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7. Practice Analysis and Determining the Knowledge and Skills Expected of a Pediatric Rheumatologist.

Author

Brucia, Robert C., Hayward, Kristen, Brunner, Hermine I., Lopez‐Pena, Maricarmen, Shenoi, Susan, Soybilgic, Arzu, and Nocton, James J.

Subjects
PROFESSIONAL practice, MEETINGS, PROFESSIONS, PEDIATRICS, TASK performance, CURRICULUM, LABOR demand, RHEUMATOLOGISTS, DOCUMENTATION, CLINICAL competence, MEDICAL fellowships
Abstract

Objective: The scope of clinical practice of pediatric rheumatology has been difficult to define. The lack of definition prevents an accurate understanding of the knowledge and skills required of practicing pediatric rheumatologists. A practice analysis process was used with the goal of establishing a precise definition of clinical pediatric rheumatology practice. The definition of practice will improve training and the creation of relevant certification examinations. Methods: A practice analysis approach used meetings with a representative panel of pediatric rheumatologists to create a practice analysis document (PAD) and a test content outline (TCO). Panel experience, entrustable professional activities, and the current TCO were used to guide the process. Surveys were administered to fellowship program directors (PDs) and a broader group of practicing pediatric rheumatologists to revise and validate the content of the documents. Results: A PAD was created, including 14 categories of conditions diagnosed or managed by pediatric rheumatologists and eight domains of practice, with the tasks, knowledge, and skills required to perform these tasks. The survey of PDs (n = 10) indicated that the PAD content is important and useful. A TCO was created and consists of 18 domains used to define content areas to be assessed on certifying examinations. The survey of practicing pediatric rheumatologists (n = 127) indicated that the TCO domains are relevant. Conclusion: A practice analysis process produced valuable resources for defining the clinical practice of pediatric rheumatology. The PAD and TCO can be used to develop more specific training curricula and to create relevant certification examinations. [ABSTRACT FROM AUTHOR]

Published
2023
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8. Contributors

