Evidence map›Paper›PMID 36283758›Full record

Observational studyRMD open2022

Medication burden in young adults with juvenile idiopathic arthritis: data from a multicentre observational study.

Laura J Montag, Gerd Horneff, Paula Hoff, Ariane Klein, Tilmann Kallinich, Ivan Foeldvari, Eva Seipelt, Stefanie Tatsis, M D Peer Aries, Martina Niewerth and 2 more

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in RMD open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

12 authors at 7 institutions in 1 country.

Laura J MontagCharité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Gerd HorneffDepartment of Paediatrics, Asklepios Clinic Sankt Augustin, Sankt Augustin, Germany.
Paula HoffCharité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Ariane KleinDepartment of Paediatrics, Asklepios Clinic Sankt Augustin, Sankt Augustin, Germany.
Tilmann KallinichDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0000-0003-2404-9397
Ivan FoeldvariKlinikum Eilbek, Hamburger Zentrum für Kinder- und Jugendrheumatologie, Hamburg, Germany.
Eva SeipeltImmanuel Krankenhaus Berlin-Buch, Berlin, Germany.
Stefanie TatsisKatholisches Marienkrankenhaus GmbH, Hamburg, Germany.
M D Peer AriesImmunologikum Hamburg, Hamburg, Germany.
Martina NiewerthProgramme area Epidemiology and Health Services Research, Deutsches Rheuma-Forschungszentrum Berlin, Leibniz Institute, Berlin, Germany.
Jens Klotsche *Programme area Epidemiology and Health Services Research, Deutsches Rheuma-Forschungszentrum Berlin, Leibniz Institute, Berlin, Germany.ORCID 0000-0002-2954-5755
Kirsten Minden *Programme area Epidemiology and Health Services Research, Deutsches Rheuma-Forschungszentrum Berlin, Leibniz Institute, Berlin, Germany minden@drfz.de.ORCID 0000-0003-2775-0111
Humboldt-Universität zu Berlin · DEAsklepios Klinik Sankt Augustin · DEGerman Rheumatism Research Centre · DEDermatologikum Hamburg · DEImmanuel Krankenhaus · DEMarienkrankenhaus Hamburg · DESchön Klinik Hamburg Eilbek · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the medication and disease burden of young adults with juvenile idiopathic arthritis (JIA).

methodsYoung adults with JIA prospectively followed in the Juvenile Arthritis Methotrexate/Biologics long-term Observation reported on their health status and medication use. All medications taken (disease-modifying antirheumatic drugs (DMARDs)/prescription/over-the-counter drugs, but excluding most local therapies) classified according to the Anatomical Therapeutic Chemical Classification System were included in this analysis. Medication use at last follow-up was evaluated by sex, JIA category and time from symptom onset to the first biological DMARD (bDMARD) start.

resultsA total of 1306 young adults (68% female) with JIA and a mean disease duration of 13.6±6 years were included in the study. Patients reported using on average 2.4±2.1 medicines and 1.5±1.7 non-DMARD medicines, respectively, at the last follow-up. Almost a quarter of the patients reported polypharmacy. The higher the number of medications used was, the higher the disease activity, pain and fatigue, and the lower the quality of life of patients. Medication usage differed significantly between sexes and JIA categories, being highest in patients with rheumatoid factor-positive polyarthritis and systemic JIA. The number of medications used was significantly associated with the time from symptom onset to bDMARD start. Patients taking opioids or antidepressants had a particularly high disease burden and had received bDMARDs an average of 2 years later than patients not taking these medications.

conclusionMedication use in adults with JIA varies depending on sex, JIA category, and the time between symptom onset and initiation of treatment with bDMARD.

Indexed as

Antirheumatic AgentsArthritis, JuvenileBiological ProductsFemaleHumansMaleMethotrexateNonprescription DrugsQuality of LifeRheumatoid FactorYoung AdultAntirheumatic AgentsBiological ProductsMethotrexateNonprescription DrugsRheumatoid FactorBiological TherapyJuvenile Idiopathic ArthritisOutcome Assessment, Health CarePatient Reported Outcome MeasuresTherapeutics

Identifiers

PMID36283758
PMCPMC9608545
OpenAlexW4307580975

What OpenQuestion holds

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LicenceCC BY-NC
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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.