Primary care physician perspectives on screening for axial spondyloarthritis: A qualitative study.

<h4>Background</h4>Many patients with axial spondylarthritis (axSpA) experience lengthy diagnostic delays upwards of 14 years. (5-14 years). Screening tools for axSpA have been proposed for use in primary care settings, but whether this approach could be implemented into busy primary car...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kate L Lapane, Divya Shridharmurthy, Sara Khan, Daniel Lindstrom, Ariel Beccia, Esther Yi, Jonathan Kay, Catherine Dube, Shao-Hsien Liu
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e32794c52b2840c0845780b82bbbfb40
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e32794c52b2840c0845780b82bbbfb40
record_format	dspace
spelling	oai:doaj.org-article:e32794c52b2840c0845780b82bbbfb402021-11-25T06:19:02ZPrimary care physician perspectives on screening for axial spondyloarthritis: A qualitative study.1932-620310.1371/journal.pone.0252018https://doaj.org/article/e32794c52b2840c0845780b82bbbfb402021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252018https://doaj.org/toc/1932-6203<h4>Background</h4>Many patients with axial spondylarthritis (axSpA) experience lengthy diagnostic delays upwards of 14 years. (5-14 years). Screening tools for axSpA have been proposed for use in primary care settings, but whether this approach could be implemented into busy primary care settings remains unknown.<h4>Objective</h4>To solicit feedback from primary care physicians regarding questions from the Inflammatory Back Pain Assessment: the Assessment of Spondyloarthritis International Society (ASAS) Expert Criteria and gain insight about barriers and facilitators for implementing axSpA screening in primary care.<h4>Methods</h4>Guided by Consolidated Criteria for reporting Qualitative Research (COREQ-criteria), we recorded, transcribed, and analyzed in-depth interviews with eight family medicine physicians and ten internists (purposeful sampling) using immersion/crystallization techniques.<h4>Results</h4>Few physicians reported awareness of existing classification criteria for axSpA, and many reported a lack of confidence in their ability to distinguish between inflammatory and mechanical back pain. From three domains, 10 subthemes emerged: 1) typical work-up of axSpA patients in primary care, with subthemes including the clues involved in work-up and role of clinical examinations for axSpA; 2) feedback on questions from the Inflammatory Back Pain Assessment: ASAS Expert Criteria, with subthemes to evaluate contents/questions of a potential screening tool for axSpA; and 3) implementation of the screening tool in primary care settings, with subthemes of perceived barriers including awareness, time, other conditions to screen, rare disease, and lack of structured questionnaire for back pain and perceived facilitators including workflow issues and awareness.<h4>Conclusions</h4>Primary care physicians believed that an improved screening instrument and a strong evidence-base to support the need for screening for axSpA are required. The implementation of axSpA screening into a busy primary care practice requires integration into the practice workflow, with use of technology suggested as a possible way to improve efficiency.Kate L LapaneDivya ShridharmurthySara KhanDaniel LindstromAriel BecciaEsther YiJonathan KayCatherine DubeShao-Hsien LiuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0252018 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kate L Lapane Divya Shridharmurthy Sara Khan Daniel Lindstrom Ariel Beccia Esther Yi Jonathan Kay Catherine Dube Shao-Hsien Liu Primary care physician perspectives on screening for axial spondyloarthritis: A qualitative study.
description	<h4>Background</h4>Many patients with axial spondylarthritis (axSpA) experience lengthy diagnostic delays upwards of 14 years. (5-14 years). Screening tools for axSpA have been proposed for use in primary care settings, but whether this approach could be implemented into busy primary care settings remains unknown.<h4>Objective</h4>To solicit feedback from primary care physicians regarding questions from the Inflammatory Back Pain Assessment: the Assessment of Spondyloarthritis International Society (ASAS) Expert Criteria and gain insight about barriers and facilitators for implementing axSpA screening in primary care.<h4>Methods</h4>Guided by Consolidated Criteria for reporting Qualitative Research (COREQ-criteria), we recorded, transcribed, and analyzed in-depth interviews with eight family medicine physicians and ten internists (purposeful sampling) using immersion/crystallization techniques.<h4>Results</h4>Few physicians reported awareness of existing classification criteria for axSpA, and many reported a lack of confidence in their ability to distinguish between inflammatory and mechanical back pain. From three domains, 10 subthemes emerged: 1) typical work-up of axSpA patients in primary care, with subthemes including the clues involved in work-up and role of clinical examinations for axSpA; 2) feedback on questions from the Inflammatory Back Pain Assessment: ASAS Expert Criteria, with subthemes to evaluate contents/questions of a potential screening tool for axSpA; and 3) implementation of the screening tool in primary care settings, with subthemes of perceived barriers including awareness, time, other conditions to screen, rare disease, and lack of structured questionnaire for back pain and perceived facilitators including workflow issues and awareness.<h4>Conclusions</h4>Primary care physicians believed that an improved screening instrument and a strong evidence-base to support the need for screening for axSpA are required. The implementation of axSpA screening into a busy primary care practice requires integration into the practice workflow, with use of technology suggested as a possible way to improve efficiency.
format	article
author	Kate L Lapane Divya Shridharmurthy Sara Khan Daniel Lindstrom Ariel Beccia Esther Yi Jonathan Kay Catherine Dube Shao-Hsien Liu
author_facet	Kate L Lapane Divya Shridharmurthy Sara Khan Daniel Lindstrom Ariel Beccia Esther Yi Jonathan Kay Catherine Dube Shao-Hsien Liu
author_sort	Kate L Lapane
title	Primary care physician perspectives on screening for axial spondyloarthritis: A qualitative study.
title_short	Primary care physician perspectives on screening for axial spondyloarthritis: A qualitative study.
title_full	Primary care physician perspectives on screening for axial spondyloarthritis: A qualitative study.
title_fullStr	Primary care physician perspectives on screening for axial spondyloarthritis: A qualitative study.
title_full_unstemmed	Primary care physician perspectives on screening for axial spondyloarthritis: A qualitative study.
title_sort	primary care physician perspectives on screening for axial spondyloarthritis: a qualitative study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/e32794c52b2840c0845780b82bbbfb40
work_keys_str_mv	AT katellapane primarycarephysicianperspectivesonscreeningforaxialspondyloarthritisaqualitativestudy AT divyashridharmurthy primarycarephysicianperspectivesonscreeningforaxialspondyloarthritisaqualitativestudy AT sarakhan primarycarephysicianperspectivesonscreeningforaxialspondyloarthritisaqualitativestudy AT daniellindstrom primarycarephysicianperspectivesonscreeningforaxialspondyloarthritisaqualitativestudy AT arielbeccia primarycarephysicianperspectivesonscreeningforaxialspondyloarthritisaqualitativestudy AT estheryi primarycarephysicianperspectivesonscreeningforaxialspondyloarthritisaqualitativestudy AT jonathankay primarycarephysicianperspectivesonscreeningforaxialspondyloarthritisaqualitativestudy AT catherinedube primarycarephysicianperspectivesonscreeningforaxialspondyloarthritisaqualitativestudy AT shaohsienliu primarycarephysicianperspectivesonscreeningforaxialspondyloarthritisaqualitativestudy
_version_	1718413957874581504

Primary care physician perspectives on screening for axial spondyloarthritis: A qualitative study.

Ejemplares similares