Clinical and laboratory factors associated with bamboo spine in patients with axial spondyloarthritis: are there clues for bamboo spine?

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dc.authoridkucuksahin, orhan/0000-0003-4530-2304
dc.authoridGonullu, Emel/0000-0002-6990-4206
dc.authoridKanıtez, Nilüfer Alpay/0000-0003-1185-5816
dc.authoridAksoy, Aysun/0000-0002-8218-7109
dc.authoridKaradag, Omer/0000-0002-3443-3117
dc.authoridATAGUNDUZ, MEHMET PAMIR/0000-0002-6393-7461
dc.authorwosidkucuksahin, orhan/GZA-3287-2022
dc.authorwosidGonullu, Emel/AAK-7851-2021
dc.authorwosidKanıtez, Nilüfer Alpay/W-7332-2019
dc.authorwosidAksoy, Aysun/KLD-2219-2024
dc.authorwosidKaradag, Omer/AAD-5448-2019
dc.contributor.authorAtagunduz, P.
dc.contributor.authorKiraz, S.
dc.contributor.authorAkar, S.
dc.contributor.authorKucuksahin, O.
dc.contributor.authorErden, A.
dc.contributor.authorAksoy, A.
dc.contributor.authorCoskun, B. N.
dc.date.accessioned2024-06-12T10:54:06Z
dc.date.available2024-06-12T10:54:06Z
dc.date.issued2023
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective To analyse the clinical and laboratory factors associated with bamboo spine. Methods Data of patients fulfilling the 2009 ASAS classification criteria for axial spondyloarthritis, registered in the national, multicentre, longitudinal, and observational database of TReasure was analysed. Radiographs were assessed using the Bath Ankylosing Spondylitis Radiologic Index (BASRI). Data of patients with a bamboo spine (Group 1) was compared to data derived from patients with a longstanding disease of at least 15 years but no syndesmophytes (Group 2). Results Out of the 5060 patients, 1246 had eligible radiographs. There were 111 patients (8.9%) with a bamboo spine. Male sex was more common among patients with bamboo spine. The median BMI of 27.7 (25.8-31.1) in Group1 was higher than the BMI of 25.9 (22.9-29.2) in Group 2 (p<0.001). Hip arthritis, present or documented by a physician, was more common in Group 1 [(58/108 (53.7%) vs. 35/103 (34%), p=0.004]. There was a tendency towards a more prevalent enthesitis in these patients [29.1% (25/86) vs. 15.9%(11/69), p=0.054]. HLA-B27 status did not differ between groups. Smoking was more prevalent in Group 1. Multivariate logistic regression analysis revealed that male sex, body mass index, hip arthritis, and enthesitis are associated with bamboo spine in axSpA. Conclusion Bamboo spine was more common in the male sex and associated with a delay in diagnosis, high BMI, hip involvement, and enthesitis. The constellation of increased body weight, hip arthritis, and enthesitis may imply that mechanical stress contributes to radiographic damage in the presence of chronic inflammation.en_US
dc.description.sponsorshipHacettepe Rheumatology Societyen_US
dc.description.sponsorshipthis study was funded by the Hacettepe Rheumatology Society.en_US
dc.identifier.doi10.55563/clinexprheumatol/eb1zpo
dc.identifier.endpage627en_US
dc.identifier.issn0392-856X
dc.identifier.issn1593-098X
dc.identifier.issue3en_US
dc.identifier.pmid35766019en_US
dc.identifier.scopus2-s2.0-85151044605en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage620en_US
dc.identifier.urihttps://doi.org/10.55563/clinexprheumatol/eb1zpo
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18920
dc.identifier.volume41en_US
dc.identifier.wosWOS:001111723800010en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherClinical & Exper Rheumatologyen_US
dc.relation.ispartofClinical And Experimental Rheumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAxial Spondyloarthritisen_US
dc.subjectBamboo Spineen_US
dc.subjectBody Mass Indexen_US
dc.subjectEnthesitisen_US
dc.subjectHip Arthritisen_US
dc.subjectAnkylosing-Spondylitisen_US
dc.subjectRadiographic Progressionen_US
dc.subjectClassification Criteriaen_US
dc.subjectHip Involvementen_US
dc.subjectNatural-Historyen_US
dc.subjectDisease Courseen_US
dc.subjectTnf Blockersen_US
dc.subjectOnseten_US
dc.subjectEnthesitisen_US
dc.subjectArthritisen_US
dc.titleClinical and laboratory factors associated with bamboo spine in patients with axial spondyloarthritis: are there clues for bamboo spine?en_US
dc.typeArticleen_US

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