Open research questions in Spondyloarthritis Studies and Treatments
318 gap statements mined from Spondyloarthritis Studies and Treatments papers in our 7.9M-paper local library, which holds 1,601 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The need to balance sagittal correction with the risk of neurological complications. The challenge of achieving sufficient sagittal correction while minimizing morbidity.
Combined anterior-posterior osteotomy technique for correction of chin-on-chest deformity in ankylosing spondylitis: illustrative case · 2026 · DOIThe association between DISH and postoperative outcomes after surgery for degenerative lumbar spine disease is not well understood. There is a need to analyze retrospective data from Japanese studies to determine the risk of reoperation with DISH/L-DISH.
Association of diffuse idiopathic skeletal hyperostosis with postoperative outcomes following surgery for degenerative lumbar spine disease · 2026 · DOIThe mechanisms underpinning ongoing pain in chronic whiplash-associated disorder are not well understood. The reasons for reduced intra-epidermal nerve fibre density in people with chronic whiplash-associated disorder are unclear. There is a need to investigate skin inflammatory cytokine gene expression in people with chronic WAD II.
Skin inflammatory cytokine gene expression in chronic whiplash-associated disorder: a cross-sectional study · 2026 · DOIThe study identifies challenges in recruiting patients with psoriatic arthritis who fulfill established classification criteria and have an indication for ixekizumab therapy. It highlights the need for a sensitive assessment of myocardial deformation using speckle-tracking echocardiography.
Changes in biventricular myocardial function after six months of ixekizumab therapy in patients with psoriatic arthritis: a prospective speckle-tracking echocardiographic study · 2026 · DOIThe gap in the current research is the lack of understanding of whether predefined structural abnormalities already visible on abdominal CT are documented in an established SpA cohort. Prior studies have mainly focused on incidental SIJ abnormalities in inflammatory bowel disease cohorts or the diagnostic performance of abdominal CT.
Underreporting of sacroiliac joint structural abnormalities on routine abdominal CT in axial spondyloarthritis: a longitudinal workflow analysis · 2026 · DOIThere is a lack of understanding of the environmental and genetic determinants of ankylosing spondylitis. The current research aims to fill this gap by providing valuable information and encouraging further research. The paper identifies the need for more research on the connections between inflammatory disorders and selected environmental and genetic factors.
The circulating immune-cell programs associated with inflammatory heterogeneity in ankylosing spondylitis remain incompletely understood. The relationship between phthalate ester exposure and ankylosing spondylitis is not well understood.
A Database-Derived Phthalate Ester–Ankylosing Spondylitis Signature Identifies an AP-1/CXCL8 Inflammatory Classical-Monocyte Program · 2026 · DOIIt remains unknown whether this also applies to patients with axial spondyloarthritis (axSpA).
Site-specific articular response to TNF inhibitor in axial spondyloarthritis: A European cohort study · 2026 · DOIWhile studies have suggested that tumour necrosis factor inhibitors (TNFis) may alleviate depressive symptoms, their effect on the incidence of depression remains unclear.
Effect of tumour necrosis factor inhibitors on risk of depression in patients with AS: a nationwide propensity score-matched cohort study · 2026 · DOIThe clinical and immunologic significance of rheumatoid factors (RF) in psoriatic arthritis (PsA) remains unclear.
Data regarding progression from oligoarticular to polyarticular psoriatic arthritis (PsA) are sparse.
Progression from oligoarticular to polyarticular psoriatic arthritis and apremilast as a disease modifier: Novel insights from FOREMOST · 2026 · DOIT1-weighted MRI alone is insufficient for reliably evaluating structural lesions of SIJs due to sacroiliitis in patients with axial spondyloarthritis.
Diagnostic performance of pelvic CT, T1-weighted MRI and mineralized-tissue MRI for the assessment of structural lesions in sacroiliitis in patients with axial spondyloarthritis · 2025 · DOIImmunosuppressive/immunomodulatory therapies, including biologic/targeted synthetic disease-modifying antirheumatic drugs (b/tsDMARD), are common effective treatments for PsA; however, discontinuation is reported and contributing factors remain unclear.
Real-world use of biologic and targeted synthetic disease-modifying antirheumatic drugs in US patients with psoriatic arthritis: Persistence, patient characteristics associated with discontinuation, and dosing patterns · 2025 · DOIConflicting data exist on TNF inhibitors' (TNFi) role in preventing PsA in psoriasis.
TNF-alpha inhibitors reduce the incidence of PsA in patients with psoriasis: a propensity score-matched cohort study · 2025 · DOIBiologic therapies for skin psoriasis (PsO) have been linked to a lower risk of developing psoriatic arthritis (PsA), but their efficacy across different mechanisms of action remains to be fully explored.
Psoriatic arthritis risk in psoriasis patients receiving anti-IL-23 vs anti-IL-17: comparison of drug classes and individual agents · 2025 · DOIEarly diagnosis and treatment could offer significant benefits to the patient and potentially reduce productivity losses; however, future research is needed to evaluate the long-term health economic impact.
Investigate the direct effects of PAEs on AS pathogenesis. Examine the role of PAEs in other immune-mediated inflammatory diseases. Explore the potential therapeutic applications of targeting the AP-1/CXCL8 pathway in AS.
