Table 1. Pattern of history taking of GP(-residents) facing a patient with axial SpA in round 1 and 2.
| Category | Item checked by GP or GP-resident | Educational group (n = 18) | Control group (n = 43) | ||||
|---|---|---|---|---|---|---|---|
| Round 1 | Round 2 | Change score | Round 1 | Round 2 | Change score | ||
| 1 | Pain in lower back? | 16 (89) | 15 (83) | –1 (–6) | 42 (98) | 41 (95) | –1 (–2) |
| 1 | Night pain? | 8 (44) | 11 (61) | 3 (17) | 22 (51) | 24 (56) | 2 (5) |
| 1 | Morning stiffness? | 10 (56) | 17 (94) | 7 (38) | 16 (37) | 33 (77) | 17 (40) |
| 1 | Duration of morning stiffness? | 8 (44) | 13 (72) | 5 (28) | 11 (26) | 19 (44) | 8 (18) |
| 1 | Complaints worse or better over the day? | 10 (56) | 14 (78) | 4 (22) | 17 (40) | 30 (70) | 13 (30) |
| 1 | More complaints after resting? | 11 (61) | 16 (89) | 5 (28) | 17 (40) | 15 (35) | –2 (–15) |
| 1 | Improvement on NSAID? | 6 (33) | 12 (67) | 6 (34) | 6 (14) | 17 (40) | 11 (26) |
| 2 | Swollen joints? | 4 (22) | 7 (39) | 3 (17) | 10 (23) | 10 (23) | 0 (0) |
| 2 | Entheseal complaints? | 2 (11) | 2 (11) | 0 (0) | 2 (5) | 3 (7) | 1 (2) |
| 3 | Uveitis? | 2 (11) | 8 (44) | 6 (33) | 3 (7) | 3 (7) | 0 (0) |
| 3 | Psoriasis? | 0 (0) | 5 (28) | 5 (28) | 1 (2) | 2 (5) | 1 (3) |
| 3 | IBD? | 4 (22) | 11 (61) | 7 (39) | 6 (14) | 3 (7) | –3 (–7) |
| 4 | Family history AS? | 4 (22) | 10 (56) | 6 (34) | 7 (16) | 12 (28) | 5 (12) |
| 4 | Family history psoriasis? | 0 (0) | 5 (28) | 5 (28) | 0 (0) | 2 (5) | 2 (5) |
| 4 | Family history IBD? | 2 (11) | 8 (44) | 6 (33) | 2 (5) | 1 (2) | –1 (3) |
The values are expressed as number (percentage) of GP(-residents). Numbers may not add up due to rounding. AS = ankylosing spondylitis. IBD = inflammatory bowel disease. NSAID = non-steroidal anti-inflammatory drug. SpA = spondyloarthritis. Category: 1 = differentiation between a mechanical or inflammatory origin of the back pain; 2 = presence of swollen joints, back pain, or entheseal complaints; 3 = presence of extra-articular manifestations; 4 = family history.