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‘Everything we see is a perspective, not the truth’

Published on Feb 13, 2019in Annals of the Rheumatic Diseases14.299
· DOI :10.1136/annrheumdis-2019-215109
Arghya Chattopadhyay1
Estimated H-index: 1
(PGIMER: Post Graduate Institute of Medical Education and Research),
Varun Dhir10
Estimated H-index: 10
(PGIMER: Post Graduate Institute of Medical Education and Research),
Sanjay Jain16
Estimated H-index: 16
(PGIMER: Post Graduate Institute of Medical Education and Research)
Abstract
We read with interest the article on ‘Low incidence of vertebral fractures in early spondyloarthritis: 5-year prospective data of the DESIR cohort’ by Julie Sahuguet et al .1 The results are exciting regarding the significantly lower prevalence of vertebral fracture (VF) among patients with ‘early SpA’ and the crucial aspect of recognising vertebral defects as confounding factors. However, certain aspects of this study require further clarifications. First, the external validity of the data remains questionable. The current study population has a higher number of female patients …
  • References (5)
  • Citations (1)
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References5
Newest
#1Denis Poddubnyy (Charité)H-Index: 26
#2Johanna CallhoffH-Index: 13
Last. Martin Rudwaleit (Charité)H-Index: 73
view all 7 authors...
Objective Inflammatory back pain (IBP), the key symptom of axial spondyloarthritis (axSpA), including ankylosing spondylitis, has been proposed as a screening test for patients presenting with chronic back pain in primary care. The diagnostic accuracy of IBP in the rheumatology setting is unknown. Methods Six rheumatology centres, representing secondary and tertiary rheumatology care, included routinely referred patients with consecutive chronic back pain with suspicion of axSpA. IBP (diagnostic...
4 CitationsSource
#1Julie SahuguetH-Index: 1
#2Jacques FechtenbaumH-Index: 14
Last. Karine Briot (French Institute of Health and Medical Research)H-Index: 27
view all 9 authors...
Objectives An increased risk of vertebral fractures (VFs) has been reported in spondyloarthritis (SpA). Our hypothesis is that the prevalence of VFs is lower than reported in previous studies, especially in early SpA. This study aimed at assessing the incidence of radiographical VFs over 5 years in early axial SpA. Methods The DESIR (DEvenir des Spondylarthropathies Indifferenciees Recentes) cohort, which included patients with inflammatory back pain highly suggestive of axial SpA, is the basis ...
3 CitationsSource
#1Mark P. Sykes (Norfolk and Norwich University Hospitals NHS Foundation Trust)H-Index: 2
#2Helen DollH-Index: 2
Last. Karl Gaffney (Norfolk and Norwich University Hospitals NHS Foundation Trust)H-Index: 3
view all 4 authors...
22 CitationsSource
#1Kwi Young Kang (Catholic University of Korea)H-Index: 13
#2In Je Kim (Ewha Womans University)H-Index: 2
Last. Sung-Hwan Park (Catholic University of Korea)H-Index: 41
view all 8 authors...
Introduction Ankylosing spondylitis (AS) is associated with an increased incidence of vertebral fractures (VFs); however the actual incidence and predictors of morphometric VFs are unknown. The present study examined the incidence and predictors of new VFs in a large AS cohort.
15 CitationsSource
#1Nuria MontalaH-Index: 1
#2Xavier JuanolaH-Index: 17
Last. Loreto CarmonaH-Index: 53
view all 12 authors...
Objective. Ankylosing spondylitis (AS) is a chronic inflammatory disease mainly affecting the axial skeleton and characterized by ossification of the spinal disc, joints, and ligaments leading to progressive ankylosis. Vertebral osteoporosis is a recognized feature of AS. Studies have confirmed a moderate to high prevalence of vertebral fractures with extremely varying ranges in patients with AS. Our objective was to estimate the prevalence of vertebral fractures in a representative Spanish popu...
40 CitationsSource
Cited By1
Newest
#1Anna Moltó (French Institute of Health and Medical Research)H-Index: 15
#2Julie SahuguetH-Index: 1
Last. Karine Briot (French Institute of Health and Medical Research)H-Index: 27
view all 9 authors...
We would like to thank Chattopadhyay et al for their interest in our article presenting the low incident rate of vertebral fractures in an early axial spondyloarthritis (axSpA) population. We have read with interest their comments regarding the external validity of the data we are presenting.1 2 We would like to highlight that the manuscripts the authors are referring to in their letter were focusing only in patients with either very long-standing disease (22.5 years in the Montala study3) or wi...
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