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Educational needs and challenges in axial spondyloarthritis
Anand Kumthekar1, Mohamad Bittar2, Maureen Dubreuil3,4
1Division of Rheumatology, Department of Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, New York, New York.
Current Opinion in Rheumatology
|May 11, 2021
Summary
Medical education on axial spondyloarthritis (axSpA) needs improvement. Enhancing clinician awareness of inflammatory back pain and nonradiographic axSpA can reduce diagnostic delays and improve patient management.
Area of Science:
- Rheumatology
- Medical Education
Background:
- Axial spondyloarthritis (axSpA) impacts 0.5-1% of the global population.
- Delayed diagnosis is a significant challenge in axSpA management.
- Clinician awareness of axSpA features and management principles is inconsistent.
Purpose of the Study:
- To review challenges in medical education regarding axSpA.
- To highlight issues in diagnosis and management of axSpA.
- To identify areas for educational improvement in axSpA.
Main Methods:
- Literature review focusing on medical education and axSpA.
- Analysis of evidence on diagnostic delays.
- Examination of clinician familiarity with axSpA features and management.
Main Results:
- Many clinicians lack awareness of inflammatory back pain and axSpA's nonradiographic form.
- Diagnosis of axSpA is delayed by an average of 6-7 years.
- Management disparities based on sex and race may exist.
- Referral recommendations can increase axSpA diagnosis probability.
Conclusions:
- Medical education should emphasize inflammatory back pain and nonradiographic axSpA.
- Improved understanding of axSpA management principles is crucial for front-line clinicians.
- Educational interventions can help reduce diagnostic delays and improve care for axSpA patients.
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