Evidence map›Paper›PMID 31021511›Full record

GuidelineArthritis & rheumatology (Hoboken, N.J.)2019

2019 American College of Rheumatology/Arthritis Foundation Guideline for the Screening, Monitoring, and Treatment of Juvenile Idiopathic Arthritis-Associated Uveitis.

Sheila T Angeles-Han, Sarah Ringold, Timothy Beukelman, Daniel Lovell, Carlos A Cuello, Mara L Becker, Robert A Colbert, Brian M Feldman, Gary N Holland, Polly J Ferguson and 18 more

Registry-linked trialOpen access · greenAbstract readPractice Guideline
In one paragraph

Guideline in Arthritis & rheumatology (Hoboken, N.J.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05540743 (The Efficacy of Anti-TNF Alpha Agents in the Treatment of JIA- Associated Uveitis in a Pediatric Cohort), which is not on this map. Cited by 38 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 7 pooled it
13.3field-weighted citation impact, top 1% 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.

NCT05540743 phase4unknown statusnot on this mapstarted 2022, after this paper: background citation

The Efficacy of Anti-TNF Alpha Agents in the Treatment of JIA- Associated Uveitis in a Pediatric Cohort

TypeinterventionalSponsorKasr El Aini HospitalRan2022 to 2024Enrolled250ConditionsJuvenile Idiopathic Arthritis Associated UveitisArmsbiologic DMARDs
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 7 syntheses or guidelines pooled it, 105 citations in OpenAlex.

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  20. A clearer vision: insights into juvenile idiopathic arthritis-associated uveitis.Proceedings (Baylor University. Medical Center) · 2024
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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

28 authors at 18 institutions in 2 countries.

Sheila T Angeles-HanCincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio.ORCID 0000-0002-9552-6464
Sarah RingoldSeattle Children's Hospital, Seattle, Washington.
Timothy BeukelmanUniversity of Alabama, Birmingham.
Daniel LovellCincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio.
Carlos A CuelloMcMaster University, Hamilton, Ontario, Canada.
Mara L BeckerChildren's Mercy Hospital, Kansas City, Missouri.
Robert A ColbertNational Institutes of Health, Bethesda, Maryland.
Brian M FeldmanThe Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Gary N HollandUCLA Stein Eye Institute, David Geffen School of Medicine at UCLA, Los Angeles, California.
Polly J FergusonUniversity of Iowa Carver College of Medicine, Iowa City.
Harry GewanterChildren's Hospital of Richmond, Virginia Commonwealth University, Richmond.
Jaime GuzmanBC Children's Hospital, Vancouver, British Columbia, Canada.
Jennifer HoronjeffColumbia University Medical Center, New York, New York.
Peter A NigrovicBrigham & Women's Hospital and Boston Children's Hospital, Boston, Massachusetts.
Michael J OmbrelloNational Institutes of Health, Bethesda, Maryland.
Murray H PassoMedical University of South Carolina, Charleston.
Matthew L StollUniversity of Alabama, Birmingham.
C Egla RabinovichDuke University, Durham, North Carolina.
H Nida SenNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Rayfel SchneiderThe Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Olha HalyabarBoston Children's Hospital, Boston, Massachusetts.
Kimberly HaysMedical University of South Carolina, Charleston.
Amit Aakash ShahAmerican College of Rheumatology, Atlanta, Georgia.
Nancy SullivanECRI Institute, Plymouth Meeting, Pennsylvania.
Ann Marie SzymanskiNational Institutes of Health, Bethesda, Maryland.
Marat TurgunbaevAmerican College of Rheumatology, Atlanta, Georgia.
Amy TurnerAmerican College of Rheumatology, Atlanta, Georgia.
James RestonECRI Institute, Plymouth Meeting, Pennsylvania.
National Institutes of Health · USAmerican College of Rheumatology · USCincinnati Children's Hospital Medical Center · USECRI Institute · USMedical University of South Carolina · USUniversity of Alabama at Birmingham · USUniversity of Toronto · CABC Children's Hospital · CABoston Children's Hospital · USBrigham and Women's Hospital · USChildren's Mercy Hospital · USColumbia University Irving Medical Center · USDoheny Eye Institute · USDuke University · USMcMaster University · CASeattle Children's Hospital · USUniversity of Iowa · USVirginia Commonwealth University · US

Funding

Pathogenic Mechanisms in SpondyloarthritisZIAAR041184 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI COLBERT, ROBERT · 2009 to 2025
$47.6M
Genetics and pathophysiology of systemic juvenile idiopathic arthritis and other complex autoinflammatory diseasesZIAAR041198 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI OMBRELLO, MICHAEL · 2014 to 2025
$14.4M
Diagnosis And Treatment Of Ocular Inflammatory Disease (uveitis)Z01EY000356 · NEI · NATIONAL EYE INSTITUTE · PI NUSSENBLATT, ROBERT B. · 2000 to 2008
$986k
Outcomes of children with juvenile idiopathic arthritis-associated uveitisK23EY021760 · NEI · EMORY UNIVERSITY · PI ANGELES-HAN, SHEILA THERESE · 2011 to 2015
$980k
Intramural NIH HHS Z01 EY000356NEI NIH HHS EY-000356-16NEI NIH HHS K23 EY021760NEI NIH HHS K23-EY-021760NIH HHS AR-041184NIH HHS AR-041198NIH HHS AR-059-703
6 · The paper itself

Abstract

objectiveTo develop recommendations for the screening, monitoring, and treatment of uveitis in children with juvenile idiopathic arthritis (JIA).

methodsPediatric rheumatologists, ophthalmologists with expertise in uveitis, patient representatives, and methodologists generated key clinical questions to be addressed by this guideline. This was followed by a systematic literature review and rating of the available evidence according to the GRADE (Grading of Recommendations Assessment, Development and Evaluation) methodology. A group consensus process was used to compose the final recommendations and grade their strength as conditional or strong.

resultsDue to a lack of literature with good quality of evidence, recommendations were formulated on the basis of available evidence and a consensus expert opinion. Regular ophthalmic screening of children with JIA is recommended because of the risk of uveitis, and the frequency of screening should be based on individual risk factors. Regular ophthalmic monitoring of children with uveitis is recommended, and intervals should be based on ocular examination findings and treatment regimen. Ophthalmic monitoring recommendations were strong primarily because of concerns of vision-threatening complications of uveitis with infrequent monitoring. Topical glucocorticoids should be used as initial treatment to achieve control of inflammation. Methotrexate and the monoclonal antibody tumor necrosis factor inhibitors adalimumab and infliximab are recommended when systemic treatment is needed for the management of uveitis. The timely addition of nonbiologic and biologic drugs is recommended to maintain uveitis control in children who are at continued risk of vision loss.

conclusionThis guideline provides direction for clinicians and patients/parents making decisions on the screening, monitoring, and management of children with JIA and uveitis, using GRADE methodology and informed by a consensus process with input from rheumatology and ophthalmology experts, current literature, and patient/parent preferences and values.

Indexed as

AdalimumabAdministration, OphthalmicAntirheumatic AgentsArthritis, JuvenileGlucocorticoidsHumansInfliximabMass ScreeningMethotrexateTumor Necrosis Factor InhibitorsUveitisAdalimumabAntirheumatic AgentsGlucocorticoidsInfliximabMethotrexateTumor Necrosis Factor Inhibitors

Identifiers

PMID31021511
PMCPMC6788287
OpenAlexW4248595528

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.