Pediatric rheumatology

Development of a scoring system to assist clinicians in the early referral of patients with suspected juvenile idiopathic arthritis: the EasyJIA score

Arthritis Res TherPublished Cohort study

Authors' conclusion

This study presents and initially validates a simple and efficient scoring system to aid clinicians in the early referral of patients suspected of having non-systemic JIA.

Study context

Population
Consecutive patients with joint complaints referred for the first time to the Pediatric Rheumatology Unit, ASST G. Pini-CTO Hospital61 (18%) diagnosed with juvenile idiopathic arthritis (JIA)
Participants
342 patients
Outcome
Diagnostic performance of the scoring system for non-systemic JIA
Methodological detailsdevelopment and internal validation of a diagnostic scoring system, mixed design (retrospective and prospective), consecutive patients, multivariate logistic regression with bootstrap resampling, Lasso variable selection
  • Development and internal validation of a diagnostic scoring system
  • Mixed design (retrospective and prospective)
  • Consecutive patients
  • Multivariate logistic regression with bootstrap resampling
  • Lasso variable selection

Main finding

As reported in the abstract

Identification of non-systemic JIA (ROC of the model's regression score)
GroupAUCOverall accuracySensitivitySpecificity
Model0.920.8895%71%

Model

AUC0.92
Overall accuracy0.88
Sensitivity95%
Specificity71%

Observational data: associations, not effects.

Further findings

OutcomeValues
Initial internal validationModel AUC 0.92

Original publication

Development of a scoring system to assist clinicians in the early referral of patients with suspected juvenile idiopathic arthritis: the EasyJIA score. Arthritis Res Ther. Published 9 January 2026. doi:10.1186/s13075-025-03719-0

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