Unmet Needs of Axial Spondyloarthrits in Egyptian Patients

Study Overview
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Brief Summary
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During the past decade, the well-known disease called Ankylosing Spondylitis has come to be considered as a subset of the broader entity referred as axial spondyloarthritis (axSpA), which also includes non-radiographic axSpA. The need of this new classification was aimed to improve the sensitivity for an early diagnosis, to reduce diagnostic delay, and to allow an early treatment. Although there is improvement in the recognition, the management of patients, and the treatment strategies of axSpA, unmet needs persist , there is still a substantial gap of 5-8 years between the onset of symptoms and the diagnosis of axSpA. . This study is intended to enhance awareness and understanding of Axial Spondyloarthritis and to identify and discuss the current unmet needs in axSpA . Multiple defects are still unfullfilled for axial SpA patients those defects include delayed diagnosis specially for female, failure to acheive treatment target, pain, impaired quality of life and associated comorbidities. Up to the best of our knowledge this is the first study to highlight unmet needs for axial Spondyloarthritis patients in Egypt in general and in upper Egypt in particular .

Official Title
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Unmet Needs of Axial Spondyloarthrits in Egyptian Patients

Conditions
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Axial Spondyloarthritis

Intervention / Treatment
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* Other: ASDAS score , VAS score, BASFI score , Katz ADL index


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria Patients fulfill the Assessment in Spondyloarthrits International Society (ASAS) classification criteria for Axial Spondyloarthritis . Age above 16 years old. Patient cooperative and can answer questions . Exclusion Criteria: Other rheumatologic or collagen diseases . Age below 16 years and above 60 years. Uncooperative patients .

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: ASDAS score , VAS score, BASFI score , Katz ADL index|Scores that done on patient to fullfill criteria of diagnosis , and measure affection of disease on patients and their daily living activity|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| (ASDAS score ) The Ankylosing Spondylitis Disease Activity score | an index to assess disease activity in Ankylosing Spondylitis (AS). | 3 months | 
| (VAS score ) Visual Analogue Score | A psychometric response scale for parameters that range across a continuum of values, such as pain. The VAS pain scale ranges from no pain to worst pain, and patients mark a line to indicate how they are feeling. | 3 months | 
| (BASFI score ) Bath Ankylosing Spondylitis Functional Index | The BASFI consists of 10 questions, answered on a VAS. The final score is the average of the questions, ranging from 0 (no limitation) to 10 (maximal limitation in function). | 3 months | 
| Katz Activity Daily Living | The Katz Activities of Daily Living (ADL) scale is a widely used graded instrument that assesses six primary and psychosocial functions: bathing, dressing, going to toilet, transferring, feeding, and continence. | 3 months |