Race, Ethnicity, Insurance, and Population Density Associations with Pediatric Strabismus and Strabismic Amblyopia in the IRIS® Registry

Rajesh, Anand E.; Davidson, Oliver; Lacy, Megan; Chandramohan, Arthika; Lee, Aaron; Lee, Cecilia S.; Tarczy-Hornoch, Kristina; Lum, Flora; Chew, Emily Y.; Haller, Julia A.; Lorch, Alice C.; Miller, Joan W.

doi:10.1016/j.ophtha.2023.06.008

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…Insurance carrier type has been shown to affect clinical outcomes in other pediatric ophthalmic diseases. 28 JIA-associated uveitis outcomes are likely impacted by access to overall systemic treatment for JIA. One study showed differences in public and private insurance delays in approval for biologic disease-modifying antirheumatic drugs.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic and Visual Outcomes of Juvenile Idiopathic Arthritis Uveitis: IRIS® Registry Study

Davidson,

Rajesh,

Blazes

et al. 2024

OPTH

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Purpose Understanding sociodemographic factors associated with poor visual outcomes in children with juvenile idiopathic arthritis-associated uveitis may help inform practice patterns. Patients and Methods Retrospective cohort study on patients <18 years old who were diagnosed with both juvenile idiopathic arthritis and uveitis based on International Classification of Diseases tenth edition codes in the Intelligent Research in Sight Registry through December 2020. Surgical history was extracted using current procedural terminology codes. The primary outcome was incidence of blindness (20/200 or worse) in at least one eye in association with sociodemographic factors. Secondary outcomes included cataract and glaucoma surgery following uveitis diagnosis. Hazard ratios were calculated using multivariable-adjusted Cox proportional hazards models. Results Median age of juvenile idiopathic arthritis-associated uveitis diagnosis was 11 (Interquartile Range: 8 to 15). In the Cox models adjusting for sociodemographic and insurance factors, the hazard ratios of best corrected visual acuity 20/200 or worse were higher in males compared to females (HR 2.15; 95% CI: 1.45–3.18), in Black or African American patients compared to White patients (2.54; 1.44–4.48), and in Medicaid-insured patients compared to commercially-insured patients (2.23; 1.48–3.37). Conclusion Sociodemographic factors and insurance coverage were associated with varying levels of risk for poor visual outcomes in children with juvenile idiopathic arthritis-associated uveitis.

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Section: Discussionmentioning

confidence: 99%