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Objectives: Hip involvement remains a predictor of severe juvenile idiopathic arthritis (JIA) course and carries a high risk of disability. This study aims to determine the factors of poor prognosis of hip involvement in patients with JIA and to assess the treatment response.

Methods: This is a multicenter observational cohort study. Patients were selected from the JIR Cohort database. Hip involvement was defined as clinically suspected and confirmed by an imaging tool. Follow-up data were collected during 5 years.

Results: Among the 2223 patients with JIA, 341(15%) patients had hip arthritis. Male gender, enthesitis-related arthritis, and North African origin were factors associated with hip arthritis. Hip inflammation was associated with disease activity parameters during the first year, particularly Physician Global Assessment, joint count, and inflammatory marks. Structural hip progression was associated with early onset of the disease, a longer time to diagnosis, geographic origin, and JIA subtypes. Anti-TNF therapy was found to be the only treatment able to effectively reduce structural damage progression.

Conclusion: The early onset diagnostic delay, origin, and systemic subtype of JIA predict a poor prognosis of hip arthritis in children with JIA. The use of anti-TNF was associated with a better structural prognosis.

Titel:	Factors associated with poor prognosis of hip arthritis in juvenile idiopathic arthritis: Data from the JIR cohort.
Autor/in / Beteiligte Person:	Hamdi, W ; Ferjani, H ; Carlomagno, R ; Dusser, P ; Echaubard, S ; Belot, A ; Bouayed, K ; Wouters, C ; Richer, O ; Hentgen, V ; Lohse, A ; Dan, D ; Kaiser, D ; Barbier, C ; Cannizzaro, E ; Poignant, S ; Melki, I ; Hofer, M
Link:	Full Text Finder (Volltext)
Zeitschrift:	Musculoskeletal care, Jg. 21 (2023-09-01), Heft 3, S. 806-814
Veröffentlichung:	[Hoboken] : John Wiley & Sons Ltd. ; <i>Original Publication</i>: London : Whurr Publishers, 2003-, 2023
Medientyp:	academicJournal
ISSN:	1557-0681 (electronic)
DOI:	10.1002/msc.1755
Schlagwort:	Child Humans Male Delayed Diagnosis Tumor Necrosis Factor Inhibitors Prognosis Arthritis, Juvenile complications Arthritis, Juvenile diagnosis
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Corporate Authors: JIRcohort Consortium Publication Type: Observational Study; Multicenter Study; Journal Article Language: English [Musculoskeletal Care] 2023 Sep; Vol. 21 (3), pp. 806-814. <i>Date of Electronic Publication: </i>2023 Mar 10. MeSH Terms: Arthritis, Juvenile* / complications ; Arthritis, Juvenile* / diagnosis ; Child ; Humans ; Male ; Delayed Diagnosis ; Tumor Necrosis Factor Inhibitors ; Prognosis References: Agrawal, Y., Kerry, R. M., Stockley, I., & Hamer, A. J. (2021). Review of total hip arthroplasty in patients younger than 30 years: Mid-to long-term results. Hip International, 31(4), 533-541. https://doi.org/10.1177/1120700020901685. ; Blane, C. E., Ragsdale, C. G., & Hensinger, R. N. (1987). Late effects of JRA on the hip. Journal of Pediatric Orthopaedics, 7(6), 677-680. https://doi.org/10.1097/01241398-198707060-00009. ; Hampton, S. N., Nakonezny, P. A., Richard, H. M., & Wells, J. E. (2019). 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Radiological findings in seropositive juvenile chronic arthritis (juvenile rheumatoid arthritis) with particular reference to progression. Annals of Rheumatic Diseases, 44(10), 685-693. https://doi.org/10.1136/ard.44.10.685. Contributed Indexing: Keywords: MRI; NSAIDs; anti-TNF; arthritis; hip; juvenile idiopathic arthritis; methotrexate; outcomes; ultrasound; x-rays Substance Nomenclature: 0 (Tumor Necrosis Factor Inhibitors) Entry Date(s): Date Created: 20230310 Date Completed: 20230911 Latest Revision: 20230916 Update Code: 20240513

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Factors associated with poor prognosis of hip arthritis in juvenile idiopathic arthritis: Data from the JIR cohort.