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A study to investigate how common a diagnosis of axial spondyloarthritis (axSpA) is in patients with known inflammatory bowel disease (IBD) such as Crohn’s Disease and Ulcerative Colitis, and the development of a tool to direct referral of patients with suspected axSpA in IBD patients to a rheumatology specialist.

Not Applicable
Completed
Conditions
Axial Spondyloarthritis / Ankylosing Spondylitis
Musculoskeletal Diseases
Registration Number
ISRCTN30265575
Lead Sponsor
orfolk and Norwich University Hospitals NHS Foundation Trust
Brief Summary

2022 Results article in https://pubmed.ncbi.nlm.nih.gov/35993905/ (added 30/08/2022)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
470
Inclusion Criteria

Inclusion criteria for Phase 1 (Screening):
1. Gastroenterologist verified diagnosis of inflammatory bowel disease (Crohn’s disease or Ulcerative colitis, with either endoscopic, radiological or histological evidence of disease based on established criteria)
2. Age = 18 and = 80 years old
3. Patient willing and able to participate in the study
4. Including known/previous diagnosis of AS or axSpA

Inclusion criteria for Phase 2 (Clinical assessment):
1. Chronic back pain (= 3 months)
2. Onset of back pain before 45 years old
3. Including known/previous diagnosis of AS or axSpA (if unable to verify diagnosis retrospectively)

Exclusion Criteria

1. Any type of biologic therapy for (previous or current) treatment of IBD
2. Unable to tolerate MRI scanning (e.g. current history of claustrophobia) or contra-indication to MRI scanning
(including but not limited to e.g. pacemaker, pregnancy, metallic or conducting foreign body, etc.)
3. Age <18 or >80 years
4. Patients lacking in capacity and/or unable to give informed consent
5. Patients unable to understand English to sufficient degree to be able to complete a questionnaire
6. Illiteracy
7. Prisoners
8. Patient unwilling to take part in the study

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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