Evidence map›Paper›PMID 27422803›Full record

ArticleSeminars in arthritis and rheumatism2016

Treatment prescribing patterns in patients with juvenile idiopathic arthritis (JIA): Analysis from the UK Childhood Arthritis Prospective Study (CAPS).

Rebecca Davies, Roberto Carrasco, Helen E Foster, Eileen M Baildam, S E Alice Chieng, Joyce E Davidson, Yiannis Ioannou, Lucy R Wedderburn, Wendy Thomson, Kimme L Hyrich

Open access · hybridAbstract read
In one paragraph

Article in Seminars in arthritis and rheumatism, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 37 citations in OpenAlex.

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  9. Observational
  10. Spondyloarthritides: Theories and beyond.Frontiers in pediatrics · 2022
    Review
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  16. Observational
  17. Article
  18. Imaging in Juvenile Spondyloarthritis.Current rheumatology reports · 2016
    Review
  19. Article
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

10 authors at 8 institutions in 1 country.

Rebecca DaviesArthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Roberto CarrascoArthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Helen E FosterMusculoskeletal Research Group, Institute Cellular Medicine, Newcastle University and Paediatric Rheumatology, Great North Children׳s Hospital, Newcastle upon Tyne, UK.
Eileen M BaildamDepartment of Paediatric Rheumatology, Alder Hey Children׳s Hospital NHS Foundation Trust, Liverpool, UK.
S E Alice ChiengDepartment of Rheumatology, Royal Manchester Children׳s Hospital, Manchester, UK.
Joyce E DavidsonDepartment of Paediatric Rheumatology, Royal Hospital for Children, Glasgow, UK.
Yiannis IoannouArthritis Research UK Centre for Adolescent Rheumatology, University College London, London, UK.
Lucy R WedderburnArthritis Research UK Centre for Adolescent Rheumatology, University College London, London, UK; Infection, Inflammation, and Rheumatology Section, Institute of Child Health, UCL and Great Ormond Street Hospital NHS Trust, UCL Institute of Child Health, London, UK.
Wendy ThomsonArthritis Research UK Centre for Genetics and Genomics, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK; NIHR Manchester Musculoskeletal Biomedical Research Unit, Central Manchester University, Hospitals NHS Foundation Trust and University of Manchester Partnership, Manchester, UK.
Kimme L HyrichArthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK; NIHR Manchester Musculoskeletal Biomedical Research Unit, Central Manchester University, Hospitals NHS Foundation Trust and University of Manchester Partnership, Manchester, UK. Electronic address: kimme.hyrich@manchester.ac.uk.
Manchester Academic Health Science Centre · GBUniversity College London · GBAlder Hey Children's NHS Foundation Trust · GBGenomics (United Kingdom) · GBNewcastle University · GBRoyal Hospital for Children · GBRoyal Manchester Children's Hospital · GBUniversity of Manchester · GB

Funding

Arthritis Research UK 20542Versus Arthritis 20542Versus Arthritis 20747
6 · The paper itself

Abstract

objectiveInitial treatment of juvenile idiopathic arthritis (JIA) is largely based on the extent of joint involvement, disease severity and ILAR category. The licensing of biologic therapies for JIA has expanded treatment options. The aims of the study are (1) to describe treatment prescribing patterns in JIA over the first 3 years following first presentation to paediatric rheumatology and (2) to determine whether patterns of treatment have changed as biologics have become more widely available.

methodsChildren with at least 3 years of follow-up within the Childhood Arthritis Prospective Study (CAPS) were included. For analysis, children were placed into one of five groups according to their initial presentation to paediatric rheumatology: oligoarthritis (oJIA), polyarthritis (pJIA), systemic (sJIA), enthesitis-related arthritis (ERA) and psoriatic arthritis (PsA). Treatment patterns over 3 years were described.

resultsOf 1051 children, 58% received synthetic disease-modifying anti-rheumatic drugs (sDMARD) and 20% received biologics over the 3 years. Use of sDMARDs and biologics was higher in more severe disease presentations (sJIA and pJIA); however, 35% and 10% who presented with oJIA were also treated with sDMARDs and biologics, respectively. The number of children receiving sDMARD after 2006 was higher (p = 0.02); however, there was no difference in biologic prescribing before and after 2006 (p = 0.4).

conclusionsA high proportion of children presenting with JIA received sDMARDs plus/minus biologics during 3 years of follow-up. This was most common for patients with severe JIA but was also prescribed for patients with oligoarticular disease, despite the lack of evidence for effectiveness in this category.

Indexed as

Drug PrescriptionsPractice Patterns, Physicians'AdolescentAntirheumatic AgentsArthritis, JuvenileBiological ProductsChildChild, PreschoolFemaleHumansMaleProspective StudiesSeverity of Illness IndexTreatment OutcomeUnited KingdomAntirheumatic AgentsBiological ProductsBiologic therapyDMARD therapyJuvenile idiopathic arthritisTreatment

Identifiers

PMID27422803
PMCPMC5052142
OpenAlexW2412439401

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.