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[Therapeutic options in juvenile idiopathic arthritis : Part 1: Nonsurgical treatment]
1Deutsches Zentrum für Kinder- und Jugendrheumatologie, Kinderklinik Garmisch-Partenkirchen gGmbH, Gehfeldstr. 24, 82467, Garmisch-Partenkirchen, Deutschland. haas.johannes-peter@rheuma-kinderklinik.de.
Insights
Recent advancements in juvenile idiopathic arthritis (JIA) treatment offer improved outcomes for children and adolescents. Key developments include new drugs, specialized care units, and multidisciplinary approaches for remission and functional recovery.
Area of Science:
- Pediatric Rheumatology
- Orthopedics
Background:
- Juvenile idiopathic arthritis (JIA) treatment has seen significant progress.
- Advancements stem from new medications, specialized pediatric rheumatology units, and multidisciplinary care.
Purpose of the Study:
- To review recent developments in the conservative management of JIA.
- To highlight strategies for achieving disease remission and functional recovery in pediatric patients.
Main Methods:
- Literature review of recent advancements in JIA treatment.
- Focus on conservative management strategies, including medical, educational, and functional therapies.
Main Results:
- Introduction of novel pharmacologic agents has improved disease control.
- Enhanced multidisciplinary care models and patient education programs contribute to better outcomes.
- Sports therapy and orthopedic interventions are crucial for functional capacity restoration.
Conclusions:
- Current JIA treatment aims for disease remission and age-appropriate function.
- Conservative management strategies have substantially improved the outlook for children and adolescents with JIA.
Abstract:
The treatment of children and adolescents with juvenile idiopathic arthritis (JIA) has progressed substantially during recent years. Multiple different factors have played a role in this advancement: improved medical treatment due to the introduction of new drugs, structural improvements with provision of units specializing in childhood rheumatology, multidisciplinary treatment concepts, structured educational programs for patients and parents, improved functional treatment including sports therapy, and selective surgical and orthopedic interventions improving functional capacities. Current treatment strategies in JIA are aimed at achieving disease remission, i.e., control of disease activity and re-establishment of age-appropriate functional capacities. This review summarizes important developments in the conservative treatment of JIA. Part 2 deals with orthopedic and surgical treatment strategies.
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