Introduction:

axial spondyloarthritis is a chronic inflammatory disease of the axial skeleton. Its insidious onset and low prevalence make early diagnosis difficult. Therefore, the involvement of primary care and family physicians is becoming more relevant for adequate coordination for control of the disease and the timely detection of comorbidities. The aim of this study was to identify quality standards for the care of Sp-Ax patients with a special emphasis on primary care.

Methods:

a literature review was performed in the following databases: MEDLINE, EMBASE, and Cochrane Library to identify publications and grey literature that validate or report quality standards for the care of Sp-Ax patients with a special emphasis on primary care. No language, date or document type restrictions were made to obtain a broader search.

Result:

a total of 161 documents were identified of which three met the inclusion criteria. The standards were grouped according to the Donabedian model, seven structure standards, three process standards, and 10 outcome standards.

Conclusions:

improving clinical practice depends on identifying opportunities for improvement. Quality standards pursue this objective to reduce clinical variability, improve outcomes and increase people's satisfaction with the care provided.

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