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PRO-KIND consensus protocol for classification, monitoring, and therapy in pediatric rheumatology: persistent
Joachim Peitz1, Gerd Horneff1, Anna Raab2
1Pediatric Rheumatology Center, Asklepios Klinik Sankt Augustin, Sankt Augustin, Germany.
Insights
Standardized protocols for classifying, monitoring, and treating oligoarticular juvenile idiopathic arthritis (JIA) were created. These evidence-based guidelines aim to optimize care for children with persistent JIA.
Area of Science:
- Pediatric Rheumatology
- Clinical Protocol Development
Background:
- Juvenile idiopathic arthritis (JIA) is a complex condition requiring standardized management.
- Persistent oligoarticular JIA presents unique challenges in classification, monitoring, and treatment.
Purpose of the Study:
- To establish evidence-based, standardized protocols for managing persistent oligoarticular JIA.
- To optimize the treatment of newly occurring and persistent oligoarticular JIA through consensus.
Main Methods:
- A consensus process involving medical members of the Society for Paediatric and Adolescent Rheumatology (GKJR).
- Development of 23 initial statements, followed by an online survey of 80 pediatric and adolescent rheumatologists (65% participation).
- Incorporation of survey feedback in a final online meeting to agree on 20 statements and a consensus treatment protocol.
Main Results:
- Development of 20 consensus statements for newly occurring oligoarticular JIA.
- Creation of a summary consensus treatment protocol for persistent oligoarticular JIA.
- Achieved agreement among a significant majority of active pediatric and adolescent rheumatologists.
Conclusions:
- Standardized, evidence-based protocols are crucial for effective JIA management.
- The developed consensus guidelines provide a framework for optimizing oligoarticular JIA care.
- This consensus process ensures broad agreement on best practices in pediatric rheumatology.
Abstract:
Protocols concerning classification, monitoring and treatment were developed for the oligoarticular form of juvenile idiopathic arthritis (JIA) as part of a consensus process. The aim was to establish standardized, evidence-based protocols for managing persistent oligoarticular JIA. The group of authors initially formulated 23 statements and circulated them in an online survey to medical members of the Society for Paediatric and Adolescent Rheumatology (GKJR). A total of 80 of the 124 paediatric and adolescent rheumatologists took part in the survey, which corresponds to just under 65% of the paediatric and adolescent rheumatologists active at the time. In a final online meeting, comments from the survey were incorporated into the statements and then agreed upon by the group of authors. Finally, for newly occurring oligoarticular JIA, 20 statements and a summary consensus treatment protocol were developed to optimise the treatment of persistent oligoarticular JIA.
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