Evidence map›Paper›PMID 34613385›Full record

ArticleRheumatology (Oxford, England)2022

Burden of comorbid conditions in children and young people with juvenile idiopathic arthritis: a collaborative analysis of 3 JIA registries.

Lianne Kearsley-Fleet, Jens Klotsche, Joeri W van Straalen, Wendy Costello, Gianfranco D'Angelo, Gabriella Giancane, Gerd Horneff, Ariane Klein, Matilda Láday, Mark Lunt and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-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, 18 citations in OpenAlex.

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  12. Pediatric uveitis: Role of the pediatrician.Frontiers in pediatrics · 2022
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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

21 authors at 12 institutions in 8 countries.

Lianne Kearsley-FleetCentre for Epidemiology Versus Arthritis, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.ORCID 0000-0003-0377-1575
Jens KlotscheEpidemiology Unit, German Rheumatism Research Centre, Berlin, Germany.
Joeri W van StraalenDepartment of Paediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, University Medical Center, Utrecht, Netherlands.ORCID 0000-0002-8766-6694
Wendy CostelloiIrish Children's Arthritis Network (iCAN), Bansha, Co Tipperary, Ireland.
Gianfranco D'AngeloPaediatrics, Ospedale Pediatrico G. Salesi di Ancona, Ancona.
Gabriella GiancaneClinica Pediatrica e Reumatologia, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Gerd HorneffDepartment of Pediatrics, Asklepios Kinderklinik Sankt Augustin, Sankt Augustin.
Ariane KleinDepartment of Pediatrics, Asklepios Kinderklinik Sankt Augustin, Sankt Augustin.
Matilda LádayPediatric Clinical Department 1, Spitalul Clinic Judetean De Urgenta, Tîrgu-Mureș, Romania.
Mark LuntCentre for Epidemiology Versus Arthritis, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Sytze de RoockDepartment of Paediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, University Medical Center, Utrecht, Netherlands.
Nicolino RupertoClinica Pediatrica e Reumatologia, IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0001-8407-7782
Casper SchoemakerDepartment of Paediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, University Medical Center, Utrecht, Netherlands.
Gordana Vijatov-DjuricFaculty of Medicine, University of Novi Sad.
Jelena VojinovicFaculty of Medicine, Department of Pediatric Immunology and Rheumatology, University of Nis, University Clinic Center.
Olga Vougiouka'P a A Kyriakou' Children's Hospital, 2nd Paediatric Department, Athens University School of Medicine, Athens, Greece.
Nico M WulffraatDepartment of Paediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, University Medical Center, Utrecht, Netherlands.
UK JIA Biologics Registers Investigators Group; Paediatric Rheumatology International Trials Organisation (PRINTO)
Kimme L HyrichCentre for Epidemiology Versus Arthritis, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.ORCID 0000-0001-8242-9262
Kirsten MindenEpidemiology Unit, German Rheumatism Research Centre, Berlin, Germany.
Joost F SwartDepartment of Paediatric Immunology and Rheumatology, Wilhelmina Children's Hospital, University Medical Center, Utrecht, Netherlands.ORCID 0000-0002-2759-2822
University Medical Center Utrecht · NLManchester Academic Health Science Centre · GBAsklepios Klinik Sankt Augustin · DEIstituto Giannina Gaslini · ITGerman Rheumatism Research Centre · DEHumboldt-Universität zu Berlin · DEOspedali Riuniti di Ancona · ITPanagiotis & Aglaia Kyriakou Children's Hospital · GRSouth Tipperary General Hospital · IESpitalul Clinic Judetean Mures · ROUniversity of Nis · RSUniversity of Novi Sad · RS

Funding

Versus Arthritis 20747
6 · The paper itself

Abstract

objectivesBurden of comorbidities are largely unknown in JIA. From 2000, national and international patient registries were established to monitor biologic treatment, disease activity and adverse events in patients with JIA. The aim of this analysis was to investigate in parallel, for the first time, three of the largest JIA registries in Europe/internationally-UK JIA Biologic Registers (BCRD/BSPAR-ETN), German biologic registers (BiKeR/JuMBO), multinational Pharmachild-to quantify the occurrence of selected comorbidities in patients with JIA.

methodsInformation on which data the registers collect were compared. Patient characteristics and levels of comorbidity were presented, focussing on four key conditions: uveitis, MAS, varicella, and history of tuberculosis. Incidence rates of these on MTX/biologic therapy were determined.

results8066 patients were registered into the three JIA registers with similar history of the four comorbidities across the studies; however, varicella vaccination coverage was higher in Germany (56%) vs UK/Pharmachild (16%/13%). At final follow-up, prevalence of varicella infection was lower in Germany (15%) vs UK/Pharmachild (37%/50%). Prevalence of TB (0.1-1.8%) and uveitis (15-19%) was similar across all registers. The proportion of systemic-JIA patients who ever had MAS was lower in Germany (6%) vs UK (15%) and Pharmachild (17%).

conclusionThis analysis is the first and largest to investigate the occurrence of four important comorbidities in three JIA registries in Europe and the role of anti-rheumatic drugs. Combined, these three registries represent one of the biggest collection of cases of JIA worldwide and offer a unique setting for future JIA outcome studies.

Indexed as

Antirheumatic AgentsArthritis, JuvenileBiological ProductsChickenpoxUveitisAdolescentHumansRegistriesTreatment OutcomeAntirheumatic AgentsBiological Productsbiologic therapyDMARDsepidemiologyJIAoutcome measuresviruses

Identifiers

PMID34613385
PMCPMC9157174
OpenAlexW3188315045

What OpenQuestion holds

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Registered trials

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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.