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ACR Journals On Air

History Matters

Jun 11, 2024
Dr. Gregory McDermott discusses the factors contributing to diagnostic delays in axial spondyloarthritis and the impact on treatment outcomes. The study examines delays in diagnosis, social vulnerability index, and challenges in improving diagnostic timelines despite evolving guidelines. The podcast also explores how a background in history shapes a junior physician-scientist's approach to medical research and future research topics in Axiospondyloarthritis.
27:47

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Quick takeaways

  • Diagnostic delays in axial spondyloarthritis lead to extended suffering for patients, affecting treatment responses.
  • Social vulnerability and extra musculoskeletal manifestations like uveitis play significant roles in diagnostic delays.

Deep dives

Factors Associated with Diagnostic Delay in Axial Spondyloarthritis

Diagnostic delays in axial spondyloarthritis pose significant challenges, with patients enduring symptoms for an average of 6.7 years before diagnosis. This delay is linked to poorer treatment responses and increased disability. Identifying patients with inflammatory causes of low back pain is akin to finding a needle in a haystack, highlighting the complexity of diagnosing axial spondyloarthritis.

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