The incidence of bone marrow oedema at the sacroiliac joints in a non-rheumatological population — a retrospective cohort study
Abstract Background The purpose of this study is to determine the incidence of bone marrow oedema (BME) at magnetic resonance imaging (MRI) of the sacroiliac joints (SIJ) in a non- rheumatological population, and to explore whether patient-reported outcome measures are suitable for predicting BME at...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-019-2978-1 |
| _version_ | 1819173830103400448 |
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| author | A. Nygaard A. G. Jurik C. Lund B. Schiøttz-Christensen |
| author_facet | A. Nygaard A. G. Jurik C. Lund B. Schiøttz-Christensen |
| author_sort | A. Nygaard |
| collection | DOAJ |
| description | Abstract Background The purpose of this study is to determine the incidence of bone marrow oedema (BME) at magnetic resonance imaging (MRI) of the sacroiliac joints (SIJ) in a non- rheumatological population, and to explore whether patient-reported outcome measures are suitable for predicting BME at the SIJ at referral. Furthermore, to investigate the final clinical diagnoses three months after initial SIJ MRI. Methods This study was a retrospective cohort study consisting of patients 18–45 years of age that were referred for a SIJ MRI between 1 July 2016 to 30 June 2017 at the Department of Radiology in Lillebaelt Hospital, Denmark. The SIJ MRI radiological reports were evaluated for signs of BME. Principal and secondary diagnoses according to the 10th version of International Classification of Diseases (ICD-10)—three months after the initial MRI—were identified in the electronic patient record system. For a subgroup of patients, patient- reported outcome measures, such as the 23-item Roland Morris Disability Questionnaire, quality of life and pain intensity in the back and leg were included from the local SpineData database. Results In total, 333 patients were included, and 187 (56.2%) of those patients received a final diagnosis within three months after the SIJ MRI. BME was detected in 63 (18.9%) patients; 17 (9.1%) patients had both BME at SIJ MRI and were diagnosed with spondyloarthritis (M45/M46). There was no statistically significant difference between patients with and without BME regarding demographics, quality of life, pain descriptions or function. Conclusions The incidence of BME in the cohort correlates well to previous studies regarding the incidence of SIJ MRI changes in non-rheumatological populations in Denmark. Patient-reported outcome measures do not seem to contribute to identifying patients with early-phase BME in a non-rheumatological population. |
| first_indexed | 2024-12-22T20:29:18Z |
| format | Article |
| id | doaj.art-d862cb411eff4d6c97517c002873e0a5 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-22T20:29:18Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-d862cb411eff4d6c97517c002873e0a52022-12-21T18:13:39ZengBMCBMC Musculoskeletal Disorders1471-24742019-12-012011810.1186/s12891-019-2978-1The incidence of bone marrow oedema at the sacroiliac joints in a non-rheumatological population — a retrospective cohort studyA. Nygaard0A. G. Jurik1C. Lund2B. Schiøttz-Christensen3Spine Centre of Southern Denmark, Research Department, Lillebaelt HospitalDepartment of Radiology, Aarhus University HospitalDepartment of Radiology, Lillebaelt Hospital VejleSpine Centre of Southern Denmark, Research Department, Lillebaelt HospitalAbstract Background The purpose of this study is to determine the incidence of bone marrow oedema (BME) at magnetic resonance imaging (MRI) of the sacroiliac joints (SIJ) in a non- rheumatological population, and to explore whether patient-reported outcome measures are suitable for predicting BME at the SIJ at referral. Furthermore, to investigate the final clinical diagnoses three months after initial SIJ MRI. Methods This study was a retrospective cohort study consisting of patients 18–45 years of age that were referred for a SIJ MRI between 1 July 2016 to 30 June 2017 at the Department of Radiology in Lillebaelt Hospital, Denmark. The SIJ MRI radiological reports were evaluated for signs of BME. Principal and secondary diagnoses according to the 10th version of International Classification of Diseases (ICD-10)—three months after the initial MRI—were identified in the electronic patient record system. For a subgroup of patients, patient- reported outcome measures, such as the 23-item Roland Morris Disability Questionnaire, quality of life and pain intensity in the back and leg were included from the local SpineData database. Results In total, 333 patients were included, and 187 (56.2%) of those patients received a final diagnosis within three months after the SIJ MRI. BME was detected in 63 (18.9%) patients; 17 (9.1%) patients had both BME at SIJ MRI and were diagnosed with spondyloarthritis (M45/M46). There was no statistically significant difference between patients with and without BME regarding demographics, quality of life, pain descriptions or function. Conclusions The incidence of BME in the cohort correlates well to previous studies regarding the incidence of SIJ MRI changes in non-rheumatological populations in Denmark. Patient-reported outcome measures do not seem to contribute to identifying patients with early-phase BME in a non-rheumatological population.https://doi.org/10.1186/s12891-019-2978-1SpondyloarthritisMRIRoland-MorrisEuroQolcohort studyankylosing spondylitis |
| spellingShingle | A. Nygaard A. G. Jurik C. Lund B. Schiøttz-Christensen The incidence of bone marrow oedema at the sacroiliac joints in a non-rheumatological population — a retrospective cohort study BMC Musculoskeletal Disorders Spondyloarthritis MRI Roland-Morris EuroQol cohort study ankylosing spondylitis |
| title | The incidence of bone marrow oedema at the sacroiliac joints in a non-rheumatological population — a retrospective cohort study |
| title_full | The incidence of bone marrow oedema at the sacroiliac joints in a non-rheumatological population — a retrospective cohort study |
| title_fullStr | The incidence of bone marrow oedema at the sacroiliac joints in a non-rheumatological population — a retrospective cohort study |
| title_full_unstemmed | The incidence of bone marrow oedema at the sacroiliac joints in a non-rheumatological population — a retrospective cohort study |
| title_short | The incidence of bone marrow oedema at the sacroiliac joints in a non-rheumatological population — a retrospective cohort study |
| title_sort | incidence of bone marrow oedema at the sacroiliac joints in a non rheumatological population a retrospective cohort study |
| topic | Spondyloarthritis MRI Roland-Morris EuroQol cohort study ankylosing spondylitis |
| url | https://doi.org/10.1186/s12891-019-2978-1 |
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