Evidence map›Paper›PMID 27919265›Full record

ArticlePediatric rheumatology online journal2016

Fatigue in patients with Juvenile Idiopathic Arthritis: relationship to perceived health, physical health, self-efficacy, and participation.

Wineke Armbrust, Otto H T M Lelieveld, Jolanda Tuinstra, Nico M Wulffraat, G J F Joyce Bos, Jeannette Cappon, Marion A J van Rossum, Pieter J J Sauer, Mariët Hagedoorn

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric rheumatology online journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
3.6field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  13. Experiences of participation in activities among girls with juvenile idiopathic arthritis: A qualitative study.Journal of child health care : for professionals working with children in the hospital and community · 2023
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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

9 authors at 4 institutions in 1 country.

Wineke ArmbrustDepartment of Pediatric Rheumatology, University of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Groningen, The Netherlands. w.armbrust@umcg.nl.
Otto H T M LelieveldUniversity of Groningen, University Medical Center Groningen, Center for Rehabilitation, Groningen, The Netherlands.
Jolanda TuinstraDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Nico M WulffraatDepartment of Pediatric Immunology, University Medical Center Utrecht, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
G J F Joyce BosUniversity of Groningen, University Medical Center Groningen, Center for Rehabilitation, Groningen, The Netherlands.
Jeannette CapponReade, Center for Rehabilitation and Rheumatology, location: Dr. Jan van Breemenstraat, Amsterdam, The Netherlands.
Marion A J van RossumReade, Center for Rehabilitation and Rheumatology, location: Dr. Jan van Breemenstraat, Amsterdam, The Netherlands.
Pieter J J SauerUniversity of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Groningen, The Netherlands.
Mariët HagedoornDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
University Medical Center Groningen · NLUniversity of Groningen · NLReade · NLWilhelmina Children's Hospital · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFatigue is common in patients with JIA and affects daily life negatively. We assessed the presence and severity of fatigue in patients with JIA, including factors presumed associated with fatigue (e.g., disease activity, disability, pain, physical activity, exercise capacity, and self-efficacy), and whether fatigue is related to participation in physical education classes, school attendance, and sports frequency.

methodsThe current study used baseline data of 80 patients with JIA (age 8-13) who participated in an intervention aimed at promoting physical activity. Primary outcome measurements were fatigue, assessed using the Pediatric-Quality-of-Life-Inventory (PedsQl)-Fatigue-scale and energy level assessed using a VAS scale. Other outcome measurements were disease activity (VAS Physician Global Assessment Scale), disability (Childhood Health Assessment Questionnaire), physical activity (accelerometer), exercise capacity (Bruce treadmill test), self-efficacy (Childhood Arthritis Self-Efficacy Scale), and participation (self-report).

resultsSixty percent of patients with JIA suffered from daily low-energy levels; 27% suffered from very low-energy levels more than half the week. Low energy levels were best predicted by disability and low physical activity. Fatigue measured with the PEDsQL was higher compared to the control-population. Disability and low self-efficacy were main predictors of fatigue. Self-efficacy was a predictor of fatigue but did not act as moderator. Fatigue was a predictor for sports frequency but not for school attendance.

conclusionFatigue is a significant problem for JIA patients. Interventions aimed at reducing perceived disability, stimulating physical activity, and enhancing self-efficacy might reduce fatigue and thereby enhance participation.

trial registrationTrial number ISRCTN92733069.

Indexed as

Attitude to HealthSelf EfficacyAdolescentArthritis, JuvenileChildCross-Sectional StudiesExerciseFatigueFemaleHealth StatusHumansMalePatient Outcome AssessmentPerceptionPhysical FitnessPregnancyExercise capacityFatigueJuvenile idiopathic arthritisParticipationPatient reported outcomePhysical activitySelf-efficacy

Identifiers

PMID27919265
PMCPMC5139083
OpenAlexW2560712389

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.