Pediatric rheumatology

Overlap of International League of Associations for Rheumatology and Preliminary Pediatric Rheumatology International Trials Organization Classification Criteria for Nonsystemic Juvenile Idiopathic Arthritis in an Established UK Multicentre Inception Cohort

Arthritis Care Res (Hoboken)Published Cohort study

Authors' conclusion

Under the preliminary PRINTO classification criteria for childhood arthritis, most children are not yet classified into a named category.

Study context

Population
Children and young people with a physician's diagnosis of juvenile idiopathic arthritis (JIA) in the Childhood Arthritis Prospective Study, a multicentre UK JIA inception cohort; systemic JIA excluded
Participants
1,223 children
Exposure
Paediatric Rheumatology International Trials Organisation (PRINTO) vs International League of Associations for Rheumatology (ILAR) classification criteria for nonsystemic JIA
Outcome
Degree of overlap between ILAR and PRINTO classification categories
Methodological detailsclassification criteria comparison in a multicentre inception cohort, prospective, PRINTO criteria adapted to a UK health care setting, including limiting the number of blood biomarker tests required
  • Classification criteria comparison in a multicentre inception cohort
  • Prospective
  • PRINTO criteria adapted to a UK health care setting, including limiting the number of blood biomarker tests required

Main finding

As reported in the abstract

PRINTO "other JIA" (majority of patients)
69.5%
Overlap between PRINTO enthesitis/spondylitis- and ILAR enthesitis-related JIA categories
91%
PRINTO rheumatoid factor (RF)-positive category: ILAR RF-positive polyarthritis
48%
PRINTO RF-positive category: ILAR undifferentiated JIA
52%
PRINTO early-onset ANA-positive category: ILAR oligoarthritis
50%
PRINTO early-onset ANA-positive category: ILAR RF-negative polyarthritis
24%
PRINTO early-onset ANA-positive category: ILAR undifferentiated JIA
23%
Unclassified under PRINTO (n)
3
Unclassified under PRINTO, previously ILAR enthesitis-related JIA (n)
1
Unclassified under PRINTO, previously ILAR undifferentiated JIA (n)
2

Observational data: associations, not effects.

Original publication

Overlap of International League of Associations for Rheumatology and Preliminary Pediatric Rheumatology International Trials Organization Classification Criteria for Nonsystemic Juvenile Idiopathic Arthritis in an Established UK Multicentre Inception Cohort. Arthritis Care Res (Hoboken). Published 15 March 2024. doi:10.1002/acr.25296

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