The DETAIL questionnaire is a useful and effective tool to assess spondyloarthritis in patients with inflammatory bowel disease.

Crohn’s disease DETAIL questionnaire IBD enteropathies ulcerative colitis

Journal

Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047

Informations de publication

Date de publication:
2023
Historique:
received: 03 12 2022
accepted: 23 01 2023
entrez: 27 2 2023
pubmed: 28 2 2023
medline: 28 2 2023
Statut: epublish

Résumé

This study aimed to determine the effectiveness of adding a simple questionnaire related to musculoskeletal system to routine outpatient examination to detect undiagnosed axial and peripheral arthropathy in patients with inflammatory bowel disease (IBD). A musculoskeletal symptom questionnaire was given to all patients with IBD during their follow-up examinations between January 2020 and November 2021. The DETAIL questionnaire consisting of six questions about the musculoskeletal system was administered by asking the patients with IBD. All patients who answered yes to at least one of these questions were directed to specialists in the rheumatology department to undergo a detailed examination. The patients who were diagnosed with rheumatological disease after further investigation were recorded. Patients with a known diagnosis of rheumatological disease were excluded from the study. There were 333 patients with IBD included in the study. Of these patients, 41 (12.3%) had a previously diagnosed rheumatological disease and were excluded from the evaluation. Of the remaining 292 patients (147 with ulcerative colitis, 139 with Crohn's disease and six with indeterminate colitis; mean age 42 years), 67 (23%) answered yes to at least one of the questions and were referred to a rheumatology consultation. Rheumatological examination was completed in 52 patients. As a result of the evaluations, 24 patients (8.2%) were diagnosed with enteropathic arthritis (14 axial, 9 peripheral, and 1 axial plus peripheral). Patients with newly diagnosed enteropathy had a lower median disease age than patients without enteropathy. The DETAIL questionnaire is an effective and easy tool for identifying missed cases of SpA in patients with IBD.

Identifiants

pubmed: 36844210
doi: 10.3389/fmed.2023.1115362
pmc: PMC9947339
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1115362

Informations de copyright

Copyright © 2023 Keskin, Farisogullari, Yardimci, Gurbuz, Kole, Parlak, Karadag, Kav and Kalyoncu.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Onur Keskin (O)

Department of Gastroenterology, Hacettepe University School of Medicine, Ankara, Türkiye.

Bayram Farisogullari (B)

Department of Rheumatology, Hacettepe University School of Medicine, Ankara, Türkiye.

Gozde Kubra Yardimci (GK)

Department of Rheumatology, Hacettepe University School of Medicine, Ankara, Türkiye.

Burcu Gurbuz (B)

Department of Internal Medicine, Hacettepe University School of Medicine, Ankara, Türkiye.

Melike Kole (M)

Department of Internal Medicine, Hacettepe University School of Medicine, Ankara, Türkiye.

Erkan Parlak (E)

Department of Gastroenterology, Hacettepe University School of Medicine, Ankara, Türkiye.

Omer Karadag (O)

Department of Rheumatology, Hacettepe University School of Medicine, Ankara, Türkiye.

Taylan Kav (T)

Department of Gastroenterology, Hacettepe University School of Medicine, Ankara, Türkiye.

Umut Kalyoncu (U)

Department of Rheumatology, Hacettepe University School of Medicine, Ankara, Türkiye.

Classifications MeSH