Skip to main content
Top
Gepubliceerd in: Huisarts en wetenschap 7/2017

01-07-2017 | Discussie

Axiale spondyloartritis vroeg behandelen en herkennen

Auteurs: dr. Lonneke van Hoeven, dr. Angelique Weel

Gepubliceerd in: Huisarts en wetenschap | Uitgave 7/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

De herziene NHG-Standaard Aspecifieke lagerugpijn besteedt meer aandacht dan voorheen aan de specifieke oorzaken van lagerugpijn, waaronder axiale spondyloartritis (axSpA). Het afgelopen decennium is er veel veranderd voor patiënten met axSpA. Het starten van de behandeling in een vroeg stadium vraagt om een tijdige herkenning van de axSpApatiënt in de eerste lijn.
Literatuur
1.
go back to reference Garg N, Van den Bosch F, Deodhar A. The concept of spondyloarthritis: where are we now? Best Pract Res Clin Rheumatol 2014;28:663–72.CrossRefPubMed Garg N, Van den Bosch F, Deodhar A. The concept of spondyloarthritis: where are we now? Best Pract Res Clin Rheumatol 2014;28:663–72.CrossRefPubMed
2.
go back to reference Rudwaleit M, Van der Heijde D, Landewe R, Listing J, Akkoc N, Brandt J, et al. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part II): validation and final selection. Ann Rheum Dis 2009;68:777–83.PubMed Rudwaleit M, Van der Heijde D, Landewe R, Listing J, Akkoc N, Brandt J, et al. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part II): validation and final selection. Ann Rheum Dis 2009;68:777–83.PubMed
3.
go back to reference Braun J, Van den Berg R, Baraliakos X, Boehm H, Burgos-Vargas R, Collantes-Estevez E, et al. 2010 update of the ASAS/EULAR recommendations for the management of ankylosing spondylitis. Ann Rheum Dis 2011;70:896–904. Braun J, Van den Berg R, Baraliakos X, Boehm H, Burgos-Vargas R, Collantes-Estevez E, et al. 2010 update of the ASAS/EULAR recommendations for the management of ankylosing spondylitis. Ann Rheum Dis 2011;70:896–904.
4.
go back to reference Callhoff J, Sieper J, Weiss A, Zink A, Listing J. Efficacy of TNFalpha blockers in patients with ankylosing spondylitis and non-radiographic axial spondyloarthritis: a meta-analysis. Ann Rheum Dis 2015;74:1241–8.PubMed Callhoff J, Sieper J, Weiss A, Zink A, Listing J. Efficacy of TNFalpha blockers in patients with ankylosing spondylitis and non-radiographic axial spondyloarthritis: a meta-analysis. Ann Rheum Dis 2015;74:1241–8.PubMed
5.
go back to reference Sieper J, Van der Heijde D, Dougados M, Mease PJ, Maksymowych WP, Brown MA, et al. Efficacy and safety of adalimumab in patients with non-radiographic axial spondyloarthritis: results of a randomised placebo-controlled trial (ABILITY-1). Ann Rheum Dis 2013;72:815–22.PubMed Sieper J, Van der Heijde D, Dougados M, Mease PJ, Maksymowych WP, Brown MA, et al. Efficacy and safety of adalimumab in patients with non-radiographic axial spondyloarthritis: results of a randomised placebo-controlled trial (ABILITY-1). Ann Rheum Dis 2013;72:815–22.PubMed
6.
go back to reference Van Hoeven L, Vergouwe Y, De Buck PD, Luime JJ, Hazes JM, Weel AE. External validation of a referral rule for axial spondyloarthritis in primary care patients with chronic low back pain. PLoS One 2015;10:e013196–3.CrossRef Van Hoeven L, Vergouwe Y, De Buck PD, Luime JJ, Hazes JM, Weel AE. External validation of a referral rule for axial spondyloarthritis in primary care patients with chronic low back pain. PLoS One 2015;10:e013196–3.CrossRef
7.
go back to reference Van Hoeven L, Luime J, Han H, Vergouwe Y, Weel A. Identifying axial spondyloarthritis in Dutch primary care patients, ages 20-45 years, with chronic low back pain. Arthritis Care Res (Hoboken) 2014;66:446–53.CrossRef Van Hoeven L, Luime J, Han H, Vergouwe Y, Weel A. Identifying axial spondyloarthritis in Dutch primary care patients, ages 20-45 years, with chronic low back pain. Arthritis Care Res (Hoboken) 2014;66:446–53.CrossRef
8.
