Pediatric rheumatology

Measurable Outcomes of an Ophthalmology and Rheumatology Coordinated Care Clinic

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Main finding · Reaching disease controlResult — go to the resultHazard ratio 1.6

Authors' conclusion

Patients who received multidisciplinary care had better outcomes than patients who received TC.

Study context

Population
Children with anterior uveitis at a pediatric tertiary care center, 2013–2022 (66% female; 53% JIA; 23% idiopathic; median age at diagnosis 8 years)
Participants
215 children
Exposure
Coordinated ophthalmology/rheumatology multidisciplinary care vs traditional care
Outcome
Reaching disease control
Methodological detailssingle-centre (pediatric tertiary care center), survival analyses, generalized estimating equation models, logistic regression
  • Single-centre (pediatric tertiary care center)
  • Survival analyses
  • Generalized estimating equation models
  • Logistic regression

Main finding

As reported in the abstract

Hazard ratio

1.6

P < 0.01

Observational data: associations, not effects.

Further findings

OutcomeP value
Time to starting biologic DMARDsP < 0.01
Rate of GC reception per appointment · first yearP < 0.01

Time to starting biologic disease-modifying antirheumatic drug (DMARDs)

Coordinated care (CC) associated with starting biologic DMARDs earlier than traditional care (TC)

Rate of GC reception per appointment · first year

96% lower rate with CC vs TC

Visit rate

Visit rate 64% lower with CC, controlling for total complications per patient

Original publication

Measurable Outcomes of an Ophthalmology and Rheumatology Coordinated Care Clinic. Arthritis Care Res (Hoboken). Published 14 November 2024. doi:10.1002/acr.25433

Composed by AI from the published abstract and checked against it. How Briefs are made →

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