Table 5. Health pathways of patients before the spondyloarthritis diagnosis in outpatient’s clinic of the General Hospital of Alicante (Spain 2014).
| Health Services | Attending prior diagnosis in Rheumatology Clinic | P value | Referring to Rheumatology Clinic | P value | ||
|---|---|---|---|---|---|---|
| Women (N = 54) | Men (N = 96) | Women (N = 54) | Men (N = 96) | |||
| Primary care | 44 (81.5) | 86 (89.6) | 0.16 | 14 (25.9) | 30 (31.3) | 0.49 |
| Orthopedic surgery | 34 (63.) | 49 (51.) | 0.16 | 11 (20.4) | 23 (24.) | 0.62 |
| Rehabilitation services | 9 (16.7) | 16 (16.7) | 1 | 0 | 2 (2.) | NA |
| Emergency department | 21 (38.9) | 15 (15.6) | 0.001 | 9 (16.7) | 6 (6.3) | 0.04 |
| Workers´ Compensation Insurance | 2 (3.7) | 14 (14.6) | 0.05 | 0 | 4 (4.2) | NA |
| Neurology | 2 (3.7) | 4 (4.2) | 1. | 1 (1.9) | 2 (2.1) | 1. |
| Physiotherapy | 2 (3.7) | 3 (3.1) | 1. | 0 | 0 | NA |
| Pain Unit | 2 (3.7) | 2 (2.1) | 0.62 | 0 | 0 | NA |
| Urology | 1 (1.9) | 2 (2.1) | 1. | 1 (1.9) | 1 (1.) | 1. |
| Gastroenterology | 0 | 3 (3.1) | NA | 0 | 2 (2.1) | NA |
| Ophthalmology | 6 (11.1) | 1 (1.) | 0.009 | 5 (9.3) | 1 (1.) | 0.02 |
| Rheumatology | 3 (5.6) | 1 (1.) | 0.13 | 0 | 0 | NA |
| Neurosurgery | 1 (1.9) | 1 (1.) | 1. | 0 | 0 | NA |
| General internal medicine | 0 | 1 (1.) | NA | 0 | 1 (1.) | NA |
| Psychology | 0 | 1 (1.) | NA | 0 | 0 | NA |
| Cardiology | 0 | 1 (1.) | NA | 0 | 2 (2.1) | NA |
| Vascular surgery | 1 (1.9) | 0 | NA | 0 | 0 | NA |
| Gynecology | 1 (1.9) | 0 | NA | 0 | 0 | NA |
| Intensive Care Unit | 1 (1.9) | 0 | NA | 0 | 0 | NA |
| Non health Services a | 0 | 0 | NA | 11 (20.4) | 14 (14.6) | 0.36 |
| Don’t know | 0 | 0 | NA | 2 (3.7) | 8 (8.3) | 0.33 |
Values are number (percentage).
Statistical significance using Pearson Chi-square test or two-sided Fisher’s exact test for values < 5.
Significant results are marked in bold (p < 0.05).
(a) Non health Services: Patient is a health professional (2 women, 1 man), Patient has a relationship with a health professional (6 women, 7 men), Suspicion due to relative with SpA (4 men), At the patient’s request (2 women, 2 men) or Podiatry’s advice (1 woman).
NA Non-applicable.