Evidence map›Paper›PMID 31307487›Full record

ArticlePediatric rheumatology online journal2019

Participation in school and physical education in juvenile idiopathic arthritis in a Nordic long-term cohort study.

Ellen Nordal, Veronika Rypdal, Ellen Dalen Arnstad, Kristiina Aalto, Lillemor Berntson, Maria Ekelund, Anders Fasth, Mia Glerup, Troels Herlin, Susan Nielsen and 5 more

Abstract read
In one paragraph

Article in Pediatric rheumatology online journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
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  5. 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

15 authors.

Ellen NordalDepartment of Pediatrics, University Hospital of North Norway, 9038, Tromsø, Norway. ellen.nordal@unn.no.ORCID http://orcid.org/0000-0001-5041-3928
Veronika RypdalDepartment of Pediatrics, University Hospital of North Norway, 9038, Tromsø, Norway.
Ellen Dalen ArnstadDepartment of Clinical and Molecular Medicine, NTNU - Norwegian University of Science and Technology, Trondheim, Norway.
Kristiina AaltoChildren's Hospital, University of Helsinki, Helsinki, Finland.
Lillemor BerntsonDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Maria EkelundDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Anders FasthDepartment of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Mia GlerupDepartment of Pediatrics, Aarhus University Hospital, Aarhus, Denmark.
Troels HerlinDepartment of Pediatrics, Aarhus University Hospital, Aarhus, Denmark.
Susan NielsenDepartment of Pediatrics, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark.
Suvi PeltoniemiChildren's Hospital, University of Helsinki, Helsinki, Finland.
Marek ZakDepartment of Pediatrics, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark.
Nils Thomas SongstadDepartment of Pediatrics, University Hospital of North Norway, 9038, Tromsø, Norway.
Marite RyggDepartment of Clinical and Molecular Medicine, NTNU - Norwegian University of Science and Technology, Trondheim, Norway.
Nordic Study Group of Pediatric Rheumatology (NoSPeR)

Funding

Helse Nord RHF HNF 1450-19
6 · The paper itself

Abstract

backgroundThe aim of the study was to describe school attendance and participation in physical education in school among children with juvenile idiopathic arthritis (JIA).

methodsConsecutive cases of JIA from defined geographical areas of Finland, Sweden and Norway with disease onset in 1997 to 2000 were followed for 8 years in a multi-center cohort study, aimed to be as close to population-based as possible. Clinical characteristics and information on school attendance and participation in physical education (PE) were registered.

resultsParticipation in school and in PE was lowest initially and increased during the disease course. Eight years after disease onset 228/274 (83.2%) of the children reported no school absence due to JIA, while 16.8% reported absence during the last 2 months due to JIA. Full participation in PE was reported by 194/242 (80.2%), partly by 16.9%, and none by 2.9%. Lowest participation in PE was found among children with ERA and the undifferentiated categories. Absence in school and PE was associated with higher disease activity measures at the 8-year visit. School absence > 1 day at baseline predicted use of disease-modifying anti-rheumatic drugs, including biologics (DMARDs) (OR 1.2 (1.1-1.5)), and non-remission off medication (OR 1.4 (1.1-1.7) 8 years after disease onset.

conclusionSchool absence at baseline predicted adverse long-term outcome. In children and adolescents with JIA participation in school activities is mostly high after 8 years of disease. For the minority with low participation, special attention is warranted to promote their full potential of social interaction and improve long-term outcome.

Indexed as

AbsenteeismPhysical Education and TrainingSchoolsAdolescentAntirheumatic AgentsArthritis, JuvenileChildCohort StudiesFemaleFinlandHumansLongitudinal StudiesMaleNorwaySwedenAntirheumatic AgentsEpidemiologyJuvenile idiopathic arthritisParticipationPhysical activityPhysical educationSchool

Identifiers

PMID31307487
PMCPMC6631827

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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.