{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T11:29:01Z","timestamp":1782386941868,"version":"3.54.5"},"reference-count":31,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T00:00:00Z","timestamp":1529366400000},"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":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To identify the factors associated with patient\u2013physician discordance in patients with axial spondyloarthritis (axSpA) in an Asian population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was conducted in two tertiary referral centers in Singapore. Patients with axSpA who fulfilled Assessment in Ankylosing Spondylitis International Working Group 2009 criteria for axSpA were included in the study. Socio\u2010demographics, clinical, laboratory and patient\u2010reported outcomes data were collected during study visits from 2014 to 2015. We performed univariate and multivariate linear regression analyses to evaluate the factors associated with patient\u2013physician discordance, which we defined as the difference between Patient Global Assessment and Physician Global Assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Included in the study were 298 axSpA patients: 82% male, 81% Chinese, median age 40 (20\u201378) years, median disease duration 9 (0.1\u201348) years. 80% were on non\u2010steroidal anti\u2010inflammatory drugs and 23% on biologics. In univariate analysis, current age (\u03b2: 0.18, \u03c1 = 0.06), duration of disease (\u03b2: 0.34, \u03c1 = 0.03), post\u2010secondary education level (\u03b2: \u221210.82, \u03c1 = 0.03), global pain score (\u03b2: 0.33, \u03c1 &lt; 0.01), Bath Ankylosing Spondylitis Functional Index (\u03b2: 2.80, \u03c1 &lt; 0.01), Ankylosing Spondylitis Disease Activity Score C\u2010reactive protein (\u03b2: 4.63, \u03c1 &lt; 0.01) and current use of biologics (\u03b2: 10.97, \u03c1 &lt; 0.01) were associated with patient\u2013physician discordance. In multivariate analysis, global pain score (\u03b2: 0.32, \u03c1 &lt; 0.01), post\u2010secondary education level (\u03b2: \u221212.80, \u03c1 = 0.01) and current biologics use (\u03b2: 16.21, \u03c1 &lt; 0.01) were associated with patient\u2013physician discordance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Higher global pain score, lower educational level and current biologics use were associated with greater patient\u2013physician discordance. These factors should be considered during shared decision making.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.13299","type":"journal-article","created":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T22:26:01Z","timestamp":1529447161000},"page":"1436-1442","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["A cross\u2010sectional study on factors associated with patient\u2013physician discordance in global assessment of patients with axial spondyloarthritis: an Asian perspective"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6411-5427","authenticated-orcid":false,"given":"Charmaine Tze May","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Rheumatology and Immunology Singapore General Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Warren","family":"Fong","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology Singapore General Hospital Singapore City Singapore"},{"name":"Duke\u2010NUS Medical School Singapore City Singapore"},{"name":"Department of Medicine Yong Loo Lin School of Medicine National University Singapore Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7802-9696","authenticated-orcid":false,"given":"Yu Heng","family":"Kwan","sequence":"additional","affiliation":[{"name":"Program in Health Services and Systems Research Duke\u2010NUS Medical School Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie Kie","family":"Phang","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology Singapore General Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nai Lee","family":"Lui","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology Singapore General Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8492-6342","authenticated-orcid":false,"given":"Ying Ying","family":"Leung","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology Singapore General Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Thumboo","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology Singapore General Hospital Singapore City Singapore"},{"name":"Duke\u2010NUS Medical School Singapore City Singapore"},{"name":"Department of Medicine Yong Loo Lin School of Medicine National University Singapore Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter P.","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Medicine Yong Loo Lin School of Medicine National University Singapore Singapore City Singapore"},{"name":"Division of Rheumatology National University Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2016-210747"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60635-7"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2015-208852"},{"issue":"5","key":"e_1_2_7_5_1","first-page":"S133","article-title":"Assessment of ankylosing spondylitis","volume":"23","author":"Zochling J","year":"2005","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2017-211734"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2015-208251"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22401"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1191\/096120399680411362"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh595"},{"key":"e_1_2_7_11_1","unstructured":"Department of Statistics RoS(2010)Census of the population 2010. 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