Pediatric rheumatology

Referral, treatment patterns and change in quality of life in the first 12 months in children and young people with juvenile idiopathic arthritis: an analysis of the association with ethnicity and socioeconomic position using data from a cohort study

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

In this national inception cohort, ethnicity and socioeconomic position do not appear to be associated with access to specialist care, initial treatment or early clinical outcomes.

Study context

Population
Treatment-naïve UK children and young people diagnosed with JIA between 2001 and 2019, recruited into Childhood Arthritis Prospective Study (CAPS)median age 8 years
Participants
1,275 children
Exposure
Ethnic groups and socioeconomic positions
Outcome
Time to first appointment
Methodological detailsnational inception cohort, adjusted Cox proportional hazards models
  • National inception cohort
  • Adjusted Cox proportional hazards models

Main finding

As reported in the abstract

Median time to first appointment

18 weeks

Observational data: associations, not effects.

Further findings

Referral source and initial treatment

Similar across groups

Disease activity and health-related quality of life (HRQoL) · first 12 months

Disease activity and HRQoL improved; HRQoL remained below population norms, with limited improvement beyond 1 year

Original publication

Referral, treatment patterns and change in quality of life in the first 12 months in children and young people with juvenile idiopathic arthritis: an analysis of the association with ethnicity and socioeconomic position using data from a cohort study. Rheumatology (Oxford). Published 25 June 2026. doi:10.1093/rheumatology/keag332

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