Author

Abzug, Mark J., Acharya, Krishna K., Adams, Denise M., Adelson, Stewart, Adrian, Molly C., Ahlfeld, Shawn K., Aiken, John J., Akdis, Cezmi A., Albokhari, Daniah, Alderman, Elizabeth M., Ali, Omar, Allen-Rhoades, Wendy A., Almutlaq, Nourah N., Amos, Louella B., Anari, Jason B., Anderson, Karl E., Anupindi, Sudha A., Appleby, Brian S., Ardoin, Stacy P., Arkader, Alexandre, Armangué, Thaís, Arndt, Carola A.S., Arnold, Danielle E., Artis, Adrianne R., Asher, David M., Asselin, Barbara L., Astley, Christina M., Atkinson, Norrell K., Augustine, Erika F., Augustyn, Marilyn C., Bacharier, Leonard B., Bacino, Carlos A., Bailey, Zinzi D., Balamuth, Frances B., Baldassano, Robert N., Baldwin, Keith D., Bales, Christina B., Balistreri, William F., Balwani, Manisha, Bamba, Vaneeta, Banerji, Aleena, Bang, Janet Y., Barai, Nikita, Baranowski, Katherine, Barclay, Sarah F., Barkoudah, Elizabeth, Barrero-Castillero, Alejandra, Barrett, Katherine J., Barron, Karyl S., Basel, Donald, Bass, Dorsey M., Bassett, Mary T., Bassiri, Hamid, Baum, Rebecca A., Behrens, Edward M., Bell, Michael J., Benjamin, Daniel K., Jr., Bennett, Amanda E., Bergerson, Jenna R.E., Bernstein, Daniel, Bernstein, Henry H., Bice-Urbach, Brittany J., Bielory, Brett P., Bielory, Leonard, Blanchard, Samra S., Blanchette, Eliza, Blatter, Joshua A., Bleyer, Archie, Boas, Steven R., Bock, Margret E., Boggs, Sarah R., Boivin, Michael J., Bonn, Julie, Bonthius, Daniel J., Boppana, Suresh B., Bordini, Brett J., Borst, Alexandra J., Bosse, Kristopher R., Boyer, Kenneth M., Brady, Patrick W., Brady, Rebecca C., Brady, Samuel L., Branchford, Brian R., Brandow, Amanda M., Brandsma, Erik, Breault, David T., Breuner, Cora Collette, Bridgemohan, Carolyn F., Britt, William J., Brower, Laura, Brown, Maria D., Brownell, Jefferson N., Browning, Meghen B., Brunetti-Pierri, Nicola, Bunyavanich, Supinda, Burstein, Danielle S., Bustinduy, Amaya L., Buyon, Jill P., Cabada, Miguel M., Cada, Michaela, Cairo, Mitchell S., Calello, Diane P., Cameron, Lindsay H., Campbell, Angela J.P., Candelaria, Margo, Cannon, Laura, Carlin, Rebecca F., Carlucci, James G., Carr, Michael R., Carrigan, Robert B., Carter, Rebecca G., Carter-Hamilton, Gail V., Case, Abigail, Chang, Pearl W., Chelimsky, Gisela G., Chelimsky, Thomas, Chemaitilly, Wassim, Chiotos, Kathleen, Chiu, Yvonne E., Chong, Hey Jin, Chou, Stella T., Christ, Lori A., Christenson, John C., Chugh, Ankur A., Cieslak, Theodore J., Claes, Donna J., Coates, Thomas D., Sánchez Códez, María I., Coffin, Susan E., Cohen, Mitchell B., Cohen, Susan S., Cole, F. Sessions, III, Collaco, J. Michael, Collins, James W., Jr., Congeni, Joseph A., Conrad, Máire A., Corcoran, Justin N., Corley, Alexandra M.S., Cox, Amanda L., Coyle, Anne M., Coyne-Beasley, Tamera, Craig, Sansanee S., Creighton, Sarah M., Crigger, Chad B., Crowe, James E., Jr., Culbert, Gabriel, Czinn, Steven J., Dalal, Aarti S., Dalmau, Josep, D’Andrea, Lynn A., Danziger-Isakov, Lara A., Darville, Toni, David, Richard J., Davidoff, Katharine, Davidson, Loren T., Davidson, Richard S., Davies, H. Dele, Davis, Stephanie D., Davis-Kankanamge, Christina, Daw, Najat C., Dean, Shannon L., DeBiasi, Roberta L., Delair, Shirley, DeLaroche, Amy