Autoinflammatory & rare systemic diseases

Colchicine resistance prediction criteria from the Turkish Paediatric Autoinflammatory Diseases (TURPAID) cohort do not apply to the Juvenile Inflammatory Rheumatism (JIR) cohort: a multicentre descriptive analysis

RMD OpenPublished Retrospective cohort study

Authors' conclusion

The TURPAID score did not effectively predict colchicine resistance in the JIR cohort.

Study context

Population
Genetically confirmed paediatric and adult Familial Mediterranean fever (FMF) patients treated with colchicine for ≥6 months, international JIR cohort
Participants
236 participants
Exposure
TURPAID score for predicting colchicine resistance: Colchicine-resistant (CoR) vs colchicine-sensitive (CoS) patients
Outcome
Predictive value of the TURPAID score for colchicine resistance (ROC analysis)
Methodological detailsmulticentre, descriptive analysis, matched for age and sex
  • Multicentre
  • Descriptive analysis
  • Matched for age and sex

Main finding

As reported in the abstract

Discrimination of TURPAID score for colchicine resistance (ROC)

AUC, paediatric and adult groups (poor discrimination)

0.6

Observational data: associations, not effects.

Further findings

TURPAID score ≥2 in CoS patients

Paediatric CoS
89%
Adult CoS
76%

Mean TURPAID score by age at onset

Mean scores significantly higher in paediatric-onset FMF

Genetic component (1.5 points for MEFV exon 10 mutations)

Contributed to overclassification, reducing predictive accuracy

Original publication

Colchicine resistance prediction criteria from the TURPAID cohort do not apply to the JIR cohort: a multicentre descriptive analysis. RMD Open. Published 18 February 2026. doi:10.1136/rmdopen-2025-006409

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