Epidemiology of Spondyloarthritis in North America

Abstract Many challenges have made it difficult to determine the prevalence of spondyloarthritis (SpA) in North America. They include the ethnic heterogeneity of the population, the lack of feasibility of applying current criteria (such as requirements for human leukocyte antigen-B27 testing and ima...

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Veröffentlicht in:The American journal of the medical sciences 2011-04, Vol.341 (4), p.284-286
1. Verfasser: Reveille, John D., MD
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container_title The American journal of the medical sciences
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creator Reveille, John D., MD
description Abstract Many challenges have made it difficult to determine the prevalence of spondyloarthritis (SpA) in North America. They include the ethnic heterogeneity of the population, the lack of feasibility of applying current criteria (such as requirements for human leukocyte antigen-B27 testing and imaging studies such as pelvic radiographs and magnetic resonance imaging scanning) and the transient nature of some SpA symptoms (ie, peripheral arthritis and enthesitis). Current estimates of the prevalence of SpA in the United States range between 0.2% and 0.5% for ankylosing spondylitis, 0.1% for psoriatic arthritis, 0.065% for enteropathic peripheral arthritis, between 0.05% and 0.25% for enteropathic axial arthritis and an overall prevalence of SpA as high as > 1%. With newer population-based instruments becoming available, the availability of the widely validated European Spondyloarthropathy Study Group criteria and the lower cost and greater feasibility of genetic testing, opportunities for true population-based studies of SpA are possible and will likely soon ensue.
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They include the ethnic heterogeneity of the population, the lack of feasibility of applying current criteria (such as requirements for human leukocyte antigen-B27 testing and imaging studies such as pelvic radiographs and magnetic resonance imaging scanning) and the transient nature of some SpA symptoms (ie, peripheral arthritis and enthesitis). Current estimates of the prevalence of SpA in the United States range between 0.2% and 0.5% for ankylosing spondylitis, 0.1% for psoriatic arthritis, 0.065% for enteropathic peripheral arthritis, between 0.05% and 0.25% for enteropathic axial arthritis and an overall prevalence of SpA as high as &gt; 1%. 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They include the ethnic heterogeneity of the population, the lack of feasibility of applying current criteria (such as requirements for human leukocyte antigen-B27 testing and imaging studies such as pelvic radiographs and magnetic resonance imaging scanning) and the transient nature of some SpA symptoms (ie, peripheral arthritis and enthesitis). Current estimates of the prevalence of SpA in the United States range between 0.2% and 0.5% for ankylosing spondylitis, 0.1% for psoriatic arthritis, 0.065% for enteropathic peripheral arthritis, between 0.05% and 0.25% for enteropathic axial arthritis and an overall prevalence of SpA as high as &gt; 1%. With newer population-based instruments becoming available, the availability of the widely validated European Spondyloarthropathy Study Group criteria and the lower cost and greater feasibility of genetic testing, opportunities for true population-based studies of SpA are possible and will likely soon ensue.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ankylosing spondylitis</subject><subject>Arthritis, Psoriatic - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Enteropathic arthritis</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>North America - epidemiology</subject><subject>Nutrition Surveys</subject><subject>Prevalence</subject><subject>Psoriatic arthritis</subject><subject>Public health. 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Hygiene-occupational medicine</topic><topic>Retrospective Studies</topic><topic>Spondylarthritis - epidemiology</topic><topic>Spondylitis, Ankylosing - epidemiology</topic><topic>Spondyloarthritis</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reveille, John D., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of the medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reveille, John D., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology of Spondyloarthritis in North America</atitle><jtitle>The American journal of the medical sciences</jtitle><addtitle>Am J Med Sci</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>341</volume><issue>4</issue><spage>284</spage><epage>286</epage><pages>284-286</pages><issn>0002-9629</issn><eissn>1538-2990</eissn><coden>AJMSA9</coden><abstract>Abstract Many challenges have made it difficult to determine the prevalence of spondyloarthritis (SpA) in North America. They include the ethnic heterogeneity of the population, the lack of feasibility of applying current criteria (such as requirements for human leukocyte antigen-B27 testing and imaging studies such as pelvic radiographs and magnetic resonance imaging scanning) and the transient nature of some SpA symptoms (ie, peripheral arthritis and enthesitis). Current estimates of the prevalence of SpA in the United States range between 0.2% and 0.5% for ankylosing spondylitis, 0.1% for psoriatic arthritis, 0.065% for enteropathic peripheral arthritis, between 0.05% and 0.25% for enteropathic axial arthritis and an overall prevalence of SpA as high as &gt; 1%. 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source MEDLINE; Alma/SFX Local Collection; Journals@Ovid Complete
subjects Adolescent
Adult
Aged
Aged, 80 and over
Ankylosing spondylitis
Arthritis, Psoriatic - epidemiology
Biological and medical sciences
Enteropathic arthritis
Epidemiology
Female
General aspects
Humans
Internal Medicine
Male
Medical sciences
Middle Aged
Miscellaneous
North America - epidemiology
Nutrition Surveys
Prevalence
Psoriatic arthritis
Public health. Hygiene
Public health. Hygiene-occupational medicine
Retrospective Studies
Spondylarthritis - epidemiology
Spondylitis, Ankylosing - epidemiology
Spondyloarthritis
United States - epidemiology
Young Adult
title Epidemiology of Spondyloarthritis in North America
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