M., De León-Crutchlow, Diva D., Oquendo Del Toro, Helen M., Del Valle Mojica, Coralee, DeMaso, David R., Dendrinos, Melina L., Dent, Arlene E., Desnick, Robert J., Deterding, Robin R., Devarajan, Prasad, deVeber, Gabrielle A., Dhar, Vineet K., Dhossche, Julie M., Diab, Liliane K., Di Carlo, Heather N., Dietz, Harry C., III, Dietze-Fiedler, Megan L., DiMeglio, Linda A., Dixon, Bradley P., DiVasta, Amy D., Dlamini, Nomazulu, Dobbs, Katherine R., Dodhia, Sonam N., Doerholt, Katja, Dolin, Cara D., Dominguez, Samuel R., Donohoue, Patricia A., Dow, Jennifer, Downes, Kevin J., Doyle, Daniel A., Doyle, Jefferson J., Dror, Yigal, Dubowitz, Howard, Dumler, J. Stephen, Duncan, Andrea F., Durant, Nefertiti H., Dvergsten, Jeffrey A., Earing, Michael G., Eberly, Col. Matthew D., Egan, Marie E., Eichenwald, Eric C., Elkadri, Abdul-Aziz K., Englander, Elizabeth, Ericson, Jessica E., Erkan, Elif, Etzel, Ruth A., Evans, Sarah Helen, Faherty, Erin, Falk, Marni J., Familiar-Lopez, Itziar, Fargo, John H., Feemster, Kristen A., Fehnel, Katie P., Feigelman, Susan, Feldman, Amy G., Feldman, Heidi M., Fels, Edward C., Felner, Eric I., Feng, Sing-Yi, Ferkol, Thomas W., Jr., Finberg, Karin E., Finder, Jonathan D., Fiorino, Kristin N., Fischer, Philip R., Fitzpatrick, Anne M., Flannery, Dustin D., Fleming, Nicholas L., Flood, Veronica H., Flores, Francisco X., Flynn, Joseph T., Flynn, Patricia M., Foglia, Elizabeth E., Forkey, Heather C., Forman, Joel A., Freeman, Alexandra F., Friedman, Deborah M., Friedman, Susan A., Friehling, Erika D., Fritz, Stephanie A., Frush, Donald P., Fuleihan, Ramsay L., Gahagan, Sheila, Gallagher, Patrick G., Galloway, David P., Gans, Hayley A., Garber, Andrea K., Gardiner, Paula M., Garibaldi, Luigi R., Gauthier, Gregory M., Gerber, Jeffrey S., Gershon, Anne A., Ghadersohi, Saied, Gibbs, Kathleen A., Gibson, Mark, Gigante, Joseph, Gigliotti, Francis, Gilley, Stephanie P., Gilliam, Walter S., Ginde, Salil, Girotto, John A., Goldfarb, Samuel B., Goldman, David L., Goldman, Stanton C., Gómez-Duarte, Oscar G., Good, Misty, Goodbody, Christine M., Goodman, Denise M., Goodman, Tracey, Goodyer, William R., Gordon, Catherine M., Gordon, Leslie B., Gordon, Rebecca J., Gordon-Lipkin, Eliza, Gorelik, Michael, Gower, W. Adam, Graber, Evan G., Graff, Zachary T., Graham, Robert J., Green, Cori M., Green, Michael, Greenbaum, Larry A., Greenbaum, V. Jordan, Greiner, Mary V., Griffiths, Anne G., Grizzle, Kenneth L., Groner, Judith A., Grumach, Anete Sevciovic, Gueye-Ndiaye, Seyni, Guz-Mark, Anat, Haamid, Fareeda, Haddad, Gabriel G., Haddad, Joseph, Jr., Haemer, Matthew A., Hagan, Joseph F., Jr., Haider, Suraiya K., Hakim, Hana, Haldeman-Englert, Chad R., Halstead, Scott B., Hamie, Lamiaa, Hammerschlag, Margaret R., Hammershaimb, E. Adrianne, Hampton, Elisa, Hamvas, Aaron, Hanchard, Neil A., Hanley, Patrick C., Hanna, Melisha G., Harijan, Pooja D., Harrison, Douglas J., Harstad, Elizabeth B., Haslam, David B., Hauck, Fern R., Havers, Fiona P., Hayes, Ericka V., Heard-Garris, Nia J., Hedrick, Holly L., Hemingway, Cheryl, Heneghan, Chelsea, Hernandez, Michelle L., Hernandez-Trujillo, Vivian P., Hernandez Tejada, Fiorela N., Herrick, Heidi M., Hershey, Andrew D., Herzog, Cynthia