The aim of this work was to develop a consensual recommendation under the auspices of the Assessment of SpondyloArthritis international Society (ASAS) for early referral of patients with a suspicion of axial spondyloarthritis by non-rheumatologists.
The development of a referral recommendation consisted of four phases:
(1) systematic literature review,
(2) the first Delphi round aiming at identification of unmet needs and development of a candidate list of referral parameters,
(3) the second Delphi round aiming at identification of the most useful combination of referral parameters and
(4) final discussion and formal endorsement by ASAS membership. The following consensus on a referral recommendation was achieved as a result of the Delphi processes and final voting:
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