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首页> 外文期刊>Clinical rheumatology >Comparison of the Bath Ankylosing Spondylitis Radiology Index and the modified Stoke Ankylosing Spondylitis Spine Score in Turkish patients with ankylosing spondylitis.
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Comparison of the Bath Ankylosing Spondylitis Radiology Index and the modified Stoke Ankylosing Spondylitis Spine Score in Turkish patients with ankylosing spondylitis.

机译:土耳其强直性脊柱炎患者的沐浴强直性脊柱炎放射学指数与改良的斯托克强直性脊柱炎脊柱评分的比较。

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摘要

The objective of the present study was to compare two radiographic scoring methods (the modified Stoke Ankylosing Spondylitis Spine Score (mSASSS) and the Bath Ankylosing Spondylitis Radiology Index-spine (BASRI-spine)) in terms of reliability, construct validity, and feasibility in Turkish ankylosing spondylitis (AS) patients. The study involved seventy-four patients. The patients were evaluated with 100-mm visual analog scale (VAS) for pain, global assessment of patient, and global assessment of doctor. The laboratory evaluations of patients comprised erythrocyte sedimentation rate and serum C-reactive protein. Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI), Bath AS Metrology Index (BASMI), and Bath AS Radiology Index (BASRI) were calculated. Bilateral cervical, lumbar spine, and anteroposterior pelvis radiographs of all patients were obtained and evaluated by two radiologists. Each radiograph was scored by two scoring methods, mSASSS and BASRI-spine, and these methods were tested according to the aspects of the Outcome Measures in Rheumatology Clinical Trials filter: reliability, construct validity, and feasibility. The BASRI-spine reached intra- and interobserver intraclass correlation coefficient (ICC) of 0.726 and 0.689, respectively. The mSASSS scores more reliable, with ICC of 0.831 and 0.840, respectively. The BASMI and BASFI correlated significantly with the two scoring systems, respectively (mSASSS r: 0.557, r: 0.319; BASRI-spine r: 0.605, r: 0.285). For the two methods, the magnitude of the correlation with disease duration was similar (mSASSS p < 0.01 and BASRI p < 0.01), but no significant correlation was observed when compared to the BASDAI. It is known that the BASRI-spine is a feasible method that reliably detects damage in patients with AS. However, the present authors believe that, in AS patients, mSASSS should be the radiological scoring method to choose because of less radiation exposure, along with excellent intra- and interobserver reliability.
机译:本研究的目的是比较两种射线照相评分方法(改良的斯托克强直性脊柱炎脊柱评分(mSASSS)和巴斯强直性脊柱炎放射学指标脊柱(BASRI-脊柱))的可靠性,结构有效性和可行性。土耳其强直性脊柱炎(AS)患者。该研究涉及74名患者。使用100毫米视觉模拟量表(VAS)对患者进行疼痛,总体患者评估和医生整体评估。对患者的实验室评估包括红细胞沉降率和血清C反应蛋白。计算了巴斯AS疾病活动指数(BASDAI),巴斯AS功能指数(BASFI),巴斯AS计量指数(BASMI)和巴斯AS放射指数(BASRI)。获得了所有患者的双侧颈椎,腰椎和前后骨盆X光片,并由两名放射科医生进行了评估。每张X光片均通过mSASSS和BASRI-spine两种评分方法评分,并根据《风湿病临床试验结果指标》过滤器的方面进行了测试:可靠性,构建效度和可行性。 BASRI脊柱的组内和组间相关系数(ICC)分别为0.726和0.689。 mSASSS得分更可靠,ICC分别为0.831和0.840。 BASMI和BASFI分别与两个评分系统显着相关(mSASSS r:0.557,r:0.319; BASRI-spine r:0.605,r:0.285)。对于这两种方法,与疾病持续时间的相关程度相似(mSASSS p <0.01和BASRI p <0.01),但是与BASDAI相比,没有观察到明显的相关性。众所周知,BASRI脊柱是一种可行的方法,可以可靠地检测AS患者的损伤。但是,本作者认为,在AS患者中,mSASSS应该是放射学评分方法,因为其放射线照射少,并且观察者和观察者之间的可靠性也很高。

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