E., Heston, Sarah M., Hijazi, Ghada, Hill, Samantha V., Hochberg, Jessica, Hodes, Deborah, Hoefgen, Holly R., Holinger, Lauren D., Holland-Hall, Cynthia M., Hollenbach, Laura L., Holler-Managan, Yolanda F., Hooper, David K., Hooven, Thomas A., Hoover-Fong, Julie E., Hopper, Rachel K., Hord, Jeffrey D., Horn, B. David, Horstmann, Helen M., Hotez, Peter J., House, Samantha A., Howard, Ashley C., Howard, Mary Beth, Hsu, Evelyn K., Hsu, Katherine, Huddleston, Heather G., Huh, Winston W., Humphrey, Stephen R., Hunstad, David A., Hunger, Stephen P., Hunt, Carl E., Huppert, Stacey S., Huppler, Anna R., Hurt, Hallam, Izumi, Kosuke, Jackson, Allison M., Jackson, Mary Anne, Jaffe, Ashlee M., James, Kiera M., Janowski, Andrew B., Jenssen, Brian P., Jinnah, H.A., John, Chandy C., Johansen, Kari, Johnson, Susan L., Johnston, Brian D., Jongco, Artemio M., III, Josephson, Cassandra D., Joyce, Joel C., Jyonouchi, Soma, Kabbany, Mohammad Nasser, Kabbouche, Marielle, Kacperski, Joanne, Kadry, Nadia A., Kaj-Carbaidwala, Batul, Kalish, Jennifer M., Kamat, Deepak, Kansra, Alvina R., Kanter, David M., Kao, Carol M., Kapavarapu, Prasanna K., Kattan, Jacob, Kelly, Andrea, Kelly, Desmond P., Kelly, Matthew S., Kelly, Michael E., Kendi, Sadiqa, Kerem, Eitan, Kerr, Julie M., Khan, David A., Khan, Seema, Khatami, Ameneh, Khaytin, Ilya, Kier, Catherine, Kilinsky, Alexandra, Kim, Chong-Tae, Kim, Jung Won, Kim, Rosa K., King, J. Michael, Kirschen, Matthew P., Kishnani, Priya S., Klawonn, Meghan A., Klein, Bruce L., Klein, Bruce S., Kliegman, Alison S., Kliegman, Robert M., Kneyber, Martin C.J., Koch, William C., Kochanek, Patrick M., Kodish, Eric, Kohlhoff, Stephan A., Kortepeter, Mark G., Kotloff, Karen L., Koumbourlis, Anastassios C., Krause, Peter J., Krebs, Nancy F., Kreipe, Richard E., Krug, Steven E., Kwiatkowski, Janet L., Kwon, Jennifer M., Ladisch, Stephan, Lakser, Oren J., Lalor, Leah, Lam, Simon, Lambert, Michele P., Lampe, Christina, Landry, Gregory L., Lane, Wendy G., Larson, A. Noelle, LaRussa, Phillip S., Lawrence, J. Todd R., Lee, Brendan, Lee, Erica H., Leiding, Jennifer W., Lemmon, Monica E., Lesser, Daniel J., Lestrud, Steven O., Leung, Donald Y.M., Levas, Michael N., Liacouras, Chris A., Lipkin, Paul H., Liptzin, Deborah R., Liu, Andrew H., Lo, Mindy S., Lo, Stanley F., Long, Sarah S., Lord, Katherine, Macias, Charles G., Macias, Michelle M., Macumber, Ian R., Magnusson, Mark R., Magoulas, Pilar L., Maguire, Kathleen J., Mahajan, Prashant V., Majzoub, Joseph A., Mamula, Petar, Manak, Colleen K., Mangus, Courtney W., Manoli, Irini, Manzur, Adnan Y., Maqbool, Asim, Maranich, Col. Ashley M., Margetts, Miranda, Margolis, David, Marin, Mona, Marini, Joan C., Markowitz, Morri, Maroushek, Stacene R., Marsh, Justin D., Marshall, Trisha L., Martin, Kari L., Masson, Vicki K., Matalon, Dena R., Matalon, Reuben K., Mathijssen, Irene M.J., Reddy Matta, Sravan Kumar, Maxwell, Elizabeth C., Maybank, Aletha, McCabe, Megan E., McCain, Darla H., McColley, Susanna A., McConnico, Neena, McCormick, Elizabeth M., McDonald, Christine M., McGovern, Margaret M., McGrath-Morrow, Sharon A., McInerney, Alissa, McKinney, Jeffrey S., McLeod, Rima, McVay-Gillam, Marcene R., Meade, Julia