Pediatric rheumatology

Patients’ and parents’ satisfaction to improve patient care in JIA: factors determining acceptable symptom state measured with juvenile arthritis multidimensional assessment report (JAMAR)

Rheumatology (Oxford)Published Cross-sectional analysis of a prospective cohort

Authors' conclusion

Our data highlight the importance of patients' and parents' opinions in the evaluation of disease activity, and support their integration into the shared decision-making in daily clinical practice to improve the quality of medical care.

Study context

Population
JIA patients and their parents in a tertiary centre who completed the JAMAR
Participants
239 vs 238
Exposure
Patients vs Parents
  • Patientsn = 239
  • Parentsn = 238
Outcome
Positive JA-CASS (patients) and JA-PASS (parents)
Methodological detailssingle-centre (tertiary centre), multivariable logistic regression
  • Single-centre (tertiary centre)
  • Multivariable logistic regression

Main finding

As reported in the abstract

Satisfied with current condition (positive JA-CASS / JA-PASS)
Patients: shorter duration of morning stiffness associated with JA-CASS
P = 0.001
Patients: lower age at disease onset
P = 0.044
Patients: longer disease duration
P = 0.009
Patients: higher rating of well-being (visual analogue scale (VAS))
P = 0.004
Parents: current state of persistent activity
P = 0.002
Parents: relapse
P < 0.005
Parents: problems at school
P = 0.002
Parents: Quality of life (QoL) items
P = 0.005

Observational data: associations, not effects.

Original publication

Patients’ and parents’ satisfaction to improve patient care in JIA: factors determining acceptable symptom state measured with JAMAR. Rheumatology (Oxford). Published 14 December 2022. doi:10.1093/rheumatology/keac658

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