5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/92991 |
Resumo: | Funding: g Devenir des Spondyloarthropathies Indifférenciées Récentes (DESIR) is financially supported by an unrestricted grant from Pfizer. AS is supported by a doctoral grant from 'Fundação para a Ciência e Tecnologia' (SFRH/ BD/108246/2015). The DESIR study is conducted as a Programme Hospitalier de Recherche Clinique with Assistance Publique Hopitaux de Paris as the sponsor. The DESIR study is also under the umbrella of the French Society of Rheumatology, which financially supports the cohort. An unrestricted grant from Pfizer as been allocated for the first 10 years. |
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7160 |
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5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritisData from the DESIR cohortankylosing spondylitisMRIspondyloarthritisImmunology and AllergyRheumatologyImmunologySDG 3 - Good Health and Well-beingFunding: g Devenir des Spondyloarthropathies Indifférenciées Récentes (DESIR) is financially supported by an unrestricted grant from Pfizer. AS is supported by a doctoral grant from 'Fundação para a Ciência e Tecnologia' (SFRH/ BD/108246/2015). The DESIR study is conducted as a Programme Hospitalier de Recherche Clinique with Assistance Publique Hopitaux de Paris as the sponsor. The DESIR study is also under the umbrella of the French Society of Rheumatology, which financially supports the cohort. An unrestricted grant from Pfizer as been allocated for the first 10 years.Objective To study changes on MRI of the spine and sacroiliac joint (SIJ) in early axial spondyloarthritis (axSpA) over time. Methods In the Devenir des Spondyloarthropathies Indifférenciées Récentes cohort, MRI-spine and MRI-SIJ at baseline and 2 and 5 years were scored by central readers for bone marrow oedema (BME), fatty lesions, erosions, sclerosis, ankylosis and spinal bone spurs. The average mean number of lesions was reported or the agreement of ≥2 out of 3 readers for binary outcomes. Net progression was calculated by subtracting the patients that a € improved' from those that a € worsened' divided by the total number of patients. Results Over 5 years, in 155 patients with axSpA (mean age 33.5 (SD 8.9) years, symptom duration 1.4 (0.8) years, 63% human leucocyte antigen+, 14% modified New York+), BME on MRI-SIJ decreased by a mean Spondyloarthritis Research Consortium of Canada score of 1.4 (SD 6.5) (p=0.009). The largest BME decrease was observed in patients using biological disease-modifying antirheumatic drugs at 5 years. Spinal BME increased by 0.3 (4.6) (p=0.41). Fatty lesions and/or erosions on MRI-SIJ increased by a mean of 1.0 (SD 2.6) (p<0.001). Spinal fatty lesions and/or erosions increased by 0.2 (SD 0.5) (p<0.001). Compared with baseline, at 5 years, 7.3% less patients had BME on MRI-SIJ according to the Assessment of Spondyloarthritis International Society definition, while 6.6% more patients had ≥5 fatty lesions and/or erosions. At 5 years, 0.7% less patients had ≥5 spinal BME lesions and 0.7% less patients had ≥5 spinal fatty lesions. Conclusion Over 5 years, BME on MRI-SIJ decreased and spinal BME remained similar, but numerically, little progression of structural lesions on MRI of the SIJ and spine was seen.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNMadari, QueenySepriano, AlexandreRamiro, SofiaMolto, AnnaClaudepierre, PascalWendling, DanielDougados, MaximeVan Der Heijde, DesiréeVan Gaalen, Floris A.2020-02-18T23:33:50Z2020-02-052020-02-05T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/92991eng2044-6055PURE: 16900481https://doi.org/10.1136/rmdopen-2019-001093info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:41:30Zoai:run.unl.pt:10362/92991Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:37:39.289061Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis Data from the DESIR cohort |
title |
5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis |
spellingShingle |
5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis Madari, Queeny ankylosing spondylitis MRI spondyloarthritis Immunology and Allergy Rheumatology Immunology SDG 3 - Good Health and Well-being |
title_short |
5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis |
title_full |
5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis |
title_fullStr |
5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis |
title_full_unstemmed |
5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis |
title_sort |
5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis |
author |
Madari, Queeny |
author_facet |
Madari, Queeny Sepriano, Alexandre Ramiro, Sofia Molto, Anna Claudepierre, Pascal Wendling, Daniel Dougados, Maxime Van Der Heijde, Desirée Van Gaalen, Floris A. |
author_role |
author |
author2 |
Sepriano, Alexandre Ramiro, Sofia Molto, Anna Claudepierre, Pascal Wendling, Daniel Dougados, Maxime Van Der Heijde, Desirée Van Gaalen, Floris A. |
author2_role |
author author author author author author author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
Madari, Queeny Sepriano, Alexandre Ramiro, Sofia Molto, Anna Claudepierre, Pascal Wendling, Daniel Dougados, Maxime Van Der Heijde, Desirée Van Gaalen, Floris A. |
dc.subject.por.fl_str_mv |
ankylosing spondylitis MRI spondyloarthritis Immunology and Allergy Rheumatology Immunology SDG 3 - Good Health and Well-being |
topic |
ankylosing spondylitis MRI spondyloarthritis Immunology and Allergy Rheumatology Immunology SDG 3 - Good Health and Well-being |
description |
Funding: g Devenir des Spondyloarthropathies Indifférenciées Récentes (DESIR) is financially supported by an unrestricted grant from Pfizer. AS is supported by a doctoral grant from 'Fundação para a Ciência e Tecnologia' (SFRH/ BD/108246/2015). The DESIR study is conducted as a Programme Hospitalier de Recherche Clinique with Assistance Publique Hopitaux de Paris as the sponsor. The DESIR study is also under the umbrella of the French Society of Rheumatology, which financially supports the cohort. An unrestricted grant from Pfizer as been allocated for the first 10 years. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-02-18T23:33:50Z 2020-02-05 2020-02-05T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/92991 |
url |
http://hdl.handle.net/10362/92991 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2044-6055 PURE: 16900481 https://doi.org/10.1136/rmdopen-2019-001093 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137993409167360 |