The management of patients with axial spondyloarthritis (axSpA) worldwide is highly heterogeneous resulting in significant unmet needs such as delayed diagnosis. One way to achieve improvement in quality of care is to define quality standards (QS) in order to identify resources and processes which may need to be optimized. 
The ASAS QS group, consisting of 20 rheumatologists, 2 physiotherapists, and 2 patients, provided 34 potentially key areas for quality improvement which were commented by 140 participants (86 physicians, 42 patients).
Within this process 3 new key areas were proposed, and all 37 key areas were again evaluated by 120 participants (86 physicians, 29 patients).
Five key areas were identified to be most important to phrase QS: referral, rheumatologic assessment, treatment, education/self-management and comorbidities.