Evidence map›Paper›PMID 25721436›Full record

ReviewDeutsches Arzteblatt international2015

Uveitis in juvenile idiopathic arthritis.

Arnd Heiligenhaus, Kirsten Minden, Dirk Föll, Uwe Pleyer

Open access · greenAbstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Epidemiology, clinical features, and classification of 3,404 patients with uveitis: Colombian Uveitis Multicenter Study (COL-UVEA).Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  7. A clearer vision: insights into juvenile idiopathic arthritis-associated uveitis.Proceedings (Baylor University. Medical Center) · 2024
    Article
  8. Article
  9. Review
  10. Clinical relationship between dry eye disease and uveitis: a scoping review.Journal of ophthalmic inflammation and infection · 2023
    Article
  11. Review
  12. Article
  13. Chronic Uveitis in Children.Indian journal of pediatrics · 2022
    Article
  14. Article
  15. Juvenile Idiopathic Arthritis Associated Uveitis.Children (Basel, Switzerland) · 2021
    Review
  16. Article
  17. Observational
  18. Observational
  19. Article
  20. Enthesitis-related arthritis: current perspectives.Open access rheumatology : research and reviews · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 4 countries.

Arnd HeiligenhausDepartment of Opthalmology, St. Franziskus Hospital, Uveitis Center, University of Duisburg-Essen.
Kirsten MindenGerman Rheumatism Research Centre Berlin (DRFZ), University Medicine, Berlin.
Dirk FöllDepartment of Pediatric Rheumatology and Immunology, University Children's Hospital Münster.
Uwe PleyerDepartment of Ophthalmology, Charité - Universitätsmedizin Berlin.
University Hospital Münster · DEChildren's Clinical University Hospital · LVJohannes Wesling Klinikum Minden · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJuvenile idiopathic arthritis (JIA) is the most common systemic disease causing uveitis in childhood, with a prevalence of 10 per 100 000 persons. JIA often takes a severe inflammatory course, and its complications often endanger vision.

methodsThis review is based on pertinent articles retrieved by a selective literature search up to 18 August 2014 and on the current interdisciplinary S2k guideline on the diagnostic evaluation and anti-inflammatory treatment of juvenile idiopathic uveitis.

resultsUveitis arises in roughly 1 in 10 patients with JIA. Regular eye check-ups should be performed starting as soon as JIA is diagnosed. 75-80% of patients are girls; antinuclear antibodies are found in 70-90%. The risk to vision is higher if JIA begins in the preschool years. As for treatment, only a single, small-scale randomized controlled trial (RCT) and a small number of prospective trials have been published to date. Topical corticosteroids should be given as the initial treatment. Systemic immunosuppression is needed if irritation persists despite topical corticosteroids, if new complications arise, or if the topical steroids have to be given in excessively high doses or have unacceptable side effects. If the therapeutic effect remains inadequate, conventional and biological immune modulators can be given as add-on (escalation) therapy. Treatment lowers the risk of uveitis and its complications and thereby improves the prognosis for good visual function.

conclusionSeverely affected patients should be treated in competence centers to optimize their long-term outcome. Multidisciplinary, individualized treatment is needed because of the chronic course of active inflammation and the ensuing high risk of complications that can endanger vision. Future improvements in therapy will be aided by prospective, population-based registries and by basic research on biomarkers for the prediction of disease onset, prognosis, tissue damage, and therapeutic response.

Indexed as

AdolescentAdrenal Cortex HormonesArthritis, JuvenileCausalityChildChild, PreschoolComorbidityFemaleHumansImmunosuppressive AgentsInfantInfant, NewbornMaleRisk FactorsTreatment OutcomeUveitisAdrenal Cortex HormonesImmunosuppressive Agents

Identifiers

PMID25721436
PMCPMC4349966
OpenAlexW2255763335

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.