A Database-Derived Phthalate Ester–Ankylosing Spondylitis Signature Identifies an AP-1/CXCL8 Inflammatory Classical-Monocyte Program · 2026 · DOIPrior studies have reported varying rates of skin flares after glucocorticoid tapering.
Cutaneous Deterioration Following Glucocorticoid Discontinuation in Psoriatic Arthritis: A Real-World Cohort Study · 2026 · DOITuft resorption is an important radiographic feature of psoriatic arthritis (PsA), yet its clinical significance remains inadequately characterized.
Evidence for the association between MTX use and liver fibrosis in PsA remains inconclusive.
The lack of association between cumulative MTX dose and liver fibrosis in PsA: a cohort study · 2025 · DOIFurther studies are needed to determine the association between DISH/L-DISH and postoperative outcomes, - Prospective studies with larger sample sizes and diverse populations are required, - Studies should investigate the effect of DISH/L-DISH on different surgical procedures…
Association of diffuse idiopathic skeletal hyperostosis with postoperative outcomes following surgery for degenerative lumbar spine disease · 2026 · DOIInvestigate the mechanisms underpinning the association between reduced IENFD and chronic WAD II, - Examine a broader range of inflammatory cytokines, - Conduct longitudinal studies to examine changes in cytokine gene expression over…
Skin inflammatory cytokine gene expression in chronic whiplash-associated disorder: a cross-sectional study · 2026 · DOIFurther study on the diagnostic performance of abdominal CT, - Examination of treatment effects on reporting behavior, - Investigation of reporting behavior in other clinical…
Underreporting of sacroiliac joint structural abnormalities on routine abdominal CT in axial spondyloarthritis: a longitudinal workflow analysis · 2026 · DOIResearch in the area of connections between inflammatory disorders leading to the pathogenesis of AS and selected environmental and genetic factors, - Investigation of the link between infections and the risk…
This insufficient awareness correlated with lower activity and worse disease status.
From awareness to action: poor knowledge of physical activity correlates with lower activity and worse disease in axial spondyloarthritis · 2025 · DOI
Most-cited papers in Spondyloarthritis Studies and Treatments
- Ankylosing spondylitis · The Lancet · 2007 · 1,677 citations
- ANKYLOSING SPONDYLITIS AND HL-A 27 · The Lancet · 1973 · 1,453 citations
- Axial spondyloarthritis · The Lancet · 2017 · 1,240 citations
- EULAR recommendations for the management of psoriatic arthritis with pharmacological therapies: 2019 update · Annals of the Rheumatic Diseases · 2020 · 756 citations
- Prevalence and Determinants of Lateral and Medial Epicondylitis: A Population Study · American Journal of Epidemiology · 2006 · 585 citations
- Positive Effect of an Autologous Platelet Concentrate in Lateral Epicondylitis in a Double-Blind Randomized Controlled Trial · The American Journal of Sports Medicine · 2010 · 580 citations
- Ongoing Positive Effect of Platelet-Rich Plasma Versus Corticosteroid Injection in Lateral Epicondylitis · The American Journal of Sports Medicine · 2011 · 457 citations
- Mortality from cancer and other causes after radiotherapy for ankylosing spondylitis. · BMJ · 1965 · 387 citations
- EULAR recommendations for the management of psoriatic arthritis with pharmacological therapies: 2023 update · Annals of the Rheumatic Diseases · 2024 · 382 citations
- A systematic review of the epidemiology of somatisation disorder and hypochondriasis · Journal of Psychosomatic Research · 2004 · 339 citations
Most recent work
- Ixekizumab With Tirzepatide Achieved Greater Disease Control Than Ixekizumab Alone in Adults With Psoriatic Arthritis and Overweight or Obesity: Results From a Randomized Clinical Trial · Arthritis & Rheumatology · 2026
- Frequency and characteristics of axial involvement in psoriatic arthritis: results from the International Multicentre AXIS Study · Annals of the Rheumatic Diseases · 2026
- The path to interception in psoriatic disease: from conceptual clarity to clinical translation · The Lancet Rheumatology · 2026
- Prevalence and determinants of sacroiliac joint bone marrow oedema in the general population in Germany: a population-based cross-sectional study · The Lancet Rheumatology · 2026
- Determinants of Difficult‐to‐Manage and Treatment‐Refractory Axial Spondyloarthritis: A Cross‐Sectional Analysis Within a Longitudinal Cohort · Arthritis & Rheumatology · 2026
- Glucagon‐Like Peptide‐1 Receptor Agonist Therapy Is Associated With Improvement in Psoriatic Arthritis–Related and Metabolic Outcomes: A Retrospective Analysis of Two Cohorts · Arthritis & Rheumatology · 2026
- HLA-B27-associated gut microbiota and amino acid perturbations promote ankylosing spondylitis through M1 macrophage activation · Gut Microbes · 2026
- Psoriatic dactylitis: the association with HLA genetic susceptibility markers · Annals of the Rheumatic Diseases · 2026
- Difficult to manage axial spondyloarthritis patients have high burden of pain-related comorbidities and adverse long-term outcome · Arthritis Research & Therapy · 2026
- Intestinal Sclerostin Deficiency Links Gut Dysbiosis to Altered Serotonin Homeostasis in Axial Spondyloarthritis · Inflammation · 2026
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