Difficult to manage axial spondyloarthritis patients have high burden of pain-related comorbidities and adverse long-term outcome.
Difficult to manage (D2M) axial spondyloarthritis (axSpA) is an evolving clinical concept. We aimed to assess the prevalence, predictors and long-term outcomes of D2M axSpA. Prospective single center cohort study of axSpA patients starting targeted agents (01/01/2007 until 28/02…