C., Meehan, William P., III, Mejias, Asuncion, Melby, Peter C., Melzer-Lange, Marlene D., Merves, Jamie F., Messacar, Kevin B., Michaels, Marian G., Michniacki, Thomas F., Mikati, Mohamad A., Miller-Handley, Hilary E., Mink, Jonathan W., Mirasola, Karolyn, Mistovich, R. Justin, Mohr, Emma L., Montoya-Williams, Diana, Moon, Rachel Y., Morava, Eva, Moreno, Megan A., Morgan, Ryan W., Morrison, Peter E., Morrison, Wynne, Mukhopadhyay, Sagori, Munoz, Flor M., Munson, David A., Murphy, Timothy F., Murray, Karen F., Murray, Thomas S., Mutlu, Levent, Nagata, Jason M., Narula, Sona, Nataro, James P., Navsaria, Dipesh, Nduati, Ruth W., Nehus, Edward J., Nelson, Maureen R., Neri, Caitlin M., Nevin, Mary A., Newburger, Jane W., Newmark, Jonathan, Nield, Linda S., Niermeyer, Susan, Nocton, James J., Nogee, Lawrence M., Noje, Corina, Nowak-Wegrzyn, Anna H., Obaro, Stephen K., Obeid, Makram M., O’Callaghan, Kevin P., Oleszek, Joyce L., Olitsky, Scott E., Olsson, John M., O’Neill, Meghan E., Onigbanjo, Mutiat T., Opoka, Robert O., Orenstein, Walter A., Orkin, Sarah H., Orscheln, Rachel C., Ortega, Camile, O’Toole, Timothy R., Owens, Judith A., Ozen, Seza, Pach, Sophie, Pachter, Lee M., Padhye, Amruta, Pandurangi, Sindhu, Pak-Gorstein, Suzinne, Palla, John, Palmieri, Tina L., Palmieri, Jessica M., Pappas, Diane E., Parent, John J., Parga-Belinkie, Joanna J., Parikh, Bijal A., Parker, Alasdair P.J., Partridge, Emily A., Patel, Ami B., Patel, Trusha, Patrick, Stephen W., Patterson, Briana C., Pelosi, Emanuele, Permar, Sallie R., Perry, Michael, Perry, Tamara T., Peters, Mark J., Peters, Timothy R., Peterson, Stacy J.B., Phelan, Rachel A., Pinto, Anna L., Pipan, Mary, Player, Brittany, Prince, William Benjamin, Proctor, Mark R., Prozora, Stephanie, Pryor, Howard I., II, Pyles, Lee A., Quinn, Molly M., Quint, Elisabeth H., Rabinovich, C. Egla, Raffini, Leslie J., Ragoonanan, Dristhi S., Rahman, Shamima, Ralston, Shawn L., Ram, Sanjay, Ramilo, Octavio, Ramirez, Kacy A., Rand, Casey M., Rasmussen, Sonja A., Rathke, Kevin M., Ratner, Adam J., Ratner, Lee, Reed, Ann M., Reich, Patrick J., Reif, Shimon, Reller, Megan E., Remick, Katherine E., Remiker, Allison S., Reyes, Jorge D., Richardson, Katherine M., Rintoul, Natalie E., Ritchey, A. Kim, Robinson, Angela Byun, Rodrigues, Kristine Knuti, Rogers, Michael E., Romano, Mary E., Roosevelt, Genie E., Roper, Stephen M., Rosenthal, Stephen M., Ross, A. Catharine, Rossano, Joseph W., Rothman, Jennifer A., Rotta, Alexandre T., Rozenfeld, Ranna A., Russo, Michael E., Ryan, Kelsey S., Ryan, Monique M., Ryu, Julie, Sabbagh, Sara E., Sachdev, H.P.S., Sadarangani, Manish, Sadun, Rebecca E., Sahin, Mustafa, Saint-Cyr, Martine, Salata, Robert A., Salazar, José H., Salvana, Edsel Maurice T., Samelson-Jones, Benjamin J., Sammons, Julia S., Sampson, Hugh A., Samsel, Chase B., Sandora, Thomas J., Sankar, Wudbhav N., Sarnaik, Ashok P., Sato, Alice I., Satter, Lisa Forbes, Scaggs Huang, Felicia A., Schaffzin, Joshua K., Schechter, Michael S., Schilling, Samantha, Schleiss, Mark R., Schluter, W. William, Schondelmeyer, Amanda C., Schroeder, James W., Jr., Schulte, Elaine E., Schuster, Jennifer E., Schuster, Marcy, Schuster, Mark A., Scott, Daryl A., Scott, John