Table 3. Pattern of history taking in round 2: referral versus no referral.
| Axial spondyloarthritis | Peripheral spondyloarthritis | ||||||
|---|---|---|---|---|---|---|---|
| Category | Item checked by GP or GP-resident | Referral yes (n = 25) | Referral no (n = 36) | Category | Item checked by GP or GP-resident | Referral yes (n = 12) | Referral no (n = 47) |
| 1 | Pain in lower back? | 22 (88) | 34 (94) | 1 | Duration of complaints? | 12 (100) | 45 (96) |
| 1 | Night pain? | 19 (76) | 16 (44) | 1 | Morning stiffness? | 4 (33) | 12 (26) |
| 1 | Morning stiffness? | 24 (96) | 26 (72) | 1 | Duration of morning stiffness? | 4 (33) | 10 (21) |
| 1 | Duration of morning stiffness? | 17 (68) | 15 (42) | 1 | Complaints worse or better over the day? | 4 (33) | 16 (34) |
| 1 | Complaints worse or better over the day? | 21 (84) | 23 (64) | 1 | More complaints after resting? | 2 (17) | 4 (9) |
| 1 | More complaints after resting? | 10 (40) | 12 (33) | 1 | Improvement on NSAID? | 10 (83) | 27 (57) |
| 1 | Improvement on NSAID? | 15 (60) | 14 (39) | 2 | Swollen joints? | 11 (92) | 40 (85) |
| 2 | Swollen joints? | 9 (36) | 8 (22) | 2 | Entheseal complaints? | 1 (8) | 4 (9) |
| 2 | Entheseal complaints? | 2 (8) | 3 (8) | 2 | Back pain? | 6 (50) | 4 (9) |
| 3 | Uveitis? | 7 (28) | 4 (11) | 3 | Uveitis? | 5 (42) | 1 (2) |
| 3 | Psoriasis? | 6 (24) | 1 (3) | 3 | Psoriasis? | 4 (33) | 2 (4) |
| 3 | IBD? | 10 (40) | 4 (11) | 3 | IBD? | 5 (42) | 6 (13) |
| 4 | Family history AS? | 12 (48) | 10 (28) | 4 | Family history AS? | 1 (8) | 0 (0) |
| 4 | Family history psoriasis? | 6 (24) | 1 (3) | 4 | Family history psoriasis? | 4 (33) | 1 (2) |
| 4 | Family history IBD? | 6 (24) | 3 (8) | 4 | Family history IBD? | 2 (17) | 4 (9) |
The values are expressed as number (percentage) of GP (residents). AS = ankylosing spondylitis. IBD = inflammatory bowel disease. NSAID = non-steroidal anti-inflammatory drug. Category: 1 = differentiation between a mechanical or inflammatory origin of back pain or peripheral complaint; 2 = presence of swollen joints, back pain (peripheral SpA case) or entheseal complaints; 3 = presence of extra-articular manifestations; 4 = family history.