{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T17:57:50Z","timestamp":1783792670366,"version":"3.55.0"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,2,25]],"date-time":"2019-02-25T00:00:00Z","timestamp":1551052800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Science & Technology Pillar Program","award":["2014BAI07B05"],"award-info":[{"award-number":["2014BAI07B05"]}]},{"name":"National Science & Technology Pillar Program","award":["2014CB541806"],"award-info":[{"award-number":["2014CB541806"]}]},{"name":"National Key Basic Research Program of China","award":["2014BAI07B05"],"award-info":[{"award-number":["2014BAI07B05"]}]},{"name":"National Key Basic Research Program of China","award":["2014CB541806"],"award-info":[{"award-number":["2014CB541806"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2019,2,25]]},"abstract":"<jats:p>\n                    <jats:italic>Objectives<\/jats:italic>\n                    . Ankylosing spondylitis (AS) is a chronic disease that decreases mobility, function, and quality of life. This study introduced the \u201cSmart-phone SpondyloArthritis Management System\u201d (SpAMS), an interactive mobile health (mHealth) tool designed for AS\/spondyloarthritis (SpA) disease management and used SpAMS data to evaluate clinical characteristics of Chinese patients with AS.\n                    <jats:italic>Methods<\/jats:italic>\n                    . SpAMS integrates patient\u2019s and physician\u2019s portals in a smart phone application. The Chinese Ankylosing Spondylitis Prospective Imaging Cohort was launched using SpAMS in April 2016. Patient self-assessments were completed online at baseline and at every subsequent clinic visit. Physician-reported assessments and treatments were recorded by rheumatologists during each visit.\n                    <jats:italic>Results<\/jats:italic>\n                    . In total, 1201 patients with AS [mean (SD) age, 30.6 (8.7) years; male, 82.6%] were recruited. Mean (SD) disease duration was 8.4 (6.1) years. Past or current symptoms of acute anterior uveitis (AAU), psoriasis, and inflammatory bowel disease (IBD) were observed in 21.0%, 3.7%, and 9.4% of patients, respectively. AAU and IBD occurred significantly more in patients with symptom duration &gt; 10 years. The most commonly used medications at baseline were nonsteroidal anti-inflammatory drugs (98.2%). Patients using tumour necrosis factor inhibitors accounted for 20.8%, and 66.4% of patients used conventional synthetic disease-modifying antirheumatic drugs. At baseline, 57.2% of patients had inactive disease (ID)\/low disease activity (LDA); this rate significantly improved to 79.2% after a mean follow-up of 13.3 (5.9) months. Compared with relapsed patients, new achievers of ID\/LDA underwent more online patient assessments (\n                    <jats:italic>P<\/jats:italic>\n                    &lt; .001). Problems solved in SpAMS caused 29.1% of clinic visits to a tertiary hospital unnecessary. SpAMS saved an average of 5.3 hours and 327.4 RMB per person on traffic expenses; these expenses equalled 16% of the Chinese monthly disposable personal income.\n                    <jats:italic>Conclusions<\/jats:italic>\n                    . SpAMS is a time- and cost-saving disease management tool that can help patients with AS perform self-management and provide valuable data to clinicians.\n                  <\/jats:p>","DOI":"10.1155\/2019\/2171475","type":"journal-article","created":{"date-parts":[[2019,2,25]],"date-time":"2019-02-25T18:30:34Z","timestamp":1551119434000},"page":"1-11","source":"Crossref","is-referenced-by-count":29,"title":["Improvement of Disease Management and Cost Effectiveness in Chinese Patients with Ankylosing Spondylitis Using a Smart-Phone Management System: A Prospective Cohort Study"],"prefix":"10.1155","volume":"2019","author":[{"given":"Xiaojian","family":"Ji","sequence":"first","affiliation":[{"name":"Department of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, 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