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.

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