Evidence map›Paper›PMID 33274366›Full record

ArticleRheumatology (Oxford, England)2021

A clinical prediction model for estimating the risk of developing uveitis in patients with juvenile idiopathic arthritis.

Joeri W van Straalen, Gabriella Giancane, Yasmine Amazrhar, Nikolay Tzaribachev, Calin Lazar, Yosef Uziel, Albena Telcharova-Mihaylovska, Claudio A Len, Angela Miniaci, Alina L Boteanu and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Imaging Findings of Pediatric Rheumatic Disorders: JIA in the PRINTO Era and Autoimmune Interferonopathies.Pediatrics international : official journal of the Japan Pediatric Society
    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

20 authors at 13 institutions in 9 countries.

Joeri W van StraalenDepartment of Pediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, Utrecht, Netherlands.ORCID 0000-0002-8766-6694
Gabriella GiancaneClinica Pediatrica e Reumatologia, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Yasmine AmazrharDepartment of Pediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, Utrecht, Netherlands.
Nikolay TzaribachevPediatric Rheumatology Research Institute, Bad Bramstedt, Germany.
Calin LazarPediatrics, Spitalul Clinic de Urgenta pentru Copii, Cluj-Napoca, Romania.
Yosef UzielDepartment of Pediatrics, Pediatric Rheumatology Unit, Meir Medical Center, Kfar Saba, Israel.
Albena Telcharova-MihaylovskaDepartment of Paediatric Rheumatology, University Children's Hospital, Sofia, Bulgaria.
Claudio A LenPediatrics Department, Universidade Federal de São Paulo, Sao Paulo, Brazil.
Angela MiniaciSalute della Donna, del Bambino e dell'Adolescente-Padiglione 16 Ambulatorio di reumatologia, Azienda Ospedaliero-Universitaria S. Orsola-Malpighi, Bologna, Italy.
Alina L BoteanuPediatric Rheumatology Unit, University Hospital Ramón y Cajal, Madrid, Spain.
Giovanni FilocamoPediatric Rheumatology, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milan, Italy.
Mariel V MastriUnidad de Reumatologia, Hospital Sor Maria Ludovica, La Plata, Argentina.
Thaschawee ArkachaisriRheumatology and Immunology Service, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore.ORCID 0000-0002-1387-1169
Maria G MagnoliaPaediatrics, Santa Maria della Stella Hospital, Ciconia, Orvieto (TR), Italy.
Esther HoppenreijsPediatric Rheumatology, Radboud University Medical Center/Sint Maartenskliniek, Nijmegen, Netherlands.
Sytze de RoockDepartment of Pediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, Utrecht, Netherlands.
Nico M WulffraatDepartment of Pediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, Utrecht, Netherlands.
Nicolino RupertoClinica Pediatrica e Reumatologia, IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0001-8407-7782
Joost F SwartDepartment of Pediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, Utrecht, Netherlands.
Paediatric Rheumatology International Trials Organisation (PRINTO)
Wilhelmina Children's Hospital · NLIstituto Giannina Gaslini · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITHNO Bad Bramstedt · DEHospital de Niños Superiora Sor María Ludovica · ARHospital Universitario Ramón y Cajal · ESIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITKK Women's and Children's Hospital · SGRadboud University Nijmegen · NLSanta Maria Nuova Hospital · ITSpitalul Clinic de Urgență pentru Copii Cluj-Napoca · ROTel Aviv University · ILUniversidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo build a prediction model for uveitis in children with JIA for use in current clinical practice.

methodsData from the international observational Pharmachild registry were used. Adjusted risk factors as well as predictors for JIA-associated uveitis (JIA-U) were determined using multivariable logistic regression models. The prediction model was selected based on the Akaike information criterion. Bootstrap resampling was used to adjust the final prediction model for optimism.

resultsJIA-U occurred in 1102 of 5529 JIA patients (19.9%). The majority of patients that developed JIA-U were female (74.1%), ANA positive (66.0%) and had oligoarthritis (59.9%). JIA-U was rarely seen in patients with systemic arthritis (0.5%) and RF positive polyarthritis (0.2%). Independent risk factors for JIA-U were ANA positivity [odds ratio (OR): 1.88 (95% CI: 1.54, 2.30)] and HLA-B27 positivity [OR: 1.48 (95% CI: 1.12, 1.95)] while older age at JIA onset was an independent protective factor [OR: 0.84 (9%% CI: 0.81, 0.87)]. On multivariable analysis, the combination of age at JIA onset [OR: 0.84 (95% CI: 0.82, 0.86)], JIA category and ANA positivity [OR: 2.02 (95% CI: 1.73, 2.36)] had the highest discriminative power among the prediction models considered (optimism-adjusted area under the receiver operating characteristic curve = 0.75).

conclusionWe developed an easy to read model for individual patients with JIA to inform patients/parents on the probability of developing uveitis.

Indexed as

Clinical Decision RulesArthritis, JuvenileChildChild, PreschoolFemaleHumansMalePredictive Value of TestsRisk FactorsUveitisconfoundersJIAprediction modelrisk factorsuveitis

Identifiers

PMID33274366
PMCPMC8213427
OpenAlexW3108240248

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.