go back to reference Van den Berg R, De Hooge M, Van Gaalen F, Reijnierse M, Huizinga T, Van der Heijde D. Percentage of patients with spondyloarthritis in patients referred because of chronic back pain and performance of classification criteria: experience from the Spondyloarthritis Caught Early (SPACE) cohort. Rheumatology (Oxford) 2013;52:1492–9. Van den Berg R, De Hooge M, Van Gaalen F, Reijnierse M, Huizinga T, Van der Heijde D. Percentage of patients with spondyloarthritis in patients referred because of chronic back pain and performance of classification criteria: experience from the Spondyloarthritis Caught Early (SPACE) cohort. Rheumatology (Oxford) 2013;52:1492–9.
9.
go back to reference Jois RN, Macgregor AJ, Gaffney K. Recognition of inflammatory back pain and ankylosing spondylitis in primary care. Rheumatology (Oxford) 2008;47:1364–6.CrossRef Jois RN, Macgregor AJ, Gaffney K. Recognition of inflammatory back pain and ankylosing spondylitis in primary care. Rheumatology (Oxford) 2008;47:1364–6.CrossRef
10.
go back to reference Brandt HC, Spiller I, Song IH, Vahldiek JL, Rudwaleit M, Sieper J. Performance of referral recommendations in patients with chronic back pain and suspected axial spondyloarthritis. Ann Rheum Dis 2007;66:1479–84.CrossRefPubMed Brandt HC, Spiller I, Song IH, Vahldiek JL, Rudwaleit M, Sieper J. Performance of referral recommendations in patients with chronic back pain and suspected axial spondyloarthritis. Ann Rheum Dis 2007;66:1479–84.CrossRefPubMed
11.
go back to reference Poddubnyy D, Vahldiek J, Spiller I, Buss B, Listing J, Rudwaleit M, et al. Evaluation of 2 screening strategies for early identification of patients with axial spondyloarthritis in primary care. J Rheumatol 2011;38:2452–60.PubMed Poddubnyy D, Vahldiek J, Spiller I, Buss B, Listing J, Rudwaleit M, et al. Evaluation of 2 screening strategies for early identification of patients with axial spondyloarthritis in primary care. J Rheumatol 2011;38:2452–60.PubMed
12.
go back to reference Sieper J, Srinivasan S, Zamani O, Mielants H, Choquette D, Pavelka K, et al. Comparison of two referral strategies for diagnosis of axial spondyloarthritis: the Recognising and Diagnosing Ankylosing Spondylitis Reliably (RADAR) study. Ann Rheum Dis 2012;72:1621–7.PubMed Sieper J, Srinivasan S, Zamani O, Mielants H, Choquette D, Pavelka K, et al. Comparison of two referral strategies for diagnosis of axial spondyloarthritis: the Recognising and Diagnosing Ankylosing Spondylitis Reliably (RADAR) study. Ann Rheum Dis 2012;72:1621–7.PubMed
13.
go back to reference Braun A, Gnann H, Saracbasi E, Grifka J, Kiltz U, Letschert K, et al. Optimizing the identification of patients with axial spondyloarthritis in primary care - the case for a two-step strategy combining the most relevant clinical items with HLA B27. Rheumatology (Oxford) 2013;52:1418–24.CrossRef Braun A, Gnann H, Saracbasi E, Grifka J, Kiltz U, Letschert K, et al. Optimizing the identification of patients with axial spondyloarthritis in primary care - the case for a two-step strategy combining the most relevant clinical items with HLA B27. Rheumatology (Oxford) 2013;52:1418–24.CrossRef
14.
go back to reference Poddubnyy D, Van Tubergen A, Landewe R, Sieper J, Van der Heijde D. Assessment of SpondyloArthritis international Society (ASAS). Development of an ASAS-endorsed recommendation for the early referral of patients with a suspicion of axial spondyloarthritis. Ann Rheum Dis 2015;74:1483–7.PubMed Poddubnyy D, Van Tubergen A, Landewe R, Sieper J, Van der Heijde D. Assessment of SpondyloArthritis international Society (ASAS). Development of an ASAS-endorsed recommendation for the early referral of patients with a suspicion of axial spondyloarthritis. Ann Rheum Dis 2015;74:1483–7.PubMed
Metagegevens
Titel
Axiale spondyloartritis vroeg behandelen en herkennen
Auteurs
dr. Lonneke van Hoeven
dr. Angelique Weel
Publicatiedatum
01-07-2017
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Huisarts en wetenschap / Uitgave 7/2017
Print ISSN: 0018-7070
Elektronisch ISSN: 1876-5912
DOI
https://doi.org/10.1007/s12445-017-0203-8

Andere artikelen Uitgave 7/2017

Huisarts en wetenschap 7/2017 Naar de uitgave