The Role of Age in Delays to Rheumatological Care in Juvenile Idiopathic Arthritis.

IF 2.3 3区 环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES Estuaries and Coasts Pub Date : 2022-09-01 Epub Date: 2022-04-01 DOI:10.3899/jrheum.211316
Stephanie J W Shoop-Worrall, Louisa Moull, Janet E McDonagh, Kimme L Hyrich
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Abstract

Objective: To investigate the relationship between age and symptom duration at initial presentation to pediatric rheumatology for juvenile idiopathic arthritis (JIA).

Methods: In children and young people (CYP) enrolled in the Childhood Arthritis Prospective Study prior to March 2018, an association between age at presentation (< 5, 5-11, and > 11 yrs) and symptom duration was tested by multivariable linear regression.

Results: In 1577 CYP, 5- to 11-year-olds took 3.2 months longer and > 11-year-olds 6.9 months longer to reach pediatric rheumatology than < 5-year-olds.

Conclusion: Adolescents take longer to reach pediatric rheumatology, potentially affecting their longer-term outcomes given the window of opportunity for JIA treatment.

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年龄在青少年特发性关节炎风湿病治疗延迟中的作用。
目的:研究幼年特发性关节炎(JIA)初次就诊时年龄与症状持续时间之间的关系:研究幼年特发性关节炎(JIA)初次就诊时的年龄与症状持续时间之间的关系:在2018年3月之前加入儿童关节炎前瞻性研究(Childhood Arthritis Prospective Study)的儿童和青少年(CYP)中,通过多变量线性回归检验了就诊年龄(< 5岁、5-11岁和> 11岁)与症状持续时间之间的关系:在1577例CYP中,与5岁儿童相比,5至11岁儿童就诊儿科风湿病的时间长3.2个月,11岁儿童则长6.9个月:青少年到儿科风湿免疫科就诊的时间更长,这可能会影响他们的长期治疗效果,因为JIA的治疗时机尚不成熟。
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来源期刊
Estuaries and Coasts
Estuaries and Coasts 环境科学-海洋与淡水生物学
CiteScore
5.60
自引率
11.10%
发文量
107
审稿时长
12-24 weeks
期刊介绍: Estuaries and Coasts is the journal of the Coastal and Estuarine Research Federation (CERF). Begun in 1977 as Chesapeake Science, the journal has gradually expanded its scope and circulation. Today, the journal publishes scholarly manuscripts on estuarine and near coastal ecosystems at the interface between the land and the sea where there are tidal fluctuations or sea water is diluted by fresh water. The interface is broadly defined to include estuaries and nearshore coastal waters including lagoons, wetlands, tidal fresh water, shores and beaches, but not the continental shelf. The journal covers research on physical, chemical, geological or biological processes, as well as applications to management of estuaries and coasts. The journal publishes original research findings, reviews and perspectives, techniques, comments, and management applications. Estuaries and Coasts will consider properly carried out studies that present inconclusive findings or document a failed replication of previously published work. Submissions that are primarily descriptive, strongly place-based, or only report on development of models or new methods without detailing their applications fall outside the scope of the journal.
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