P., Seaborg, Kristin A., Seed, Patrick C., Serwint, Janet R., Shah, Dheeraj, Shah, Samir S., Shah, Shivang S., Shamir, Raanan, Shanti, Christina M., Shapiro, Bruce K., Shaywitz, Bennett A., Shaywitz, Sally E., Shchelochkov, Oleg A., Shulman, Stanford T., Sicherer, Scott H., Simmons, Jeffrey M., Simões, Eric A.F., Simonsen, Kari A., Simpson, Tess S., Sinclair-McBride, Keneisha R., Singh, Arunjot, Sink, Jacquelyn R., Sisk, Bryan A., Sivaraman, Vidya, Slattery, Susan M., Slavotinek, Anne M., Smith, Jessica R., Smith-Whitley, Kim, Solensky, Roland, Son, Mary Beth F., Soranno, Danielle E., Sosa, Tina K., Soto-Rivera, Carmen L., Sosinsky, Laura Stout, Souder, Emily E., Souverbielle, Cristina Tomatis, Spearman, Paul, Spiegel, David A., Spinks-Franklin, Adiaha I.A., Sprecher, Alicia J., Squires, James E., Srivastava, Siddharth, St. Geme, Joseph W., III, St. John, Rachel D., Stambough, Kathryn C., Stanberry, Lawrence R., Starke, Jeffrey R., Starr, Taylor B., Steenhoff, Andrew P., Stein, Ronen E., Steinbach, William J., Stillwell, Terri L., Stone, Deborah L., Su, Stefani, Sucato, Gina S., Suchy, Frederick J., Sullivan, Kathleen E., Swami, Sanjeev K., Szafron, Vibha A., Szilagyi, Moira, Taha, Dalal, Tan, Libo, Tantisira, Kelan G., Taylor, Alex M., Tchapyjnikov, Dmitry, Tesini, Brenda L., Theobald, Jillian L., Thielen, Beth K., Thom, Christopher S., Thornburg, Courtney D., Tieder, Joel S., Tissières, Pierre, Tolentino, Victorio R., Jr., Topjian, Alexis A., Tower, Richard L., Trachtman, Rebecca, Triebwasser, Jourdan E., Trowbridge, Sara K., Truglio, Joseph M., Tubergen, David G., Turk, Margaret A., Tymon-Rosario, Joan R., Ufberg, Paul J., Ullrich, Christina, Ullrich, Nicole, Valika, Taher S., Van Hare, George F., Van Mater, Heather A., Varnell, Charles D., Jr., Vash-Margita, Alla, Vece, Timothy J., Vemana, Aarthi P., Venditti, Charles P., Vepraskas, Sarah, Verbsky, James W., Vermilion, Jennifer A., Vickery, Brian P., Vockley, Jerry, Voynow, Judith A., Walch, Abby, Waldrop, Stephanie W., Walker, David M., Walkovich, Kelly J., Walter, Heather J., Wambach, Jennifer A., Wamithi, Susan, Wang, Julie, Wang, Marie E., Wangler, Michael F., Ware, Stephanie M., Washam, Matthew C., Wasserman, Jonathan D., Wassner, Ari J., Watson, Andrew M., Wattier, Rachel L., Weber, David R., Webster, Jennifer, Weese-Mayer, Debra E., Weinberg, Jason B., Weinman, Jason P., Weisman, Steven J., Weiss, Anna K., Weiss, Scott L., Weiss, Pamela F., Weitzman, Carol C., Wells, Lawrence, Wen, Jessica W., Wendel, Danielle R., Werlin, Steven L., Wexler, Isaiah D., Whitaker, Alexander S., White, A. Clinton, Jr., White, Perrin C., Willoughby, Rodney E., Jr., Wilschanski, Michael, Wiley, Susan E., Williams, Brendan A., Wilson, Karen M., Wilson, Pamela E., Winell, Jennifer J., Witters, Peter, Wolf, Joshua, Wolfe, Joanne, Wolfgram, Peter M., Woods, Brandon T., Wright, Benjamin L., Wright, Terry W., Wu, Eveline Y., Yagupsky, Pablo, Yang, Edward, Yang, Kesi C., Yang, Ming, Yaron, Michael, Younger, Sarah B., Yuskaitis, Christopher J., Zachariah, Philip, Zafar, Muhammad S., Zahler, Stacey G., Zajac, Lauren M., Zaky, Wafik, Zaspel, Jennifer A., Zerra, Patricia E., Zhou, Amy, Zuckerman, Barry S., and Zur, Karen B.

