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Predicting disease outcomes in juvenile idiopathic arthritis: challenges, evidence, and new directions

Shoop-Worrall, SJW; Wu, Q; Davies, R; Hyrich, KL; Wedderburn, LR; (2019) Predicting disease outcomes in juvenile idiopathic arthritis: challenges, evidence, and new directions. The Lancet Child & Adolescent Health , 3 (10) pp. 725-733. 10.1016/S2352-4642(19)30188-9. Green open access

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Abstract

The aims of treating juvenile idiopathic arthritis are to elicit treatment response toward remission, while preventing future flares. Understanding patient and disease characteristics that predispose young people with this condition to these outcomes would allow the forecasting of disease process and the tailoring of therapies. The strongest predictor of remission is disease category, particularly oligoarthritis, although a few additional clinical predictors of treatment response have been identified. Novel evidence using biomarkers, such as S100 proteins and novel single nucleotide polymorphism data, could add value to clinical models. The future aim of personalised medicine in the treatment of juvenile idiopathic arthritis will be aided with international collaborations, allowing for the analysis of larger datasets with novel biomarker data. Combined clinical and biomarker panels will probably be required for predicting outcomes in such a complex disease.

Type: Article
Title: Predicting disease outcomes in juvenile idiopathic arthritis: challenges, evidence, and new directions
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/S2352-4642(19)30188-9
Publisher version: https://doi.org/10.1016/S2352-4642(19)30188-9
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Infection, Immunity and Inflammation Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10080488
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