Pediatric rheumatology

Continuing specialist care into adulthood in young people with juvenile idiopathic arthritis: a retrospective cohort study using electronic health records in England

Rheumatology (Oxford)Published Retrospective cohort study

An erratum to this article was published (Rheumatology (Oxford), 1 Jun 2023 ↗)

Authors' conclusion

Two-thirds of young people with JIA continue to receive specialist care beyond age 18.

Study context

Population
Young people with JIA in UK primary care EHRs (CPRD), 1 April 2003–31 December 2018, with ≥1 year of GP registration beyond age 18 and HES linkage
Participants
666 people
Outcome
Proportion of children who continue to receive specialist care (rheumatology/ophthalmology) as adults
Follow-up
Beyond age 18
Methodological detailselectronic health records, UK primary care (Clinical Practice Research Datalink) linked to Hospital Episodes Statistics
  • Electronic health records
  • UK primary care (Clinical Practice Research Datalink) linked to Hospital Episodes Statistics

Main finding

As reported in the abstract

Continuation of specialist care

Received specialist care beyond age 18

427

64%

Last recorded contact at 16-17 years

90

13%

Did not continue after 16 years

149

22%

Observational data: associations, not effects.

Further findings

Characteristics associated with continuing specialist care beyond age 18

Older age at diagnosis, female gender, less deprivation and a childhood diagnosis of uveitis were associated with continuing specialist care beyond age 18

Discharge after continuing beyond 18 · by study end date

Of those continuing beyond 18, subsequently discharged
35% (n = 153)
Of all those discharged, missed appointment recorded after last attended visit (suggesting failure to attend)
32%

Original publication

Continuing specialist care into adulthood in young people with juvenile idiopathic arthritis: a retrospective cohort study using electronic health records in England. Rheumatology (Oxford). Published 22 September 2022. doi:10.1093/rheumatology/keac497

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