Pediatric rheumatology

Research definitions of flare in non-systemic juvenile idiopathic arthritis: An OMERACT scoping review

Semin Arthritis RheumPublished Scoping review

Authors' conclusion

In JIA clinical research, "flare" is a common, but inconsistently defined, outcome.

Study context

Population
Peer-reviewed clinical research publications using "flare" as an outcome in patients of any age with non-systemic juvenile idiopathic arthritis (JIA)articles analysed
Participants
139 participants
Outcome
Flare definitions used in non-systemic JIA clinical research
Methodological detailsOMERACT, seven databases searched, Search performed on 30 June 2024 and updated on 30 November 2025
  • OMERACT
  • Seven databases searched
  • Search performed on 30 June 2024 and updated on 30 November 2025

Main finding

As reported in the abstract

Flare definitions
Distinct approaches to measure flare
13
Different interpretations of flare
39
Definitions based on ACR Core Response Variables (CRV)
27%, n = 37/139
Definitions based on Wallace Criteria
24%, n = 33/139
Different interpretations using CRV approach
nine
Disease activity scores used to define flare
9%, n = 12/139
Flare identified by patient or caregiver assessment
4% (n = 5/139)
Articles published within the last five years
49% (n = 67/139)

Original publication

Research definitions of flare in non-systemic juvenile idiopathic arthritis: An OMERACT scoping review. Semin Arthritis Rheum. Published 8 August 2026. doi:10.1016/j.semarthrit.2026.153053

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