Evidence map›Paper›PMID 41664534›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2026

Treatment of a Large Cohort of Childhood Chronic Noninfectious Uveitis in a Multicentric Large Study: Adalimumab Versus Methotrexate as First-Line Therapy.

Ilaria Maccora, Catherine Guly, Cinzia de Libero, Giulia Carreras, Athimalaipet V Ramanan, Gabriele Simonini

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ilaria MaccoraPediatric Rheumatology Unit, Meyer Children's Hospital IRCCS, Florence, Italy.ORCID 0000-0001-6418-3254
Catherine GulyBristol Eye Hospital, Bristol, United Kingdom.
Cinzia de LiberoPediatric Ophthalmology Unit, Meyer Children's Hospital, Florence, Italy.
Giulia CarrerasBiostatistic Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Athimalaipet V RamananDepartment of Paediatric Rheumatology, Bristol Royal Hospital for Children, Bristol, United Kingdom.
Gabriele SimoniniPediatric Rheumatology Unit, Meyer Children's Hospital IRCCS, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTreatment of childhood chronic idiopathic uveitis (cCIU) is predominantly based on studies in juvenile idiopathic arthritis-associated uveitis and expert opinion. Our aim was to report the treatment outcomes of our cohort of cCIU.

methodsRetrospective multicenter study involving the rheumatology and ophthalmology units at Florence, Italy, and Bristol, United Kingdom. We included children with cCIU, who received at least one systemic treatment. Ocular inflammation and treatment response were assessed according to the standardized uveitis nomenclature.

resultsA total of 116 patients with cCIU received at least one systemic treatment (93 methotrexate, 22 adalimumab, and 1 mycophenolate), whereas 60 of them received an additional second-line treatment (45 adalimumab, 14 mycophenolate, and 1 tocilizumab). Children treated with adalimumab (plus or minus methotrexate) as a first-line therapy were more likely to achieve remission than methotrexate alone (χ

conclusionAdalimumab shows promise as a potential first-line therapy for cCIU, particularly for posterior segment uveitis. Although effective in anterior uveitis, methotrexate leads children to relapse earlier than adalimumab.

Indexed as

AdalimumabAntirheumatic AgentsImmunosuppressive AgentsMethotrexateUveitisAdolescentAntibodies, Monoclonal, HumanizedChildChild, PreschoolChronic DiseaseDrug Therapy, CombinationFemaleHumansMaleMycophenolic AcidRemission InductionAdalimumabAntibodies, Monoclonal, HumanizedAntirheumatic AgentsImmunosuppressive AgentsMethotrexateMycophenolic Acidtocilizumab

Identifiers

PMID41664534
PMCPMC13430079

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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.