Obstacles in Early Diagnosis of Children With Juvenile Idiopathic Arthritis: A Nationwide Israeli Retrospective Study
Study context
- Population
- Children diagnosed with juvenile idiopathic arthritis (JIA), Oct 2017–Oct 2019, 8 pediatric rheumatology centers in Israel; 71.1% female201 analysed
- Participants
- 207 children
- Outcome
- Time until JIA diagnosis
Methodological detailsmulticentre, nationwide, 8 pediatric rheumatology centers
- Multicentre
- Nationwide
- 8 pediatric rheumatology centers
Main finding
As reported in the abstract
Time until diagnosis
Median time until diagnosis (range: 1.0-2451.0 days)
56.0 days
Observational data: associations, not effects.
Further findings
Number of different physicians evaluating patients during the diagnostic process (average)
- Average number of different physicians
- 3.1
First physician met: community pediatrician
- Initially met with a pediatrician in the community setting
- 61.2%
- Referred to a rheumatologist by the community pediatrician
- 27.9%
Time until diagnosis by JIA subtype (longest)
Days
- Polyarticular JIA, median time until diagnosis
- 115.5
- SpA/ERA JIA, median time until diagnosis
- 112.0
Factors associated with time to diagnosis
- Fever at presentation significantly shortened time to diagnosis
- P < 0.01
- Involvement of small joints/sacroiliac joints significantly lengthened time to diagnosis
- P < 0.05
- Younger age correlated with a quicker diagnosis
- Females diagnosed earlier compared to males
Original publication
Obstacles in Early Diagnosis of Children With Juvenile Idiopathic Arthritis: A Nationwide Israeli Retrospective Study. J Rheumatol. Published 1 December 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →