Clinical practice variation and need for pediatric-specific treatment guidelines among rheumatologists caring for children with ANCA-associated vasculitis: an international clinician survey

Table 4 Reported rationales against use of formal assessment tools for scoring disease severity, activity, and damage in the assessment of children with GPA or MPA^a

Parameter	Rationale against use of tool	Respondents (%)
Severity^b	Use of histopathological findings	53
	No effect on management	34
	Lack of familiarity with tools	26
	No value added beyond clinical judgment	24
	Inconvenience	16
	Other	5.3
Activity^c	Lack of familiarity with tools	47
	Inconvenience	43
	No effect on management	22
	Lack of applicability of tools for adults	20
	No value added beyond clinical judgment	18
Damage^d	Lack of familiarity with tools	58
	Inconvenience	32
	Lack of applicability of tools for adults	20
	No effect on management	18
	No value added beyond clinical judgment	12

^aData represent percentage of respondents out of ^b n = 38, ^c n = 51, ^d n = 91

ISSN: 1546-0096