Pediatric rheumatology

Disease activity trajectories from childhood to adulthood in the population-based Nordic juvenile idiopathic arthritis cohort

RMD OpenPublished Prospective cohort study

Authors' conclusion

In our study the PaGA was the most important driver of disease activity into adulthood assessed by cJADAS10.

Study context

Population
Patients with onset of juvenile idiopathic arthritis (JIA) in 1997–2000, followed for 18 years in the population-based Nordic JIA cohort
Participants
427 patients
Outcome
Long-term disease activity trajectories from childhood to adulthood by clinical Juvenile Arthritis Disease Activity Score (cJADAS10)
Follow-up
18-year follow-up
Methodological detailspopulation-based, discrete mixture model for longitudinal clustering, hierarchical clustering and correlation analysis
  • Population-based
  • Discrete mixture model for longitudinal clustering
  • Hierarchical clustering and correlation analysis

Main finding

As reported in the abstract

Disease activity trajectories (cJADAS10 components)
Four disease activity trajectories identified
4
Increase in PaGA significantly higher than increases in PhGA and active joint count
p<0.0001

Observational data: associations, not effects.

Further findings

All patients with active disease in the total cohort

Similar pattern (PaGA increase predominant)

Patient-reported outcomes by PaGA

Patients with higher PaGA scores had unfavourable scores on several other patient-reported outcomes

Original publication

Disease activity trajectories from childhood to adulthood in the population-based Nordic juvenile idiopathic arthritis cohort. RMD Open. Published 8 March 2024. doi:10.1136/rmdopen-2023-003759

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