Evidence map›Paper›PMID 34726738›Full record

ArticleRheumatology (Oxford, England)2022

Impact of the COVID-19 pandemic on juvenile idiopathic arthritis presentation and research recruitment: results from the CAPRI registry.

Molly J Dushnicky, Catherine Campbell, Karen A Beattie, Roberta Berard, Tania Cellucci, Mercedes Chan, Tommy Gerschman, Nicole Johnson, Lillian Lim, Nadia Luca and 10 more

Abstract 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. New Diagnoses of Juvenile Idiopathic Arthritis Early in the COVID-19 Pandemic: Analysis of a Large United States Commercial Insurance Database.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2025
    Article
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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

20 authors.

Molly J DushnickyDepartment of Pediatrics.ORCID 0000-0001-8503-731X
Catherine CampbellMichael G. DeGroote School of Medicine.
Karen A BeattieDivision of Rheumatology, Department of Medicine, McMaster University, Hamilton.ORCID 0000-0001-6153-9243
Roberta BerardDivision of Rheumatology, Department of Pediatrics, Western University, London.ORCID 0000-0003-2780-0617
Tania CellucciDivision of Rheumatology, Department of Pediatrics, McMaster University, Hamilton, Ontario.
Mercedes ChanDivision of Rheumatology, Department of Pediatrics, University of British Columbia, Vancouver, British Columbia.
Tommy GerschmanDivision of Rheumatology, Department of Pediatrics, University of British Columbia, Vancouver, British Columbia.
Nicole JohnsonSection of Rheumatology, Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
Lillian LimDivision of Rheumatology, Department of Pediatrics, University of Alberta, Edmonton, Alberta.
Nadia LucaSection of Rheumatology, Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
Paivi MiettunenSection of Rheumatology, Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
Kimberly A MorishitaDivision of Rheumatology, Department of Pediatrics, University of British Columbia, Vancouver, British Columbia.
Jean-Philippe Proulx-GauthierDepartment of Pediatrics, CHU de Quebec-Universite Laval, Quebec City.
Dax G RumseyDivision of Rheumatology, Department of Pediatrics, University of Alberta, Edmonton, Alberta.
Heinrike SchmelingSection of Rheumatology, Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
Rosie ScuccimarriDivision of Rheumatology, Department of Pediatrics, McGill University, Montreal, Quebec, Canada.
Herman TamDivision of Rheumatology, Department of Pediatrics, University of Alberta, Edmonton, Alberta.
Jaime GuzmanDivision of Rheumatology, Department of Pediatrics, University of British Columbia, Vancouver, British Columbia.
Michelle BatthishDivision of Rheumatology, Department of Pediatrics, McMaster University, Hamilton, Ontario.
CAPRI Registry Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe COVID-19 pandemic has disrupted healthcare delivery and clinical research worldwide, with data from areas most affected demonstrating an impact on rheumatology care. This study aimed to characterize the impact of the pandemic on the initial presentation of JIA and JIA-related research in Canada.

methodsData collected from the Canadian Alliance of Pediatric Rheumatology Investigators JIA Registry from the year pre-pandemic (11 March 2019 to 10 March 2020) was compared with data collected during the first year of the pandemic (11 March 2020 to 10 March 2021). Outcomes included time from symptom onset to first assessment, disease severity at presentation and registry recruitment. Proportions and medians were used to describe categorical and continuous variables, respectively.

resultsThe median time from symptom onset to first assessment was 138 (IQR 64-365) days pre-pandemic vs 146 (IQR 83-359) days during the pandemic. The JIA category frequencies remained overall stable (44% oligoarticular JIA pre-pandemic, 46.8% pandemic), except for systemic JIA (12 cases pre-pandemic, 1 pandemic). Clinical features, disease activity (cJADAS10), disability (CHAQ) and quality of life (JAQQ) scores were similar between the two cohorts. Pre-pandemic, 225 patients were enrolled, compared with 111 in the pandemic year, with the greatest decrease from March to June 2020.

conclusionsWe did not observe the anticipated delay in time to presentation or increased severity at presentation, suggesting that, within Canada, care adapted well to provide support to new patient consults without negative impacts. The COVID-19 pandemic was associated with an initial 50% decrease in registry enrolment but has since improved.

Indexed as

Arthritis, JuvenileCOVID-19CanadaChildHumansPandemicsQuality of LifeRegistriesCOVID-19diagnosisJIApandemicpresentationquality of life

Identifiers

PMID34726738
PMCPMC8689883

What OpenQuestion holds

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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.