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Functional status of Indian children with juvenile idiopathic arthritis
Debadyuti Datta1, Moksuda Khatun1, Biswabandhu Bankura2
1Department of Paediatrics, Medical College Kolkata, Kolkata, India.
Insights
Functional disability in Indian children with juvenile idiopathic arthritis (JIA) was assessed using the Childhood Health Assessment Questionnaire. Disability varied significantly across JIA subtypes and correlated with pain and global assessments.
Area of Science:
- Pediatrics
- Rheumatology
- Health Outcomes Research
Background:
- Functional disability status in Indian children with juvenile idiopathic arthritis (JIA) remains largely uncharacterized.
- Understanding functional capacity is crucial for effective JIA management in pediatric populations.
Purpose of the Study:
- To assess the functional disability status of Indian children diagnosed with JIA.
- To evaluate the correlation between functional disability and other clinical parameters in JIA patients.
Main Methods:
- A cross-sectional study involving 60 children (aged 1-12 years) with JIA from eastern India.
- Functional capacity was measured using the Childhood Health Assessment Questionnaire (CHAQ).
- Pain, patient/parent global well-being, and physician global assessments were also recorded.
Main Results:
- The CHAQ disability index showed significant differences across JIA subtypes: oligoarticular, polyarticular, systemic-onset, and undifferentiated JIA.
- A strong positive correlation was observed between the CHAQ disability index and pain, patient/parent global assessment, and physician global assessment scores for the overall JIA cohort.
- Significant correlations between CHAQ disability index and global assessments were noted across most JIA subtypes, with an exception for enthesitis-related arthritis.
Conclusions:
- The functional health status of children with JIA in India requires systematic assessment and documentation.
- Improved assessment of functional health can lead to enhanced disease management strategies for pediatric JIA.
Background And Objectives:
The functional disability status of Indian children with juvenile idiopathic arthritis is unidentified. In this cross-sectional study functional capacity of 60 juvenile idiopathic arthritis patients was assessed by the Childhood Health Assessment Questionnaire.
Methods:
A total of 60 juvenile idiopathic arthritis patients aged ranges from 1 to 12 years were recruited from a teaching hospital in eastern India. A childhood health assessment questionnaire was used to assess the functional health of children. Pain, patient's/parent's global assessment of general well-being, and physician's global assessment were assessed.
Results:
Childhood health assessment questionnaire disability index for oligoarticular juvenile idiopathic arthritis differed significantly from polyarticular juvenile idiopathic arthritis (P < 0.001), systemic-onset juvenile idiopathic arthritis (P = 0.018) and undifferentiated juvenile idiopathic arthritis (P < 0.001). There was a good to a strong positive correlation between the childhood health assessment questionnaire disability index with pain score, patient's/parent's global assessment score, and physician global assessment score for the total juvenile idiopathic arthritis cohort. regarding juvenile idiopathic arthritis subtypes, significant correlations were noted between the childhood health assessment questionnaire disability index with the patient's/parent's global assessment and physician's global assessment (except for enthesitis-related arthritis).
Conclusions:
Assessment and documentation of the functional health status of juvenile idiopathic arthritis patients will improve the management of the disease.
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