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Table 2 Comparison of preferred treatment approaches in JIA between Canadian and German/Austrian pediatric rheumatology practitioners

From: Treatment preferences in juvenile idiopathic arthritis – a comparative analysis in two health care systems

  Germany/Austria (N=109) Canada (N=37) P
Initial treatment of oligoarticular JIA*    
NSAID 92.5 86.1 ns
Intra-articular steroids 56.1 47.2 ns
DMARDs 7.5 11.1 ns
Oral steroids 1.9 0 ns
Biologic agents 0.9 0 ns
Treatment of refractory oligoarticular JIA*    
NSAID 25.0 13.5 ns
Intra-articular steroids 96.2 100.0 ns
DMARDs 29.8 2.7 <0.001
Oral steroids 0 0 ns
Biologic agents 0 0 ns
Treatment of uveitis in oligoarticular JIA*    
NSAID 5.8 18.2 ns
DMARDs 89.3 84.9 ns
Oral steroids 17.5 3.0 0.043
Biologic agents 13.6 0 0.022
Initial treatment of polyarticular JIA*    
NSAID 85.3 77.8 ns
Intra-articular steroids 29.4 11.1 0.041
DMARDs 90.2 75.0 0.045
Oral steroids 34.3 19.4 ns
Biologic agents 1.0 0 ns
Preferred treatment of refractory polyarticular JIA** 0.002
Switch to different DMARD 2.1% 20.6%  
Additional DMARD 11.7% 14.7%  
Intra-articular Steroids 17.0% 17.6%  
Add or switch to biologic agents 69.1% 47.1%  
Median time to change treatment of refractory polyarticular JIA (range)† 3 months (1 – 9) 3 months (1 – 9) ns
Median time to switch to biologic agents in refractory polyarticular JIA (range)† 3 months (1 – 9) 4 months (1 – 12) ns
Preferred physiotherapy recommendation for oligoarticular JIA** <0.001
Regular physiotherapy 85.6% 13.9%  
Home exercise after initial coaching 14.4% 52.8%  
Encourage physical activity 1.0% 36.1%  
Preferred physiotherapy recommendation for polyarticular JIA** <0.001
Regular physiotherapy 89.5% 14.7%  
Home exercise after initial coaching 9.5% 73.5%  
Encourage physical activity 1.0% 11.8%  
  1. * Multiple answer question, values denote percentage of participants giving a positive answer.
  2. ** Single answer question.
  3. † Participants were given a choice of full months (range 1 – 24 months).
  4. ‡ ‘ns’ denotes P>0.05.