Individual and environmental determinants associated with longer times to access pediatric rheumatology centers for patients with juvenile idiopathic arthritis, a Juvenile Inflammatory Rheumatism (JIR) cohort study
Authors' conclusion
Time to first PRst visit was most often short compared to other studies and close to the British recommendations.
Study context
- Population
- Patients diagnosed with juvenile idiopathic arthritis (JIA) presenting at a JIRcohort centre in France or Switzerland with referral pathway data
- Participants
- 250 patients
- Outcome
- Time to first pediatric rheumatology assessment
Methodological detailsmulticentre, multivariable analysis
- Multicentre
- Multivariable analysis
Main finding
As reported in the abstract
Time to first PR assessment
Overall median time to first pediatric rheumatology (PR) assessment
2.4 months
1.3; 6.9
Observational data: associations, not effects.
Further findings
Factors associated with time before first PR visit
| HR (95% CI) | ||
|---|---|---|
| A diagnosis of ERASignificantly associated with a longer time · multivariable analysis | 0.50 (0.29–0.84) | |
| An appointment with an orthopedist during the referral pathwaySignificantly associated with a longer time · multivariable analysis | 0.68 (0.49–0.93) | |
| Having a mother with a post-graduate educational attainment levelTendentially associated with a shorter time · multivariable analysis | 1.32 (0.99–1.78) | |
| 0.20.5125Hazard ratio (log scale) |
Median time to first PR assessment by JIA subtype
- Children with systemic juvenile idiopathic arthritis (sJIA)
- 1.4 months [0.6; 3.8]
- Children with enthesitis-related arthritis (ERA)
- 5.3 months [2.0; 19.1]
- Ranged widely across the JIA subtypes
Original publication
Individual and environmental determinants associated with longer times to access pediatric rheumatology centers for patients with juvenile idiopathic arthritis, a JIR cohort study. Pediatr Rheumatol Online J. Published 14 March 2023. doi:10.
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