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Table 3 Factors affecting concordance between physicians' and parents' assessment of functional ability. Values are medians (interquartile range) unless otherwise indicated

From: Agreement between physicians and parents in rating functional ability of children with juvenile idiopathic arthritis

 

Concordance (N = 107)

Parent over-rating (N = 29)

Physician over-rating (N = 19)

P

No. (%) female

89 (83.2)

17 (58.6)

14 (73.7)

0.02§

ILAR category, no. (%)$

    

   Oligoarthritis persistent

41 (38.3)

6 (20.7)

4 (21)

0.005§

   Oligoarthritis extended

35 (32.7)

9 (31)

3 (15.8)

 

   Polyarthritis

20 (18.7)

5 (17.2)

8 (42.1)

 

   Systemic arthritis

7 (6.5)

8 (27.6)

4 (21.1)

 

   Psoriatic arthritis

4 (3.8)

1 (3.5)

0 (0)

 

ANA positive, no. (%)

85 (79.4)

19 (65.5)

14 (73.7)

0.25§

Patients with = 5 joints involved

31 (29.0)

13 (44.8)

15 (78.9)

<0.001

Age at onset, years

3 (1.7–5.5)

3.1 (1.66–6)

3.1 (1.68–6.58)

0.86

Age at visit, years

11.87 (9.7–14.5)

10.8 (8.9–14.6)

15 (9–19.6)

0.39

Disease duration, years

7.65 (5.63–10.1)

6.9 (5.19–8.8)

9.3 (6.2–13.4)

0.14

Physician's global assessment

2.4 (0–5.8)

2.5 (1.4–6.3)

5 (1–8.3)

0.23

Parent's global assessment

0.50 (0–3)

1.45 (0.45–3.55)

0.65 (0.45–3.7)

0.11

Parent's pain assessment

0.6 (0–2.5)

2 (0.55–5.2)

1.2 (0–3)

0.011

Swollen joint count

1 (0–3)

2 (1–3)

3 (0–11)

0.036

Tender joint count

1 (0–3)

2 (1–4)

4 (2–12)

<0.001

Restricted joint count

1 (0–3)

2 (0–5)

5 (2–18)

<0.001

Active joint count

1 (0–3)

2 (1–5)

6 (2–16)

<0.001

Morning stiffness, minutes

0 (0–5)

0 (0–10)

0 (0–10)

0.41

ESR, mm/hour

14 (10–27)

21 (10–35)

16 (10–21)

0.29

C-reactive protein, mg/dl

0.1 (0.1–0.58)

0.1 (0.1–1.44)

1.16 (0.1–1)

0.027

JADI-Articular score

0 (0–1)

1 (0–2)

3 (0–12)

<0.001

JADI-extraarticular score

0 (0–1)

0 (0–1)

0 (0–1.5)

0.29

Poznanski score, units (N = 84)

- 1.18 (- 2.8–0.095)

- 1.7(-3.1 – -0.05)

- 1.1 (-04 – -0.47)

0.69

CHQ-PhS

52.91 (47.26–55.28)

51.4 (44.4–52.9)

50.9 (42.4–53.9)

0.19

CHQ-PsS

49.95 (43.62–54.44)

47.6 (42.5–51.2)

50.3 (43–58.3)

0.23

C-HAQ score

0 (0–0.25)

0.3 (0–0.93)

0.1 (0–0.75)

0.004

Steinbrocker class, no (%)

I

74 (69.2)

20 (69)

3 (15.8)

<0.001

II-IV

33 (30.8)

9 (31)

16 (84.2)

 

Physician's categorical scale

I

73 (68.2)

22 (75.9)

0 (0.0)

< 0.001§

II

17 (15.9)

4 (13.8)

10 (52.6)

 

III-VI

17 (15.9)

3 (10.3)

9 (47.4)

 

Parent's categorical scale

I

73 (68.2)

0 (0.0)

13 (68.4)

< 0.001§

II

17 (15.9)

15 (51.7)

2 (10.5)

 

III-VI

17 (15.9)

14 (48.3)

4 (21.1)

 
  1. See Table 1 for abbreviations and score ranges. $For purposes of the analysis, patients with the ILAR category of undifferentiated arthritis (n = 15) were classified within polyarthritis and extended oligoarthritis categories based on the number of joints affected in first 6 months of disease.
  2. Comparisons for all quantitative variables were made with the Kruskall-Wallis test. Chi-square test; §Fisher Exact test.