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Published on: May 16, 2025
Adult outcomes of childhood-onset rheumatic diseases
Aimee Hersh1, Emily von Scheven, Ed Yelin
1Department of Pediatrics, University of Utah, Salt Lake City, UT 84108, USA. aimee.hersh@ hsc.utah.edu
Insights
Adults with childhood-onset rheumatic diseases need better long-term care. Research highlights the importance of understanding adult outcomes and managing risks for improved quality of life.
Area of Science:
- Rheumatology
- Pediatric Rheumatology
- Adult Rheumatology
Background:
- Growing number of patients with childhood-onset rheumatic diseases (CORDs) surviving into adulthood.
- Need for comprehensive understanding of long-term health, functional, and quality of life outcomes in these adults.
- Specific CORDs include juvenile idiopathic arthritis, systemic lupus erythematosus, juvenile dermatomyositis, and localized scleroderma.
Purpose of the Study:
- To review and synthesize existing research on adult outcomes of CORDs.
- To identify modifiable risk factors impacting long-term health and quality of life.
- To emphasize the importance of monitoring specific health aspects like cardiovascular, bone, and fertility health.
Main Methods:
- Review of studies published over the past 10 years.
- Focus on long-term health, functional status, and quality of life outcomes.
- Analysis of data related to cardiovascular health, bone health, and fertility.
Main Results:
- Evidence suggests significant long-term implications for adults previously diagnosed with CORDs.
- Identification of key areas requiring attention, including cardiovascular, bone, and reproductive health.
- Importance of proactive management and risk factor identification for improved patient trajectories.
Conclusions:
- Understanding adult outcomes of CORDs is crucial for improving patient care.
- Addressing modifiable risk factors is vital for enhancing long-term health and quality of life.
- A successful transition from pediatric to adult rheumatology care is essential for managing this growing patient population.
Abstract:
A number of studies published over the past 10 years have examined the long-term health, functional and quality of life outcomes of adults with childhood-onset rheumatic diseases such as juvenile idiopathic arthritis, systemic lupus erythematosus, juvenile dermatomyositis and localized scleroderma. As increasing numbers of patients with these conditions survive into adulthood, understanding the adult outcomes of these pediatric conditions has become ever-more important. Identifying modifiable risk factors for poor outcomes is vital to improving care for these patients. In addition, as these conditions and their treatments can affect cardiovascular health, bone health and fertility, particular attention needs to be paid to these outcomes. Preparing patients and their families for a successful transition from pediatric to adult rheumatology care is an important first-step in the long-term management strategy for this expanding patient population.
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