Exploring pediatric onset Still’s disease patient journey and parental perceptions in Türkiye through a survey

Pediatr Rheumatol Online JPublished Cross-sectional survey study

Authors' conclusion

This survey of the PoSD patient journey in Türkiye identified several areas of improvement for better disease management.

Study context

Population
Patients (<21 years) with pediatric onset Still's disease (pediatric onset Still’s disease (PoSD)) or their parents, at pediatric rheumatology clinic visits in Türkiye, January–May 202410 children and 29 parents completed survey
Participants
39 patients
Outcome
PoSD patient journey and parental perceptions (descriptive)
Methodological details42-question survey, descriptive analysis
  • 42-question survey
  • Descriptive analysis

Main finding

As reported in the abstract

Persistent fever as initial manifestation
84.6%
Swollen joints and rash as initial manifestations
64.1% each
Diagnosed with PoSD at initial visit
0
Misdiagnosed with other inflammatory conditions
15.4%
Misdiagnosed with infections
12.8%
Median diagnostic delay, months
1 (1-4)
Receiving biologics at time of survey
21 (53.8%)
Compliant with biologic treatment
19
Used biologics in past
7 (17.9%)
PoSD substantially affected psychological well-being
33.3%
PoSD substantially affected daily tasks
13%
School-age children who missed school due to PoSD
15 of 26
School days missed per year, mean ± SD
17.7 ± 15.9
Parents who had not heard of PoSD at diagnosis
90%
Parents who hardly accepted the diagnosis
28%
Main concern: PoSD worsening in future
68.9%
Primary expectation: cure
82.1%
Information source: treating physicians
96.6%
Information source: internet
72.4%
Information source: other patient relatives
20.7%

Observational data: associations, not effects.

Original publication

Exploring pediatric onset Still’s disease patient journey and parental perceptions in Türkiye through a survey. Pediatr Rheumatol Online J. Published 14 October 2025. doi:10.1186/s12969-025-01155-7

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