OA17 Patient values and what matters to patients with axial spondyloarthritis in clinic

Abstract Background/Aims Physician-patient discrepancy in the goals of treatment remains an issue axial spondyloarthritis (AxSpA). The National Axial Spondyloarthritis Society (NASS) has recently launched a national survey on patient values. Bridging gap and improving alignment physician-patient may lead to better outcomes. objectives this study were investigate what patients wanted discuss prior their clinic attendance explore if these topics discussed by physician. discrepancies between physician reviewed steps put place bridge gap. Methods Patients fulfilled ASAS criteria for AxSpA. At baseline 130 consecutive attending AxSpA April December 2021 sent pre-clinic questionnaire. asked 2 questions were: 1) What do you wish at your appointment? 2) achieve following treatment? Questionnaires collected clinic. medical notes letters then post-clinic check 1 discussed. demographics disease activity scores BASMI, BASFI BASDAI also collected. Results baseline, 100/130 (77%) returned questionnaire mean age was 41 years (range 23-67). 74 (74%) male 80 (80%) work. seen doctor (38%), specialist nurse (32%) physiotherapist (30%). In terms treatment, currently biologics (64%), NSAIDs (46%) DMARDs BASMI 1.6 0.2-5.4), 2.7 (0-9.2), 3.5 (0.2-8.6) CRP 3 (0-20). For question 1, top three medication, pain management progression disease. 2, be pain-free, maintain flexibility being mobile active. There other that raised including fatigue, sleep, infections family planning. Post clinic, directly 73% 59% cases. most exercise pain. Pooling topics, five themes pain, flexibility, progression. A limitation is post analysis based written letters. Conclusion This confirms degree discordance goals. To gap, we are now focused they hope from treatment. We have updated our pathway include topics. Understanding will help us develop content interventions educational programmes improve clinical Disclosure A. Chan: None. Suarez: K. Rigler: J. Hamilton: