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ASDAS Activity Correlates with Xray Progression in Spondyloarthritis

Investigators analyzed a prospective study of patients with early axial spondyloarthritis (axSpA) to assess predictors of outcome.

Poddubnyy and coworkers studied 178 patients with definite axSpA and serially assessed disease activity using the Ankylosing Spondylitis Disease Activity Score (ASDAS) and radiographs to detect spinal progression.

They found a significant positive association between disease activity (by ASDAS) and radiographic spinal progression over 2 years of study. Xray (mSASSS) progression by ≥2 points over 2 years was significantly associated with the time-averaged ASDAS: unadjusted OR=1.64.

Syndesmophyte formation/progression demonstrated an even stronger association with the time-averaged ASDAS: unadjusted OR=2.62.

These data should encourage wider use of the ASDAS in assessing patients with axSpA.

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Disclosures
The author has no conflicts of interest to disclose related to this subject