Table 1 Clinical and demographic parameters in chronic back pain patients and age at onset 45 years or less (n  =  649)
Axial SpA (n  =  391)No SpA (n  =  258)
Age, years (mean, SD)31.6 (11.0)36.5 (10.9)
Duration of back pain, years (mean, SD)6.1 (7.6)9.1 (10.7)
Age at onset, years (mean, SD)25.5 (8.4)27.4 (10.0)
Age at onset <40 years (%)93.187.2
Male gender (%)52.432.6
IBP (according to local rheumatologist) (%)*89.031.0
    IBP Calin (%)†85.959.7
    IBP experts (%)‡73.444.6
    IBP Berlin (%)§63.236.0
Good response to NSAID (%)59.126.7
Enthesitis (%)40.230.2
Enthesitis of the heel (%)16.914.0
Peripheral oligoarthritis (%)36.317.8
Uveitis (%)11.57.0
Dactylitis (%)6.61.2
Psoriasis (%)8.45.0
IBD (%)3.81.2
Family history of SpA (AS, reactive arthritis, uveitis, psoriasis, IBD)¶ (%)23.318.6
Schober’s test, cm, mean (SD)4.1 (2.3)3.9 (2.5)
Schober’s test, <4 cm (%)33.833.1
Lateral spinal flexion, cm, mean (SD)16.3 (5.6)16.0 (5.8)
Lateral spinal flexion, <10 cm (%)10.910.9
Chest expansion, cm, mean (SD)4.9 (2.0)5.0 (1.7)
Chest expansion, ⩽2.5 cm (%)11.06.2
HLA-B27 (%)65.927.7
Elevated CRP, above upper normal limit (%)38.114.7
Definite radiographic sacroiliitis (⩾ grade 2 bilateral or ⩾ grade 3 unilateral) (%)29.71.9
Unilateral grade 2 radiographic sacroiliitis (%)10.71.2
Active inflammation of sacroiliac joints, MRI (n  =  495) (%)64.72.6
Active inflammation of sacroiliac joints (MRI), in patients with radiographic sacroiliitis ⩽ grade 1 (n  =  383) (%)61.62.2
Active inflammation of the spine, MRI (n  =  276) (%)32.61.0
  • *Global judgement on the presence or absence of inflammatory back pain (IBP), independent of formal criteria. †IBP Calin et al12 (four or more out of five): (1) age at onset <40 years; (2) back pain >3 months; (3) insidious onset; (4) morning stiffness; (5) improvement with exercise. ‡IBP experts13 (four or more out of five): (1) age at onset <40 years; (2) insidious onset; (3) improvement with exercise; (4) no improvement with rest; (5) pain at night (with improvement upon getting up). §IBP Rudwaleit et al13 (two or more out of four): (1) morning stiffness >30 minutes; (2) improvement with exercise, not with rest; (3) alternating buttock pain; (4) pain at second half of night/early morning (only night pain with improvement upon getting up). ¶Family history of ankylosing spondylitis (AS), psoriasis, reactive arthritis, uveitis, or inflammatory bowel disease (IBD) in a first-degree relative (father, mother, sisters, brothers, children) or second-degree relative (maternal and paternal grandparents, aunts, uncles, nieces and nephews). CRP, C-reactive protein; MRI, magnetic resonance imaging; NSAID, non-steroidal anti-inflammatory drug; SpA, spondyloarthritis.