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UNICORNS: Uveitis in childhood prospective national cohort study protocol [version 1; peer review: 1 approved]

Kellett, S; Rahi, JS; Dick, AD; Knowles, R; Tadić, V; Solebo, AL; (2020) UNICORNS: Uveitis in childhood prospective national cohort study protocol [version 1; peer review: 1 approved]. F1000Research , 9 , Article 1196. 10.12688/f1000research.26689.1. Green open access

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Abstract

BACKGROUND: Childhood uveitis is a rare inflammatory eye disease which is typically chronic, relapsing-remitting in nature, with an uncertain aetiology (idiopathic). Visual loss occurs due to structural damage caused by uncontrolled inflammation. Understanding of the determinants of long term outcome is lacking, including the predictors of therapeutic response or how to define disease control. AIMS: To describe disease natural history and outcomes amongst a nationally representative group of children with non-infectious uveitis, describe the impact of disease course on quality of life for both child and family, and identify determinants of adverse visual, structural and developmental outcomes. METHODS: UNICORNS is a prospective longitudinal multicentre cohort study of children newly diagnosed with uveitis about whom a core minimum clinical dataset will be collected systematically. Participants and their families will also complete patient-reported outcome measures annually from recruitment. The association of patient (child- and treatment- dependent) characteristics with outcome will be investigated using logistic and ordinal regression models which incorporate adjustment for within-child correspondence between eyes for those with bilateral disease and repeated outcomes measurement. DISCUSSION: Through this population based, prospective longitudinal study of childhood uveitis, we will describe the characteristics of childhood onset disease. Early (1-2 years following diagnosis) outcomes will be described in the first instance, and through the creation of a national inception cohort, longer term studies will be enabled of outcome for affected children and families.

Type: Article
Title: UNICORNS: Uveitis in childhood prospective national cohort study protocol [version 1; peer review: 1 approved]
Open access status: An open access version is available from UCL Discovery
DOI: 10.12688/f1000research.26689.1
Publisher version: https://doi.org/10.12688/f1000research.26689.1
Language: English
Additional information: © 2020 Kellett S et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
Keywords: Uveitis, Child, Prospective Cohort, Vision, Quality of Life
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 > 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 > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10111564
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