Do Patterns of Early Disease Severity Predict Grade 12 Academic Achievement in Youths With Childhood-Onset Chronic Rheumatic Diseases?
Authors' conclusion
Among patients with ChildCRDs, those with severe disease performed more poorly on grade 12 standards tests, independent of sociodemographic and psychiatric risk factors.
Study context
- Population
- Patients with childhood-onset chronic rheumatic diseases (incl. juvenile arthritis and systemic autoimmune rheumatic diseases) born 1979–1998 in Manitoba, Canada70.1% female
- Participants
- 541 patients
- Exposure
- Early disease severity groups by physician visits after diagnosis
- Outcome
- Language and Arts Achievement Index (LAI) and Math Achievement Index (MAI) scores from grade 12 standards test results
- Follow-up
- Grade 12
Methodological detailslinked provincial administrative data, latent class trajectory analysis, multivariable linear and logistic regression
- Linked provincial administrative data
- Latent class trajectory analysis
- Multivariable linear and logistic regression
Main finding
As reported in the abstract
LAI and MAI scores (adjusted)
Observational data: associations, not effects.
Secondary outcomes
Enrollment in grade 12 by 17 years of age
- Severe disease not associated with age-appropriate enrollment
Original publication
Do Patterns of Early Disease Severity Predict Grade 12 Academic Achievement in Youths With Childhood-Onset Chronic Rheumatic Diseases? J Rheumatol. Published 1 February 2023. doi:10.
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