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Table 4 Estimates of factors associated with cJADAS over time in mixed-effects models in pre-intervention and Phase II implementation cohorts

From: Determinants of disease activity change over time in Enthesitis related arthritis: effect of structured outcome monitoring and clinical decision support

 

Univariate *

Multivariate

β (95% CI)

p-value

β (95% CI)

p-value

Age

0.61 (−0.32,-0.00)

0.05

Male Sex

−1.62 (− 2.77,-0.46)

< 0.01

Public insurance

−0.38 (− 1.50,0.74)

0.50

Baseline cJADAS

0.61 (0.52,0.69)

< 0.01

0.47 (0.38,0.55)

< 0.01

Polyarticular disease

0.80 (−0.40,1.99)

0.19

Sacroiliitis (ever)

−1.32 (− 2.57,-0.08)

0.04

Incident diagnosis

3.12 (2.00,4.20)

< 0.01

0.26 (−0.52,1.03)

0.52

Time (in months)

−0.17 (− 0.33,− 0.01)

0.04

-0.01 (− 0.13, 0.10)

0.81

Incident diagnosis* time interaction^

− 0.39 (− 0.75,-0.02)

0.04

−0.32 (− 0.56,-0.08)

< 0.01

Pain VAS #

0.94 (0.79,1.09)

< 0.01

0.72 (0.60,0.85)

< 0.01

Tender entheses count #

0.57 (0.40,0.74)

< 0.01

Biologic use #

−2.02 (− 3.02,-1.01)

< 0.01

Pre-intervention vs Phase II cohort

0.33 (−0.77,1.44)

0.56

Pre-intervention vs Phase II cohort * time interaction^

−0.04 (− 0.36,0.29)

0.82

  1. Legend. aPain visual analog scale score (range 0,10); bcJADAS = three-variable clinical Juvenile Arthritis Disease Activity Score (range 0,30); cActive joint count (range 0,10); dPhysician global assessment of disease activity visual analog scale (range 0,10); ePatient/parent global assessment of disease activity visual analog scale (range 0,10); f (range 0,14) gB27 status missing for 4 subjects
  2. Abbreviations: CDS Clinical Decision Support, IQR interquartile range, ILAR International League of Associations for Rheumatology, ERA Enthesitis Related Arthritis, SIJ Sacroiliac Joints, HLA Human Leukocyte Antigen, MRI Magnetic Resonance Imaging, DMARD Disease modifying Anti Rheumatic Drug