Pediatric rheumatology

Provider assessment of the temporomandibular joint in Juvenile idiopathic arthritis: a retrospective analysis from the Childhood Arthritis and Rheumatology Research Alliance (CARRA) database

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

MMO is not consistently measured in patients with JIA, and it is rarely measured quantitatively. Similarly, TMJ MRIs are rarely obtained in patients with JIA. Site of care is more associated with TMJ assessments than patient-level characteristics.

Study context

Population
Patients with juvenile idiopathic arthritis (JIA) in the CARRA Registry with data recorded January 2020–August 202117,761 visits
Participants
7,473 vs 939
Exposure
All JIA vs temporomandibular joint (TMJ) arthritis
  • All JIAn = 7,473
  • TMJ arthritisn = 939
Outcome
MMO recorded (finger breadths or total incisal distance (TID))
Follow-up
January 2020 to August 2021
Methodological detailsregistry-based, multicentre, descriptive statistics
  • Registry-based
  • Multicentre
  • Descriptive statistics

Main finding

As reported in the abstract

TMJ arthritis

83%

Observational data: associations, not effects.

Further findings

Site variation in TMJ assessment

Sites recording maximal mouth opening (MMO) at a given visit > 80% of the time
17
Sites recording MMO < 1% of the time
8
Sites with no MRIs obtained
27
Sites with an MRI obtained at > 10% of visits
7

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Provider assessment of the temporomandibular joint in Juvenile idiopathic arthritis: a retrospective analysis from the CARRA database. Pediatr Rheumatol Online J. Published 8 April 2024. doi:10.1186/s12969-024-00968-2

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