Pediatric rheumatology

Predictors of long-term functional outcomes of juvenile idiopathic arthritis–enthesitis-related arthritis: a single centre experience

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

PFO was seen in one-half of JIA-ERA in the long-term and was associated with active disease with delay in diagnosis as its sole predictor.

Study context

Population
Patients with JIA-ERA with ≥5 years of disease and >16 years of age170 male
Participants
181 patients
Exposure
Poor functional outcome (PFO) vs no PFO
  • PFOn = 98
Outcome
Poor functional outcome (PFO), defined as BASFI > 1.5 or HAQ-DI > 1; predictors
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Predictors of PFO

Delay in diagnosis, PFO vs no PFO (years)

4 vs 2 years

P < 0.001

Arthritis at onset, lower prevalence in PFO (OR, 95% CI)

OR = 0.3; 95% CI: 0.1, 0.8

ERAP1 (rs27044) allele C, higher prevalence in PFO (OR, 95% CI)

OR = 7.2; 95% CI: 1.5, 33.7

Delay in diagnosis, sole predictor of PFO in multivariate analysis (OR, 95% CI)

OR = 1.2; 95% CI: 1.08, 1.4

Observational data: associations, not effects.

Further findings

Disease scores at inclusion, median (IQR)

ASDAS-ESR
2.6 (1.8-3.6)
BASDAI
2.6 (1-5.2)
HAQ Disability Index (HAQ-DI)
0.5 (0-0.5)
BASFI
1.6 (0.3-3.2)
Delay in diagnosis (years)
3 (1-5)
BASFI and HAQ-DI correlated with ASDAS-ESR, ASDAS-CRP and WHO-QOL-BREF

Persistent disease activity (PDA, BASDAI ≥ 4)

Patients with PDA
One-third
Tarsitis at onset, sole predictor of PDA (OR, 95% CI)
OR = 2.3; 95% CI: 1.009, 5.4

Original publication

Predictors of long-term functional outcomes of juvenile idiopathic arthritis–enthesitis-related arthritis: a single centre experience. Rheumatology (Oxford). Published 25 January 2023. doi:10.1093/rheumatology/kead032

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