Pediatric rheumatology

Age at diagnosis as a prognostic factor in selected categories of juvenile idiopathic arthritis

RMD OpenPublished Prospective cohort study

Authors' conclusion

Age at diagnosis in the oligoarthritis was inversely and in the seronegative polyarthritis positively associated with long-term remission in JIA, primarily in females.

Study context

Population
Patients from the Nordic juvenile idiopathic arthritis (JIA) cohort study with oligoarthritis, seronegative polyarthritis or others (enthesitis-related, psoriatic and undifferentiated arthritis)Nordic JIA cohort
Participants
358 patients
Exposure
Age at diagnosis within JIA categories
Outcome
Long-term remission
Follow-up
17.5 years after diagnosis
Methodological detailsmulticentre, age at diagnosis analysed continuously
  • Multicentre
  • Age at diagnosis analysed continuously

Main finding

As reported in the abstract

  • Oligoarthritis: predictors of remission were age at diagnosis, male gender, JADAS71 and absence of uveitis
  • Seronegative polyarthritis: predictors of remission were age at diagnosis and JADAS71 score
  • Oligoarthritis: remission rates highest in both genders when diagnosed <3 years of age
  • Seronegative polyarthritis: highest remission with diagnosis <3 years not true for females

Observational data: associations, not effects.

Further findings

Health-related quality of life (HRQoL) and functional ability · 17.5 years after diagnosis

Age at diagnosis had no significant effect on HRQoL or functional ability

Diagnosed before age six

Majority of oligoarthritis and polyarthritis patients vs 29% of others

Original publication

Age at diagnosis as a prognostic factor in selected categories of juvenile idiopathic arthritis. RMD Open. Published 10 June 2025. doi:10.1136/rmdopen-2024-005369

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