Pediatric rheumatology

Feasibility of Conducting Comparative Effectiveness Research and Validation of a Clinical Disease Activity Score for Chronic Nonbacterial Osteomyelitis

J RheumatolPublished Prospective registry cohort study

Authors' conclusion

The CNO CDAS was developed and validated for disease monitoring and assessment of treatment effectiveness.

Study context

Population
Consenting children or young adults with chronic nonbacterial osteomyelitis (CNO) enrolled into CHOIR140 received ≥1 consensus treatment plan (CTP) regimen
Outcome
CNO CDAS development and validation
Methodological detailsinternational registry (CHOIR), Delphi survey and nominal group technique, external validation surveys, Enrolment August 2018 to September 2020
  • International registry (CHOIR)
  • Delphi survey and nominal group technique
  • External validation surveys
  • Enrolment August 2018 to September 2020

Main finding

As reported in the abstract

Change in clinical disease activity score (CDAS) significant in patients reporting disease worsening or improvement
P < 0.001

Observational data: associations, not effects.

Further findings

Median

OutcomeBefore second-line treatmentAfter second-line treatmentP value
CDAS after initiating second-line treatmentsSignificant decrease12.0 (IQR 8.0–15.5)5.0 (IQR 3.0–12.0)P = 0.002

Safety

Second-line treatments well tolerated; psoriasis the most common adverse event

Original publication

Feasibility of Conducting Comparative Effectiveness Research and Validation of a Clinical Disease Activity Score for Chronic Nonbacterial Osteomyelitis. J Rheumatol. Published 1 July 2023. doi:10.3899/jrheum.2022-1323

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