OMERACT International Consensus for Ultrasound Definitions of Tenosynovitis in Juvenile Idiopathic Arthritis: Systematic Literature Review and Delphi Process

Arthritis Care Res (Hoboken)Published Systematic literature review and Delphi consensus study

Authors' conclusion

The study shows that the definition of tenosynovitis used in adults is applicable to children with minimal modifications agreed upon through a Delphi process.

Study context

Population
Children with juvenile idiopathic arthritis (JIA); studies on ultrasonography (US) definition and scoring of tenosynovitis in children14 studies
Outcome
Consensus-based US definitions of tenosynovitis in JIA
Methodological details2-step Delphi process, international US expert panel, 5-point Likert scale
  • 2-step Delphi process
  • International US expert panel
  • 5-point Likert scale

Recommendations

As reported in the abstract

Consensus US definitions of tenosynovitis in JIA

Step 1: strong group agreement applying adult definitions in children after one round

>86%

Further findings

Systematic literature review

Construct validity reported, with physical examination as comparator
86%
Most studies used adult US definitions to define tenosynovitis in children
Few studies reported US reliability and responsiveness in JIA

Original publication

OMERACT International Consensus for Ultrasound Definitions of Tenosynovitis in Juvenile Idiopathic Arthritis: Systematic Literature Review and Delphi Process. Arthritis Care Res (Hoboken). Published 26 June 2023. doi:10.1002/acr.25159

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