{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T05:23:42Z","timestamp":1770701022805,"version":"3.49.0"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,5,24]],"date-time":"2013-05-24T00:00:00Z","timestamp":1369353600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to investigate the relationship between Spondyloarthritis Research Consortium of Canada (<jats:styled-content style=\"fixed-case\">SPARCC<\/jats:styled-content>) enthesitis index and disease activity and health\u2010related quality of life in patients with ankylosing spondylitis (<jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighty\u2010six <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> patients not receiving antitumour necrosis factor (<jats:styled-content style=\"fixed-case\">TNF<\/jats:styled-content>) therapy were included in the study. Spinal pain by visual analogue scale (pain <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> rest and activity), disease activity by Bath Ankylosing Spondylitis Disease Activity Index (<jats:styled-content style=\"fixed-case\">BASDAI<\/jats:styled-content>), functional capacity by Bath Ankylosing Spondylitis Functional Index (<jats:styled-content style=\"fixed-case\">BASFI<\/jats:styled-content>), enthesitis severity by <jats:styled-content style=\"fixed-case\">SPARCC<\/jats:styled-content> index, quality of life by Short Form\u201036 (<jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201036), and Bath Ankylosing Spondylitis Metrology Index (<jats:styled-content style=\"fixed-case\">BASMI<\/jats:styled-content>) were assessed in patients. In the laboratory evaluations, the erythrocyte sedimentation rates and serum C\u2010reactive protein levels of the patients were determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All participants were aged between 18 and 65\u00a0years, with a mean age of 36.9\u00a0\u00b1\u00a011.13\u00a0years. The most frequent region of enthesitis was Achilles tendon insertion into calcaneum (55.8%). Pain <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> rest and activity, <jats:styled-content style=\"fixed-case\">BASFI<\/jats:styled-content> and all parameters of <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201036 were significantly different in <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> patients with and without enthesitis. <jats:styled-content style=\"fixed-case\">SPARCC<\/jats:styled-content> index was significantly correlated with pain <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> activity (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05), pain <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> rest, <jats:styled-content style=\"fixed-case\">BASDAI<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> BASFI<\/jats:styled-content> and all parameters of <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201036 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). There were no correlations between <jats:styled-content style=\"fixed-case\">SPARCC<\/jats:styled-content> index and <jats:styled-content style=\"fixed-case\">BASMI<\/jats:styled-content>, disease duration and laboratory parameters (<jats:italic>P<\/jats:italic>\u00a0&gt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The clinical assessment of enthesitis in <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> is an important outcome measure, and enthesitis indexes such as <jats:styled-content style=\"fixed-case\">SPARCC<\/jats:styled-content> enthesitis index can be valuable tools in the evaluation of disease activity in <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> patients not receiving anti\u2010<jats:styled-content style=\"fixed-case\">TNF<\/jats:styled-content> 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