associated with a longer diagnosis delay. Conclusions: To our knowledge this is the first study that evaluates the factors associated with the diagnosis delay of axial spondyloarthritis in Colombian patients. Factors associated with a longer diagnosis delay were previous diagnosis of lumbar degenerative disc disease and fibromyalgia, both which have been reported previously by other authors. Axial spondyloarthritis is still a condition with a long diagnosis delay and more studies are needed in order to understand its reasons.