Evidence map›Paper›PMID 41314670›Full record

SynthesisRMD open2025

Long-term outcomes of JIA-associated uveitis: a systematic review and meta-analysis.

Laura Scagnellato, Giacomo Cozzi, Mariagrazia Lorenzin, Gianluca Poncina, Stefano Rizzetto, Roberta Ramonda

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in RMD open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

6 authors.

Laura ScagnellatoRheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy.ORCID 0000-0003-4314-5835
Giacomo CozziRheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy.ORCID 0000-0002-8895-7717
Mariagrazia LorenzinRheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy.
Gianluca PoncinaRheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy.
Stefano RizzettoRheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy.
Roberta RamondaRheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy roberta.ramonda@unipd.it.ORCID 0000-0002-9683-8873

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimJuvenile idiopathic arthritis-associated uveitis (JIAU) is a potentially blinding condition beginning in childhood. Flare-ups may occur throughout life, leading to cumulative ocular damage. This systematic review aimed to summarise the latest evidence on long-term ocular damage in adults with JIAU, focusing on studies published in the past 20 years.

methodsThe review protocol was registered in PROSPERO (ID 1033522). We included human studies on JIAU with at least 5 years of follow-up and/or young people ≥18 years old, published after 2000. Study quality was assessed using the Newcastle-Ottawa Scale. We extracted the cumulative incidence of complications and performed a meta-analysis to obtain pooled estimates (PE), assess heterogeneity, sensitivity, robustness and reporting bias using R packages.

results22 retrospective or cohort studies were eligible, encompassing 2208 long-term JIAU cases. Study quality was rated as good in 10, fair in 7 and poor in 5. Despite high heterogeneity (p<0.01), sensitivity analyses supported robustness. Evidence of reporting bias was found for severe visual impairment and cataract. The pooled incidence of severe visual impairment was 16.6% (95% CI 9.9% to 22.6%) at approximately 18 years. Cataract was the most frequent complication (PE 44.3% (95% CI 27.5% to 61.7%)), followed by glaucoma, synechiae, band keratopathy and hypotony. In cohorts with >50% biologic exposure, PE were numerically lower.

conclusionLong-term prevalence and cumulative incidence of JIAU complications may persist in adulthood, with >10% developing severe visual impairment despite biologic therapy.

Indexed as

Arthritis, JuvenileUveitisCataractHumansIncidenceArthritis, JuvenileBiological TherapyOutcome Assessment, Health CareUveitis, Anterior

Identifiers

PMID41314670
PMCPMC12666193

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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.