Variability in vaccination practices in children with rheumatic diseases: results of a childhood arthritis and rheumatology research alliance (CARRA)-wide survey
Authors' conclusion
Our results highlighted potential modifiable factors for optimizing immunization coverage among children with AIIRD receiving IST.
Study context
- Population
- North American pediatric rheumatology providers in the CARRA network caring for children with AIIRD receiving immunosuppressive therapies (IST)64% response rate
- Outcome
- Vaccination practices and barriers
Methodological detailselectronic survey, 44-question, Survey distributed March-May 2022 by the CARRA Vaccination Workgroup
- Electronic survey
- 44-question
- Survey distributed March-May 2022 by the CARRA Vaccination Workgroup
Main finding
As reported in the abstract
- Survey response rate
- 64%
- Providers endorsing diverse approaches to vaccine review
- up to 90%
- IST changes prompted assessment of baseline receipt of live over non-live vaccines
- p < 0.001
- Not performing or deferring vaccine review less frequent for live vs non-live vaccines
- p < 0.05
- Preferred all vaccines be administered by primary care provider (PCP)
- 26%
- Barrier: lack of clinic resources
- 58%
- Barrier: patient or parent vaccine hesitancy
- 27%
- Barrier: family concerns regarding vaccines
- 20%
- Communicated vaccine recommendations to PCPs using a clinic note
- 78%
Observational data: associations, not effects.
Original publication
Variability in vaccination practices in children with rheumatic diseases: results of a childhood arthritis and rheumatology research alliance (CARRA)-wide survey. Pediatr Rheumatol Online J. Published 31 January 2026. doi:10.
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