Evidence map›Paper›PMID 38331409›Full record

ArticleRheumatology (Oxford, England)2025

Predictors of lack of response to methotrexate in juvenile idiopathic arthritis associated uveitis.

Chiara Mapelli, Elisabetta Miserocchi, Marco Nassisi, Gisella B Beretta, Luca Marelli, Gaia Leone, Achille Marino, Cecilia Chighizola, Gilberto Cincinelli, Teresa Giani and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.2field-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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 2 countries.

Chiara MapelliOphthalmology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Elisabetta MiserocchiSan Raffaele Scientific Institute, Milan, Italy.
Marco NassisiOphthalmology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID 0000-0002-9354-9005
Gisella B BerettaUniversity of Milan, Milan, Italy.
Luca MarelliUniversity of Milan, Milan, Italy.ORCID 0000-0001-6646-8907
Gaia LeoneOphthalmology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Achille MarinoPediatric Rheumatology Unit, ASST Gaetano Pini, Milan, Italy.
Cecilia ChighizolaUniversity of Milan, Milan, Italy.ORCID 0000-0002-3787-9632
Gilberto CincinelliUniversity of Milan, Milan, Italy.
Teresa GianiDepartment of Pediatrics, AOU Meyer, Florence, Italy.ORCID 0000-0001-9292-7601
Paolo NucciUniversity of Milan, Milan, Italy.
Francesco ViolaOphthalmology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Giovanni FilocamoPediatric Immuno-Rheumatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Francesca MinoiaPediatric Immuno-Rheumatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID 0000-0002-5093-8422
Pediatric Rheumatology Associated Group of the Milan Area
University of Milan · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIstituto Ortopedico Gaetano Pini · ITMeyer Children's Hospital · ITSan Raffaele University of Rome · IT

Funding

Italian Ministry of Health
6 · The paper itself

Abstract

objectivesTo investigate clinical features associated with lack of response to MTX in juvenile idiopathic arthritis associated uveitis (JIA-U).

methodsClinical records of JIA-U patients were retrospectively reviewed. Differences among variables were assessed by Mann-Whitney and χ2 or Fisher's exact tests as appropriate. Association between predictors and requirement of a biological disease-modifying antirheumatic drug (bDMARD) was evaluated by univariate Cox regression analysis and Kaplan-Meier curves. A multivariable logistic model was applied to estimate strength of association, adjusting for potential confounders.

resultsData from 99 JIA-U patients treated with MTX were analysed (82.8% female), with a mean follow up of 9.2 years and a mean age at uveitis onset of 5.7 years. In 65 patients (65.7%) at least one bDMARD to control uveitis was required. Children requiring a bDMARD for uveitis had lower age at JIA and uveitis onset, more frequent polyarticular course, higher frequency of bilateral uveitis at onset and higher prevalence of systemic steroids' use. Despite similar frequency of ocular damage at onset, MTX non-responders showed a higher percentage of ocular damage at last visit. Younger age at JIA onset, polyarticular course and a history of systemic steroids' use resulted independent factors associated to lack of response to MTX at Cox regression analysis. Kaplan-Meier curves and the multivariate model confirm the independent role of both polyarticular course and systemic steroids' use.

conclusionsYounger age at JIA onset, polyarticular course and a history of systemic steroids' use are predictors of a worse response to MTX in JIA-U.

Indexed as

Antirheumatic AgentsArthritis, JuvenileMethotrexateUveitisAdolescentAge of OnsetChildChild, PreschoolFemaleHumansMaleRetrospective StudiesTreatment FailureTreatment OutcomeAntirheumatic AgentsMethotrexatebiologicsjuvenile idiopathic arthritismethotrexateuveitis

Identifiers

PMID38331409
PMCPMC11781584
OpenAlexW4392257027

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.