Evidence map›Paper›PMID 36927851›Full record

ArticleRMD open2023

Patterns of clinical joint inflammation in juvenile idiopathic arthritis.

Sascha L Heckert, Petra C E Hissink-Muller, J Merlijn van den Berg, Dieneke Schonenberg-Meinema, Lisette W A van Suijlekom-Smit, Marion A J van Rossum, Yvonne Koopman, Rebecca Ten Cate, Danielle M C Brinkman, Tom W J Huizinga and 2 more

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. The joint accumulation model of arthritis.Seminars in arthritis and rheumatism · 2025
    Review
  3. [Rheumatic shoulder joints in childhood].Zeitschrift fur Rheumatologie · 2025
    Article
  4. Review
  5. Article
  6. 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 5 institutions in 3 countries.

Sascha L HeckertRheumatology, Leiden University Medical Center, Leiden, The Netherlands s.l.heckert@lumc.nl.ORCID 0000-0002-3320-905X
Petra C E Hissink-MullerPaediatrics/Pediatric Rheumatology, Leiden University Medical Center Willem Alexander Childrens Hospital, Leiden, The Netherlands.
J Merlijn van den BergDepartment of Pediatric Immunology, Rheumatology and Infectious Diseases, Emma Childrens' Hospital UMC, Amsterdam, The Netherlands.
Dieneke Schonenberg-MeinemaDepartment of Pediatric Immunology, Rheumatology and Infectious Diseases, Emma Childrens' Hospital UMC, Amsterdam, The Netherlands.
Lisette W A van Suijlekom-SmitPediatric Rheumatology, Erasmus MC Sophia Children Hospital, Rotterdam, The Netherlands.
Marion A J van RossumDepartment of Pediatrics, Emma Childrens' Hospital UMC, Amsterdam, The Netherlands.
Yvonne KoopmanPediatrics, Haga Hospital Juliana Children's Hospital, Den Haag, The Netherlands.
Rebecca Ten CatePaediatrics/Pediatric Rheumatology, Leiden University Medical Center Willem Alexander Childrens Hospital, Leiden, The Netherlands.
Danielle M C BrinkmanPaediatrics/Pediatric Rheumatology, Leiden University Medical Center Willem Alexander Childrens Hospital, Leiden, The Netherlands.
Tom W J HuizingaRheumatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-7033-7520
Cornelia F AllaartRheumatology, Leiden University Medical Center, Leiden, The Netherlands.
Sytske Anne BergstraRheumatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-7136-5248
Leiden University Medical Center · NLEmma Kinderziekenhuis · NLErasmus MC - Sophia Children’s Hospital · NLHaga Hospital · NLReade · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe studied patterns of joint inflammation in juvenile idiopathic arthritis (JIA) to assess whether joint activity recurs locally in the same joints.

methodsJoints of 91 patients of the BeSt for Kids study, a treat-to-target trial for children with recent-onset oligoarticular, rheumatoid factor-negative polyarticular and psoriatic JIA, were clinically assessed during 2 years (10 study visits). The association between joint inflammation at baseline and later inflammation in the same joint was assessed using a multilevel mixed-effects logistic regression model at joint level. With a Poisson model, the association between baseline joint inflammation and the number of study visits at which the same joint was recurrently inflamed was tested.

resultsOf the 6097 joints studied, 15% (897) was clinically inflamed at baseline. In 42% (377/897) of those joints, inflammation recurred during follow-up. Joint inflammation at baseline was statistically significantly associated with joint inflammation during follow-up in the same joint (OR 3.9, 95% CI 3.5 to 4.4) and specifically with the number of episodes of recurrent joint inflammation (IRR 1.6, 95% CI 1.2 to 2.1).

conclusionIn JIA, joint inflammation has the tendency to recur multiple times in joints that are clinically inflamed at disease onset. This indicates that local factors might play a role in the processes contributing to the occurrence of JIA flares.

Indexed as

Arthritis, JuvenileChildHumansInflammationInflammationJuvenile Idiopathic ArthritisSynovitis

Identifiers

PMID36927851
PMCPMC10030666
OpenAlexW4327575305

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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.