Evidence map›Paper›PMID 29806733›Full record

GuidelineArthritis care & research2019

Childhood Arthritis and Rheumatology Research Alliance Consensus Treatment Plans for Juvenile Idiopathic Arthritis-Associated and Idiopathic Chronic Anterior Uveitis.

Sheila T Angeles-Han, Mindy S Lo, Lauren A Henderson, Melissa A Lerman, Leslie Abramson, Ashley M Cooper, Miriam F Parsa, Lawrence S Zemel, Tova Ronis, Timothy Beukelman and 7 more

Abstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in Arthritis care & research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
7.6field-weighted citation impact, top 2% 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

40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
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  12. Assessment of choroidal vascularity index in juvenile idiopathic arthritis: implications for disease monitoring.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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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

17 authors at 13 institutions in 1 country.

Sheila T Angeles-HanCincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.ORCID 0000-0002-9552-6464
Mindy S LoBoston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
Lauren A HendersonBoston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
Melissa A LermanThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Leslie AbramsonVermont Children's Hospital and University of Vermont Medical Center, Burlington.
Ashley M CooperChildren's Mercy, Kansas City, Missouri.
Miriam F ParsaUniversity of California Los Angeles.
Lawrence S ZemelConnecticut Children's Medical Center, Hartford, Connecticut.
Tova RonisChildren's National Health System, Washington, DC.
Timothy BeukelmanUniversity of Alabama at Birmingham.
Erika Coxparent partner, Camas, Washington.
H Nida SenNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Gary N HollandStein Eye Institute and David Geffen School of Medicine, University of California Los Angeles.
Hermine I BrunnerCincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.
Andrew LaskyRandall Children's Hospital at Legacy Emmanuel, Portland, Oregon.
C Egla RabinovichDuke University Medical Center, Durham, North Carolina.
Juvenile Idiopathic Arthritis Disease-Specific and Uveitis Subcommittee of the Childhood Arthritis Rheumatology and Research Alliance
Boston Children's Hospital · USCincinnati Children's Hospital Medical Center · USUniversity of California, Los Angeles · USChildren's Hospital of Philadelphia · USChildren's Mercy Hospital · USChildren's National · USConnecticut Children's Medical Center · USDuke Medical Center · USNational Institutes of Health · USNurse-Family Partnership · USRandall Children's Hospital at Legacy Emanuel · USUniversity of Alabama at Birmingham · USUniversity of Vermont Medical Center · US

Funding

An integrated and diverse genomic medicine program for undiagnosed diseasesU01HG007672 · NHGRI · DUKE UNIVERSITY · PI SHASHI, VANDANA · 2014 to 2022
$13.4M
Studies of Ocular inflammation: Translational ResearchZIAEY000556 · NEI · NATIONAL EYE INSTITUTE · PI CASPI, RACHEL R. · 2017 to 2025
$11.3M
Joint Biology Consortium Resource-based CenterP30AR070253 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Peter A Nigrovic, Jeffrey Andrew Sparks · 2016 to 2026
$9.4M
Comparative Effectiveness Research in Pediatric Rheumatic Diseases: Leveraging CARC1AR058605 · NIAMS · SEATTLE CHILDREN'S HOSPITAL · PI ILOWITE, NORMAN T, WALLACE, CAROL A · 2009 to 2010
$995k
Outcomes of children with juvenile idiopathic arthritis-associated uveitisK23EY021760 · NEI · EMORY UNIVERSITY · PI ANGELES-HAN, SHEILA THERESE · 2011 to 2015
$980k
The Reprogramming of Regulatory T cells to a Th17 Phenotype in Systemic Juvenile Idiopathic ArthritisK08AR073339 · NIAMS · BOSTON CHILDREN'S HOSPITAL · PI HENDERSON, LAUREN A · 2018 to 2022
$840k
Arthritis FoundationChildhood Arthritis and Rheumatology Research Alliance (CARRA)NEI NIH HHS K23 EY021760NHGRI NIH HHS U01 HG007672NIAMS NIH HHS K08 AR073339NIAMS NIH HHS L40 AR065238NIAMS NIH HHS P30 AR070253NIAMS NIH HHS RC1 AR058605Rheumatology Research FoundationWaisie Foundation
6 · The paper itself

Abstract

objectiveSystemic immunosuppressive treatment of pediatric chronic anterior uveitis (CAU), both juvenile idiopathic arthritis-associated and idiopathic anterior uveitis, varies, making it difficult to identify best treatments. The Childhood Arthritis and Rheumatology Research Alliance (CARRA) developed consensus treatment plans (CTPs) for CAU for the purpose of reducing practice variability and allowing future comparison of treatments using comparative effectiveness analysis techniques.

methodsA core group of pediatric rheumatologists, ophthalmologists with uveitis expertise, and a lay advisor comprised the CARRA uveitis workgroup that performed a literature review on pharmacologic treatments, held teleconferences, and developed a case-based survey administered to the CARRA membership to delineate treatment practices. We held 3 face-to-face consensus meetings using nominal group technique to develop CTPs.

resultsThe survey identified areas of treatment practice variability. We developed 2 CTPs for the treatment of CAU, case definitions, and monitoring parameters. The first CTP is directed at children who are naive to steroid-sparing medication, and the second at children initiating biologic therapy, with options for methotrexate, adalimumab, and infliximab. We defined a core data set and outcome measures, with data collection at 3 and 6 months after therapy initiation. The CARRA membership voted to accept the CTPs with a >95% approval (n = 233).

conclusionUsing consensus methodology, 2 standardized CTPs were developed for systemic immunosuppressive treatment of CAU. These CTPs are not meant as treatment guidelines, but are designed for further pragmatic research within the CARRA research network. Use of these CTPs in a prospective comparison effectiveness study should improve outcomes by identifying best practice options.

Indexed as

Antirheumatic AgentsArthritis, JuvenileChildClinical ProtocolsDelphi TechniqueHumansMethotrexateTumor Necrosis Factor InhibitorsUveitis, AnteriorAntirheumatic AgentsMethotrexateTumor Necrosis Factor Inhibitors

Identifiers

PMID29806733
PMCPMC6261704
OpenAlexW2807289670

What OpenQuestion holds

Textmetadata
LicenceTDM
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.