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Table 4 Predictive factors of time of the two periods of the referral (time between symptom onset and first visit with an HCP and time between first visit with an HCP and first PR assessment)

From: Individual and environmental determinants associated with longer times to access pediatric rheumatology centers for patients with juvenile idiopathic arthritis, a JIR cohort study

 

Time between onset and first HCP (months)

Time between first HCP and first PR visit (months)

HR

95% CI

p

HR

95% CI

p

Female sex

1.27

0.95; 1.71

0.11

0.99

0.74; 1.33

0.95

Age at onset

0.98

0.95; 1.02

0.35

0.98

0.95; 1.02

0.30

Distance from patient’s dwelling place to the PR centera

1.06

0.95; 1.18

0.32

0.84

0.75; 0.93

0.001

JIA subtype

 oJIA

Ref

  

Ref

  

 pJIA

0.92

0.67; 1.26

0.61

0.91

0.66; 1.26

0.58

 ERA

0.45

0.28; 0.70

0.001

0.72

0.47; 1.11

0.13

 sJIA

0.89

0.57; 1.40

0.62

1.84

1.17; 2.87

0.008

 PsoJIA

0.86

0.46; 1.60

0.63

0.79

0.41; 1.51

0.48

 UndJIA

0.82

0.42; 1.63

0.58

0.74

0.37; 1.48

0.40

Country

 France

Ref

  

Ref

  

 Switzerland

0.80

0.57; 1.12

0.194

1.02

0.72; 1.43

0.92

Patient location area

 Urban

Ref

  

Ref

  

 Intermediate

0.97

0.68; 1.38

0.86

0.85

0.60; 1.21

0.37

 Rural

1.34

1.00; 1.78

0.047

0.78

0.58; 1.03

0.08

Mother with post-graduate level

1.36

1.02; 1.81

0.036

1.19

0.89; 1.58

0.23

Father with post-graduate level

1.25

0.95; 1.66

0.11

1.01

0.77; 1.34

0.92

At least one parent in a health care profession

0.95

0.65; 1.40

0.80

1.21

0.82; 1.77

0.34

Mother in a health care profession

0.90

0.60; 1.33

0.59

1.40

0.94; 2.09

0.09

Father in a health care profession

1.29

0.64; 2.62

0.48

1.02

0.50; 2.07

0.96

  1. HR = 1 indicates an equal likelihood of a short time to first PR visit in the presence of the variable in question as in its absence. HR > 1 indicates an increased likelihood of a short time to first PR visit. HR < 1 indicates a reduced likelihood of a short time to PR visit
  2. HR Hazard ratio, Ref Reference, CI Confidence interval, HCP Healthcare provider, PR Pediatric rheumatology, oJIA Oligoarticular juvenile idiopathic arthritis, pJIA Polyarticular juvenile idiopathic arthritis, sJIA Systemic juvenile idiopathic arthritis, ERA Enthesitis-related arthritis, PsoJIA Psoriatic arthritis, UndJIA Undifferentiated juvenile idiopathic arthritis
  3. aWith a logarithmic transformation