Ophthalmologic Examinations in Children With Juvenile Rheumatoid Arthritis

Cassidy, James T.; Kivlin, Jane D.; Lindsley, Carol B.; Nocton, James J.

doi:10.1542/peds.2006-0421

Cited by 180 publications

(113 citation statements)

References 14 publications

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“…Estos subtipos difieren en manifestaciones clínicas, características autoinmunes, determinantes genéticos y pronóstico 2 . Dichas variantes clínicas, junto con algunas características demográficas, han sido consideradas como factores de riesgo para el desarrollo de uveítis 4-6 , la manifestación extraarticular más frecuente de la AIJ 7 . En pacientes con la forma oligoarticular, y particularmente en presencia de anticuerpos antinucleares (ANA), la ocurrencia de uveítis es de aproximadamente el 20%, disminuyendo al 5-10% en pacientes con la forma poliarticular con factor reumatoide negativo, a casi inexistente en pacientes con la variante sistémica y con factor reumatoide positivo 8,9 .…”

Section: G Modelunclassified

Importancia de la evaluación oftalmológica en pacientes con artritis idiopática juvenil

Rodríguez-García

2015

Reumatología Clínica

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Section: G Modelunclassified

Importancia de la evaluación oftalmológica en pacientes con artritis idiopática juvenil

Rodríguez-García

2015

Reumatología Clínica

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“…Так, Американская академия педиатрии, Международная лига ревмато-логических ассоциаций (ILAR) и Американская кол-легия ревматологов (ACR) рекомендуют пациентам с ЮИА диспансерный осмотр окулистом с выполнением биомикроскопии каждые 3-6 или 12 мес в зависи-мости от возраста и субтипа заболевания [10,11]. Однако в последнее время появляются рекоменда-ции по проведению биомикроскопии чаще -каждые 3 мес [12].…”

Section: обоснованиеunclassified

Can the Methotrexate Therapy Prevent the Development of Uveitis in Patients with Juvenile Idiopathic Arthritis: Results of a Retrospective Study

Костик¹,

Gaidar²,

Дубко³

et al. 2015

Vopr. sovr. pediatr.

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(ОШ 6,7; 95% ДИ 3,7-12,3). Время между дебютом ЮИА и развитием увеита в сравнивае-мых группах не различалось и составило 24 (12; 67) и 17 мес (7; 35), соответственно (р = 0,232 22/191 (11.5%), and in the control group -in 42/90 (46.7%) of patients (OR 6.7;. The time period between the onset of JIA and development of uveitis in two groups under study was the same and equal to 24 (12; 67) and 17 months (7; 35), respectively (p = 0.232

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“…ANA positivity varies among the subclasses of JIA, with the highest prevalence of up to 85% in children with oligoarthritis (46). Although not a criterion for the diagnosis of JIA, ANA positivity has prognostic significance for uveitis, and the American Academy of Pediatrics has published uveitis screening guidelines based on ANA status at diagnosis (48,49). There may be utility in confirming ANA status in a patient with a single positive or negative test.…”

Section: Level Of Evidence Grade 1cmentioning

confidence: 99%

Choosing Wisely: The American College of Rheumatology's Top 5 for Pediatric Rheumatology

Rouster‐Stevens

Ardoin

Cooper

et al. 2014

Arthritis Care & Research

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Objective. To create a pediatric rheumatology Top 5 list as part of the American Board of Internal Medicine Foundation's Choosing Wisely campaign.Methods. Delphi surveys of a core group of representative pediatric rheumatology providers from across North America generated candidate Top 5 items. Items with high content agreement and perceived to be of prevalent use and of high impact were included in a survey of all American College of Rheumatology (ACR) members who identified themselves as providing care to pediatric patients. Items with the highest ratings were subjected to literature review and further evaluation. Results. A total of 121 candidate items were proposed in the initial Delphi survey and were reduced to 28 items in subsequent surveys. These 28 items were sent to 1,198 rheumatology providers who care for pediatric patients, and 397 (33%) responded. Based upon survey data and literature review, the Top 5 items were identified. These items focused on testing for antinuclear antibodies, autoantibody panels, Lyme disease, methotrexate toxicity monitoring, and use of routine radiographs. Conclusion. The ACR pediatric rheumatology Top 5 is one of the first pediatric subspecialty-specific Choosing Wisely Top 5 lists and provides an opportunity for patients and providers to discuss appropriate use of health care in pediatric rheumatology. whose routine use, based upon available evidence, may add to the cost of care without improving quality of care. As the US struggles to reduce health care costs without jeopardizing quality of care, physician involvement is needed to develop strategies to reduce health care spending (1). In 2011, the ABIM Foundation launched the Choosing Wisely campaign, encouraging medical societies to identify sources of unnecessary spending. Partnering societies were charged with developing a Top 5 list of tests, treatments, or services commonly used by that specialty that have high aggregate costs and are unnecessary or potentially harmful. Recommendations were based on clinical guidelines and available evidence (2). The Top 5 lists are intended to be widely disseminated to physicians and patients, prompting discussions about the utility and optimal use of these tests and interventions (3). The Top 5 list aims to raise awareness of potentially wasteful interventions but not replace clinical judgment or individualized care, and each item includes information about when the test or procedure may be appropriate. The American College ofTo date, 51 medical societies have participated in the Choosing Wisely campaign (3), and in March 2013, the ACR published a Top 5 list (4). Given the unique needs of the pediatric rheumatology population, the ACR supported the parallel development of this ACR pediatric rheumatology Top 5 list. This list is the product of a multistep process that included survey and consensus techniques and extensive literature reviews, ensuring that the final items reflect expert opinion and best available evidence. MATERIALS AND METHODSThe ACR Special Committee on Pediatric...

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Ophthalmologic Examinations in Children With Juvenile Rheumatoid Arthritis

Cited by 180 publications

References 14 publications

Importancia de la evaluación oftalmológica en pacientes con artritis idiopática juvenil

Importancia de la evaluación oftalmológica en pacientes con artritis idiopática juvenil

Can the Methotrexate Therapy Prevent the Development of Uveitis in Patients with Juvenile Idiopathic Arthritis: Results of a Retrospective Study

Choosing Wisely: The American College of Rheumatology's Top 5 for Pediatric Rheumatology

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