Pattern of history taking of GP(-residents) facing a patient with peripheral SpA in round 1 and 2
| Category | Item checked by GP or GP-resident | Educational group (n = 19) | Control group (n = 40) | ||||
|---|---|---|---|---|---|---|---|
| Round 1 | Round 2 | Change score | Round 1 | Round 2 | Change score | ||
| 1 | Duration of complaints? | 19 (100) | 18 (95) | –1 (–5) | 40 (100) | 39 (98) | –1 (–2) |
| 1 | Morning stiffness? | 10 (53) | 6 (32) | –4 (–21) | 16 (40) | 10 (25) | –6 (–15) |
| 1 | Duration of morning stiffness? | 4 (21) | 5 (26) | 1 (5) | 11 (28) | 9 (23) | –2 (–5) |
| 1 | Complaints worse or better over the day? | 12 (63) | 5 (26) | –7 (–37) | 15 (38) | 15 (38) | 0 (0) |
| 1 | More complaints after resting? | 3 (16) | 4 (21) | 1 (5) | 2 (5) | 2 (5) | 0 (0) |
| 1 | Improvement on NSAID? | 16 (84) | 15 (79) | –1 (–5) | 29 (73) | 22 (55) | –7 (–18) |
| 2 | Swollen joints? | 9 (47) | 16 (84) | 7 (37) | 29 (73) | 35 (88) | 6 (15) |
| 2 | Back pain? | 0 (0) | 6 (32) | 6 (32) | 1 (3) | 4 (10) | 3 (8) |
| 2 | Entheseal complaints? | 0 (0) | 1 (5) | 1 (5) | 3 (8) | 4 (10) | 1 (3) |
| 2 | Uveitis? | 0 (0) | 4 (21) | 4 (21) | 2 (5) | 2 (5) | 0 (0) |
| 3 | Psoriasis? | 3 (16) | 5 (26) | 2 (20) | 4 (10) | 1 (3) | –3 (–8) |
| 3 | IBD? | 2 (11) | 6 (32) | 4 (21) | 6 (15) | 5 (13) | –1 (3) |
| 4 | Family history AS? | 0 (0) | 1 (5) | 1 (5) | 0 (0) | 0 (0) | 0 (0) |
| 4 | Family history psoriasis? | 1 (5) | 5 (26) | 4 (21) | 3 (8) | 0 (0) | –3 (–8) |
| 4 | Family history IBD? | 0 (0) | 4 (21) | 4 (21) | 2 (5) | 2 (5) | 0 (0) |
The values are expressed as number (percentage) of GP(-residents). Numbers may not add up due to rounding. AS = ankylosing spondylitis. IBD = inflammatory bowel disease. NSAID = non-steroidal anti-inflammatory drug. SpA = spondyloarthritis. Category: 1 = differentiation between a mechanical or inflammatory origin of peripheral complaint; 2 = presence of swollen joints, back pain or entheseal complaints; 3 = presence of extra-articular manifestations; 4 = family history.