Background & Objective: The lag time of diagnosis of axial spondyloarthrits varies from country to country. The aim of this study was to find out the lag time of diagnosis of axial spondyloarthritis in Bangladesh based on the patients visiting the morning Rheumatology OPD of a tertiary-care hospital. Materials & Methods: This study was conducted in the Department of Rheumatology of Enam Medical College & Hospital, Savar, Dhaka, Bangladesh from October, 2018 to December, 2019. Ninety six patients with axial spondyloarthritis were recruited and they were enquired about their ages, places of residence, educational qualifications and duration of axial pain as well as peripheral pain. The participants also underwent estimation of ESR by Westergren method. Results: Mean age of the participants was 39.98 years. The mean and median lag times of diagnosis were 58.17 and 36 months respectively. The lag time of diagnosis followed a nonnormal (right-skewed) distribution. There was no significant difference between males and females (p≈0.921), between rural and urban participants (p≈0.221), between those with and without peripheral involvement (p≈0.387) as well as between those with and without elevated ESR according to Mann-Whitney U test. But the median lag time in those who were highly educated, ie. those who completed at least a bachelor degree was significantly (p≈0.016) shorter than that in those who were not highly educated. Conclusion: There is a considerable median delay in the diagnosis of axial spondyloarthritis in Bangladesh. Further research is required to identify the factors contributing to the delay so that those can be addressed to shorten the lag time.
| Published in | American Journal of Internal Medicine (Volume 8, Issue 6) |
| DOI | 10.11648/j.ajim.20200806.12 |
| Page(s) | 254-257 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Axial Spondyloarthritis, Lag Time, Diagnosis, Bangladesh
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APA Style
Abu Tahir Muhammad Tanveer Hasan, Muhammad Abdul Alim. (2020). The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective. American Journal of Internal Medicine, 8(6), 254-257. https://doi.org/10.11648/j.ajim.20200806.12
ACS Style
Abu Tahir Muhammad Tanveer Hasan; Muhammad Abdul Alim. The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective. Am. J. Intern. Med. 2020, 8(6), 254-257. doi: 10.11648/j.ajim.20200806.12
AMA Style
Abu Tahir Muhammad Tanveer Hasan, Muhammad Abdul Alim. The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective. Am J Intern Med. 2020;8(6):254-257. doi: 10.11648/j.ajim.20200806.12
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Download@article{10.11648/j.ajim.20200806.12,
author = {Abu Tahir Muhammad Tanveer Hasan and Muhammad Abdul Alim},
title = {The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective},
journal = {American Journal of Internal Medicine},
volume = {8},
number = {6},
pages = {254-257},
doi = {10.11648/j.ajim.20200806.12},
url = {https://doi.org/10.11648/j.ajim.20200806.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20200806.12},
abstract = {Background & Objective: The lag time of diagnosis of axial spondyloarthrits varies from country to country. The aim of this study was to find out the lag time of diagnosis of axial spondyloarthritis in Bangladesh based on the patients visiting the morning Rheumatology OPD of a tertiary-care hospital. Materials & Methods: This study was conducted in the Department of Rheumatology of Enam Medical College & Hospital, Savar, Dhaka, Bangladesh from October, 2018 to December, 2019. Ninety six patients with axial spondyloarthritis were recruited and they were enquired about their ages, places of residence, educational qualifications and duration of axial pain as well as peripheral pain. The participants also underwent estimation of ESR by Westergren method. Results: Mean age of the participants was 39.98 years. The mean and median lag times of diagnosis were 58.17 and 36 months respectively. The lag time of diagnosis followed a nonnormal (right-skewed) distribution. There was no significant difference between males and females (p≈0.921), between rural and urban participants (p≈0.221), between those with and without peripheral involvement (p≈0.387) as well as between those with and without elevated ESR according to Mann-Whitney U test. But the median lag time in those who were highly educated, ie. those who completed at least a bachelor degree was significantly (p≈0.016) shorter than that in those who were not highly educated. Conclusion: There is a considerable median delay in the diagnosis of axial spondyloarthritis in Bangladesh. Further research is required to identify the factors contributing to the delay so that those can be addressed to shorten the lag time.},
year = {2020}
}
TY - JOUR T1 - The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective AU - Abu Tahir Muhammad Tanveer Hasan AU - Muhammad Abdul Alim Y1 - 2020/10/30 PY - 2020 N1 - https://doi.org/10.11648/j.ajim.20200806.12 DO - 10.11648/j.ajim.20200806.12 T2 - American Journal of Internal Medicine JF - American Journal of Internal Medicine JO - American Journal of Internal Medicine SP - 254 EP - 257 PB - Science Publishing Group SN - 2330-4324 UR - https://doi.org/10.11648/j.ajim.20200806.12 AB - Background & Objective: The lag time of diagnosis of axial spondyloarthrits varies from country to country. The aim of this study was to find out the lag time of diagnosis of axial spondyloarthritis in Bangladesh based on the patients visiting the morning Rheumatology OPD of a tertiary-care hospital. Materials & Methods: This study was conducted in the Department of Rheumatology of Enam Medical College & Hospital, Savar, Dhaka, Bangladesh from October, 2018 to December, 2019. Ninety six patients with axial spondyloarthritis were recruited and they were enquired about their ages, places of residence, educational qualifications and duration of axial pain as well as peripheral pain. The participants also underwent estimation of ESR by Westergren method. Results: Mean age of the participants was 39.98 years. The mean and median lag times of diagnosis were 58.17 and 36 months respectively. The lag time of diagnosis followed a nonnormal (right-skewed) distribution. There was no significant difference between males and females (p≈0.921), between rural and urban participants (p≈0.221), between those with and without peripheral involvement (p≈0.387) as well as between those with and without elevated ESR according to Mann-Whitney U test. But the median lag time in those who were highly educated, ie. those who completed at least a bachelor degree was significantly (p≈0.016) shorter than that in those who were not highly educated. Conclusion: There is a considerable median delay in the diagnosis of axial spondyloarthritis in Bangladesh. Further research is required to identify the factors contributing to the delay so that those can be addressed to shorten the lag time. VL - 8 IS - 6 ER -
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