Inflammatory back pain
An assessment of whether the pain in the back is inflammatory
Not classified as IBP
Επιπλέον πληροφορίες
Προειδοποίηση
Αυτό το εργαλείο προορίζεται μόνο για εκπαιδευτικούς σκοπούς, δεν αντιπροσωπεύει και δεν αντικαθιστά επαγγελματικές συμβουλές. Αυτό το εργαλείο δεν πρέπει να χρησιμοποιείται για την παροχή ιατρικών διαγνώσεων ή/και ιατρικών θεραπειών.
General description
General description
Assessment of SpondyloArthritis international Society (ASAS) has developed criteria for inflammatory back pain (IBP). These were based on the expert judgment of the rheumatologist as the “gold standard” for diagnosing IBP in 20 patients with chronic back pain of unknown origin. These new candidate IBP criteria administered by the interviewing clinician included the domains “improvement with exercise,” “nocturnal pain,” “age at onset <40 years,” and “no improvement with rest.” They were then validated in a distinct cohort of 648 patients presenting to the rheumatologist with new-onset back pain and were shown to have a sensitivity of 79.6 % and specificity of 72.4 %.
Assessment of SpondyloArthritis international Society (ASAS) has developed criteria for inflammatory back pain (IBP). These were based on the expert judgment of the rheumatologist as the “gold standard” for diagnosing IBP in 20 patients with chronic back pain of unknown origin. These new candidate IBP criteria administered by the interviewing clinician included the domains “improvement with exercise,” “nocturnal pain,” “age at onset <40 years,” and “no improvement with rest.” They were then validated in a distinct cohort of 648 patients presenting to the rheumatologist with new-onset back pain and were shown to have a sensitivity of 79.6 % and specificity of 72.4 %.
Reference values
Not classified as IBP
< 4Classified as IBP
≥ 4Formulas
Four out of: age at onset < 45 (40) years, insidious onset, improvement with exercise, no improvement with rest, pain at night (with improvement upon getting up).
Sensitivity and specificity
Sensitivity: 79.6%
Specificity: 72.4%
References
Sieper J, van der Heijde D, Landewé R, et al. New criteria for inflammatory back pain in patients with chronic back pain: a real patient exercise by experts from the Assessment of SpondyloArthritis international Society (ASAS). Ann Rheum Dis. 2009;68:784–8.
Έκδοση
2
Σχετικά με αυτό το εργαλείο
Assessment of SpondyloArthritis international Society (ASAS) has developed criteria for inflammatory back pain (IBP). These were based on the expert judgment of the rheumatologist as the “gold standard” for diagnosing IBP in 20 patients with chronic back pain of unknown origin. These new candidate IBP criteria administered by the interviewing clinician included the domains “improvement with exercise,” “nocturnal pain,” “age at onset <40 years,” and “no improvement with rest.” They were then validated in a distinct cohort of 648 patients presenting to the rheumatologist with new-onset back pain and were shown to have a sensitivity of 79.6 % and specificity of 72.4 %.
