Treatment after intra-articular corticosteroid injection in juvenile idiopathic arthritis: a survey within the German Society for Pediatric and Adolescent Rheumatology
Authors' conclusion
Owing to the need for sedation in children, IACI is mostly performed in an inpatient or semi-inpatient setting. Strategies and recommendations significantly differ across centers.
Study context
- Population
- Pediatric rheumatology institutions with at least one practicing pediatric rheumatologist (German Society for Pediatric and Adolescent Rheumatology); aftercare following intraarticular corticosteroid injections (IACI) in juvenile idiopathic arthritis (JIA)51 responses
- Participants
- 49 participants
- Outcome
- Current aftercare strategies following IACI in JIA in pediatric rheumatology institutions
Methodological detailsonline questionnaire survey, nationwide, Questionnaire developed by physicians and physiotherapists, evaluated by an expert panel, made available via SurveyMonkey®
- Online questionnaire survey
- Nationwide
- Questionnaire developed by physicians and physiotherapists, evaluated by an expert panel, made available via SurveyMonkey®
Main finding
As reported in the abstract
Aftercare strategies following IACI
- Response rate
- 48%
- IACI procedures performed annually per facility, average
- 109
- IACI procedures performed annually per facility, median
- 30
- Target joint: knee
- 100%
- Target joint: ankle
- 91%
- Target joint: hand and finger joints
- 85%
- Target joint: elbow
- 85%
- Target joint: hip
- 50%
- Target joint: shoulder
- 44%
- Setting: outpatient
- 24%
- Setting: semi-outpatient
- 21%
- Setting: inpatients
- 56%
- Bed rest not prescribed (institutions)
- 11%
- Bed rest on the day of IACI
- 37%
- Bed rest for one additional day
- 37%
- Bed rest for two more days
- 15%
- Physiotherapeutic treatment generally performed after IACI (institutions)
- 61%
Observational data: associations, not effects.
Original publication
Treatment after intra-articular corticosteroid injection in juvenile idiopathic arthritis: a survey within the German Society for Pediatric and Adolescent Rheumatology. Pediatr Rheumatol Online J. Published 2 October 2025. doi:10.
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