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Table 1 Published prevalence rates of GI adverse effects associated with MTX in the treatment of JIA

From: Methotrexate-induced nausea in the treatment of juvenile idiopathic arthritis

Author

Year published

Study design

Number of subjects

Method of ascertainment

MTX-intolerance due to GI effects

Nausea with MTX

Vomiting with MTX

Anticipatory nausea

Bulatovic

2011

Cross-sectional

297 patients

MISS

51%

64%

27%

9%

van Dijkhuizen

2015

Cohort study of new MTX initiators

142 patients

MISS

42% (1 year incidence)

(n/a)

(n/a)

(n/a)

Ruperto

2004

Randomized clinical trial of MTX

80 patients

Direct questioning

(n/a)

21% (monthly)

11% (monthly)

(n/a)

Patil

2014

Survey

49 patients

Questionnaire

(n/a)

73%

43%

41%

Woo

2000

Randomized clinical trial of MTX

88 patients

Direct questioning

(n/a)

28% (monthly)

(n/a)

(n/a)

Mulligan

2013

Survey

171 parents

Questionnaire

(n/a)

~32% (weekly)

15% (weekly)

25% (weekly)

>35% (any)

Amin

2015

Survey

84 physicians

Questionnaire

(n/a)

~25% in first year

(n/a)

  1. MTX methotrexate, GI gastrointestinal, MISS methotrexate intolerance severity score