Research Article

Improvement of Disease Management and Cost Effectiveness in Chinese Patients with Ankylosing Spondylitis Using a Smart-Phone Management System: A Prospective Cohort Study

Table 1

Baseline characteristics of the patients with ankylosing spondylitis (AS) categorised by disease duration.

CharacteristicsAll patients with AS  
(n =1201)
Duration≤5 years 
(n = 384)
Duration>5 years and ≤10 years 
(n = 420)
Duration > 10 years 
(n = 397)
P valu

Age, mean (S.D.), years30.6 (8.7)26.8(8.0)29.3(7.3)35.7(8.5)<0.001
Age at disease onset, mean (S.D.), years22.2 (7.7)24.2 (8.1)22.0 (7.2)20.5 (7.4)<0.001
Disease duration, mean (S.D.), years8.4 (6.1)2.6 (1.4)7.3 (1.4)15.2 (5.2)<0.001
Male gender, %82.679.484.084.10.139
HLA-B27 positive, %88.988.689.988.30.748
Smoker, %33.028.133.537.20.025
Family history of AS, %25.323.924.128.10.317
Past history or current symptoms of, %
 Cervical spine pain53.335.852.970.5<0.001
 Hip pain69.063.170.772.80.010
 Knee pain40.538.840.042.70.525
 AAU21.012.919.031.1<0.001
 IBD9.46.39.412.50.013
 Psoriasis3.73.43.93.80.935
Physical examination, %
 Peripheral arthritis13.614.012.314.50.706
 Enthesitis23.725.324.121.80.608
PGA, mean (S.D.)3.0(2.1)2.8 (2.1)3.0 (2.1)3.3 (2.2)0.004
PhGA, mean (S.D.)2.2 (1.4)2.1 (1.3)2.1 (1.3)2.4 (1.4)<0.001
BASDAI, mean (S.D.)2.4 (1.7)2.2 (1.7)2.3 (1.7)2.6 (1.8)0.003
BASFI, mean (S.D.)1.6 (1.7)1.4 (1.6)1.5 (1.6)2.0 (1.9)<0.001
BASMI, mean (S.D.)1.7 (2.0)1.0 (1.7)1.4 (1.9)2.5 (2.2)<0.001
ASAS HI, mean (S.D.)5.4 (3.8)5.2 (3.6)5.1(3.8)5.8 (3.9)0.041
CRP, mean (S.D.), mg/L14.0 (24.6)12.3 (21.8)13.9 (21.7)15.7 (29.5)0.257
Elevated CRP, %48.241.446.856.10.002
ESR, mean (S.D.), mm/hour16.5 (17.8)14.2 (16.0)16.7 (19.2)18.3 (17.7)0.018
Elevated ESR, %26.721.927.929.90.072
ASDAS, mean (S.D.)2.2(1.0)2.0 (1.0)2.1 (1.0)2.3 (1.0)<0.001

AS: ankylosing spondylitis, PGA: Patient’s global assessment, PhGA: Physician’s global assessment, BASDAI: Bath Ankylosing Spondylitis Disease Activity Index, BASFI: Bath Ankylosing Spondylitis Functional Index, BASMI: Bath Ankylosing Spondylitis Metrology Index, ASAS HI: The Assessment of Spondyloarthritis international Society Health Index, ESR: erythrocyte sedimentation rate, CRP: C-reactive protein, ASDAS: Ankylosing Spondylitis Disease Activity Score, HLA: human leukocyte antigen, AAU: acute anterior uveitis, and IBD: inflammatory bowel disease. P < 0.05.