Volume 8, Issue 6, November 2020, Page: 254-257
The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective
Abu Tahir Muhammad Tanveer Hasan, Department of Rheumatology, Enam Medical College & Hospital, Dhaka, Bangladesh
Muhammad Abdul Alim, Department of Medicine, MH Samorita Hospital and Medical College, Dhaka, Bangladesh
Received: Sep. 24, 2020;       Accepted: Oct. 15, 2020;       Published: Oct. 30, 2020
DOI: 10.11648/j.ajim.20200806.12      View  64      Downloads  32
Background & Objective: The lag time of diagnosis of axial spondyloarthrits varies from country to country. The aim of this study was to find out the lag time of diagnosis of axial spondyloarthritis in Bangladesh based on the patients visiting the morning Rheumatology OPD of a tertiary-care hospital. Materials & Methods: This study was conducted in the Department of Rheumatology of Enam Medical College & Hospital, Savar, Dhaka, Bangladesh from October, 2018 to December, 2019. Ninety six patients with axial spondyloarthritis were recruited and they were enquired about their ages, places of residence, educational qualifications and duration of axial pain as well as peripheral pain. The participants also underwent estimation of ESR by Westergren method. Results: Mean age of the participants was 39.98 years. The mean and median lag times of diagnosis were 58.17 and 36 months respectively. The lag time of diagnosis followed a nonnormal (right-skewed) distribution. There was no significant difference between males and females (p≈0.921), between rural and urban participants (p≈0.221), between those with and without peripheral involvement (p≈0.387) as well as between those with and without elevated ESR according to Mann-Whitney U test. But the median lag time in those who were highly educated, ie. those who completed at least a bachelor degree was significantly (p≈0.016) shorter than that in those who were not highly educated. Conclusion: There is a considerable median delay in the diagnosis of axial spondyloarthritis in Bangladesh. Further research is required to identify the factors contributing to the delay so that those can be addressed to shorten the lag time.
Axial Spondyloarthritis, Lag Time, Diagnosis, Bangladesh
To cite this article
Abu Tahir Muhammad Tanveer Hasan, Muhammad Abdul Alim, The Lag Time of Diagnosis of Axial Spondyloarthritis: A Bangladesh Perspective, American Journal of Internal Medicine. Vol. 8, No. 6, 2020, pp. 254-257. doi: 10.11648/j.ajim.20200806.12
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This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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