Diagnostic delay is common for patients with axial spondyloarthritis: results from the National Early Inflammatory Arthritis Audit.

Updated guidelines for patients with axial spondyloarthritis (axSpA) have sought to reduce diagnostic delay by raising awareness amongst clinicians. We used the National Early Inflammatory Arthritis Audit (NEIAA) to describe baseline characteristics and time to diagnosis for newly-referred patients with axSpA in England and Wales.Analyses were performed on sociodemographic and clinical metrics, including time to referral and assessment, for axSpA patients (n = 784) recruited to NEIAA between May 2018 and March 2020. Comparators were patients recruited to NEIAA with rheumatoid arthritis (RA; n = 9,270) or mechanical back pain (MBP; n = 370) in the same period.Symptom duration prior to initial rheumatology assessment was longer in axSpA than RA patients (p 

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Authors: Mark D Russell, Fiona Coath, Mark Yates, Katie Bechman, Sam Norton, James B Galloway, Joanna Ledingham, Raj Sengupta, Karl Gaffney