Evidence map›Paper›PMID 27723840›Full record

Trial reportPloS one2016

Impact of Juvenile Idiopathic Arthritis Associated Uveitis in Early Adulthood.

Anne-Mieke J W Haasnoot, Lenneke A Vernie, Aniki Rothova, Patricia V D Doe, Leonoor I Los, Nicoline E Schalij-Delfos, Joke H de Boer

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.6field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
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  14. [Uveitis in juvenile idiopathic arthritis].Zeitschrift fur Rheumatologie · 2017
    Article
  15. 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

7 authors at 5 institutions in 2 countries.

Anne-Mieke J W HaasnootDepartment of Ophthalmology, Utrecht University Medical Center, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0001-6945-544X
Lenneke A VernieDepartment of Ophthalmology, Utrecht University Medical Center, Utrecht, The Netherlands.
Aniki RothovaDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, The Netherlands.
Patricia V D DoeDepartment of Ophthalmology, Utrecht University Medical Center, Utrecht, The Netherlands.
Leonoor I LosDepartment of Ophthalmology, Groningen University Medical Center, Groningen, the Netherlands.
Nicoline E Schalij-DelfosDepartment of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
Joke H de BoerDepartment of Ophthalmology, Utrecht University Medical Center, Utrecht, The Netherlands.
Utrecht University · NLErasmus MC · NLLeiden University Medical Center · NLOregon Health & Science University · USUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTypically juvenile idiopathic arthritis (JIA)-associated uveitis (further referred as 'JIA-uveitis') has its onset in childhood, but some patients suffer its, sometimes visual threatening, complications or ongoing disease activity in adulthood. The objective of this study was to analyze uveitis activity, complications and visual prognosis in adulthood.

methodsIn this multicenter study, 67 adult patients (129 affected eyes) with JIA-uveitis were retrospectively studied for best corrected visual acuity, visual fields, uveitis activity, topical/systemic treatments, ocular complications, and ocular surgeries during their 18th, 22nd and 30th year of life. Because treatment strategies changed after the year 1990, outcomes were stratified for onset of uveitis before and after 1990.

resultsSixty-two of all 67 included patients (93%) had bilateral uveitis. During their 18th life year, 4/52 patients (8%) had complete remission, 28/52 (54%) had uveitis activity and 37/51 patients (73%) were on systemic immunomodulatory treatment. Bilateral visual impairment or legal blindness occurred in 2/51 patients (4%); unilateral visual impairment or legal blindness occurred in 17/51 patients (33%) aged 18 years. The visual prognosis appeared to be slightly better for patients with uveitis onset after the year 1990 (for uveitis onset before 1990 (n = 7) four patients (58%) and for uveitis onset after 1990 (n = 44) 13 patients (30%) were either visual impaired or blind). At least one ocular surgery was performed in 10/24 patients (42%) between their 18th and 22nd year of life.

conclusionsBilateral visual outcome in early adulthood in patients with JIA-uveitis appears to be fairly good, although one third of the patients developed one visually impaired or blind eye. However, a fair amount of the patients suffered from ongoing uveitis activity and needed ongoing treatment as well as surgical interventions. Awareness of these findings is important for ophthalmologists and rheumatologists treating patients with JIA-uveitis, as well as for the patients themselves.

Indexed as

AdolescentAdultArthritis, JuvenileChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantMalePrognosisRetrospective StudiesUveitis

Identifiers

PMID27723840
PMCPMC5056754
OpenAlexW2531395962

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Registered trials

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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.