Free Online CME

Early Recognition and Referral of Patients With
Axial Spondyloarthritis: A GameOn! Challenge

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Axial spondyloarthritis (axSpA) is a chronic inflammatory rheumatic disease that primarily affects the sacroiliac joints and spine. Subtypes of axSpA include nonradiographic axSpA and radiographic axSpA, also known as ankylosing spondylitis, in which definitive damage to the sacroiliac joints can be observed via x-ray. Differentiating inflammatory back pain from mechanical back pain is extremely important for the timely diagnosis of axSpA. Delayed or inadequate treatment may decrease quality of life and lead to poor long-term outcomes, including irreversible loss of spinal function. In this CME activity, participants will play GameOn!, a quiz of knowledge and confidence, in which they will answer questions designed to hone their skills for the timely recognition, workup, and referral of patients with axSpA. Faculty will also quiz learners on common comorbidities and recommended treatment modalities.

GameOn! Challenge

Leonard Calabrese, DO
Early Recognition and Referral of Patients With Axial Spondyloarthritis: A GameOn! Challenge
Leonard Calabrese, DO, M. Elaine Husni, MD, MPH, Marina Magrey, MD
Release date: August 26, 2021
Expiration date: August 25, 2022
Estimated Time: 30 minutes
Type:Text-based CME
Specialty: Internal Medicine, Physical Medicine and Rehabilitation, Rheumatology


Learning Objectives

  • Differentiate inflammatory back pain from mechanical back pain based on clinical symptomology, risk factors, and underlying pathophysiology.

  • Identify patients with symptoms of axial spondyloarthritis (axSpA) and refer to a specialist as necessary.

  • Assess patients with axSpA for comorbidities and manage accordingly.

  • Review recommendations for early referral and pharmacotherapies that can be administered in the clinical setting to manage patients with axSpA.

Target Audience

The intended audience for this activity is physical medicine and rehabilitation (PM&R) physicians, family medicine physicians, internal medicine physicians, sports and orthopedic medicine physicians, and other health care professionals involved in the management of patients with axial spondyloarthritis and related conditions.

Activity Director

Leonard H. Calabrese, DO
Professor of Medicine, Cleveland Clinic Lerner College of Medicine Case Western Reserve University
R.J. Fasenmyer Chair of Clinical Immunology
Cleveland Clinic
Cleveland, OH

M. Elaine Husni, MD, MPH
Assistant Professor, Cleveland Clinic Lerner College of Medicine Case Western Reserve University
Vice Chair of Rheumatology
Director, Arthritis and Musculoskeletal Center
Cleveland Clinic
Cleveland, OH

Marina Magrey, MD
Professor of Medicine, Case Western Reserve University
Division Chief of Rheumatology
University Hospital Cleveland
Cleveland, OH