Published
2025
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11. Contributors

Author

Ali, Omar, Amos, Louella B., Auble, Bethany, Basel, Donald, Baumer-Mouradian, Shannon H., Beattie, Ashley, Bora, Geetanjali, Bordini, Brett J., Branchford, Brian R., Brandow, Amanda M., Byrne, Ryan, Chelimsky, Gisela G., Chelimsky, Thomas C., Cody, Paula, Cohen, Gary, Costakos, Deborah M., Densmore, Emily M., Densmore, John C., Donohoue, Patricia A., Drendel, Amy L., Elsner, Garrett, Farias-Moeller, Raquel, Fehr, Shayne D., Feigelman, Susan, Flood, Veronica H., Francis, Jessica, Fritz, Julia, Gage, Sandra, Gurram, Bhaskar, Harmelink, Matthew M., Holland, Kristen E., Humphrey, Stephen R., Huppler, Anna R., Jarosz, Susan L., Joseph, S. Anne, Kansra, Alvina R., Keane, Virginia, Kliegman, Robert M., Kolinski, Julie M., Konersman, Chamindra G., Koth, Kathleen A., Kovacic, Katja, Krasaelap, Amornluck, Kryger, John V., Lauck, Sara M., Liljestrom, Tracey H., Marashly, Ahmad, Menon, Seema, Miranda, Adrian, Mitchell, Michelle L., Moskop, Amy, Muriello, Michael, Nocton, James J., Noe, Joshua, Pan, Cynthia G., Pelech, Andrew N., Player, Brittany, Powers, Jacquelyn M., Rabbitt, Angela L., Rogers, Amanda, Routes, John M., Simms, Mark, Sreedharan, Rajasree, Stephany, Alyssa, Talano, Julie, Telega, Grzegorz W., Toth, Heather, Van Why, Scott K., Vepraskas, Sarah, Verbsky, James W., Vitola, Bernadette, Walter, Kevin D., Weisgerber, Michael, Wolfgram, Peter M., Yale, Sarah C., and Zolkoske, Alicia C.

Published
2023
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12. High-density genotyping of STAT4 reveals multiple haplotypic associations with systemic lupus erythematosus in different racial groups

Author

Namjou, Bahram, Sestak, Andrea L., Armstrong, Don L., Zidovetzki, Raphael, Kelly, Jennifer A., Jacob, Noam, Ciobanu, Voicu, Kaufman, Kenneth M., Ojwang, Joshua O., Ziegler, Julie, Quismorio, Francesco P., Jr., Reiff, Andreas, Myones, Barry L., Guthridge, Joel M., Nath, Swapan K., Bruner, Gail R., Mehrian-Shai, Ruth, Silverman, Earl, Klein-Gitelman, Marisa, McCurdy, Deborah, Wagner-Weiner, Linda, Nocton, James J., Putterman, Chaim, Bae, Sang-Cheol, Kim, Yun Jung, Petri, Michelle, Reveille, John D., Vyse, Timothy J., Gilkeson, Gary S., Kamen, Diane L., Alarcón-Riquelme, Marta E., Gaffney, Patrick M., Moser, Kathy L., Merrill, Joan T., Scofield, Hal R., James, Judith A., Langefeld, Carl D., Harley, John B., and Jacob, Chaim O.

Published
2009
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23. An evaluation of the utility of routine laboratory monitoring of juvenile idiopathic arthritis (JIA) patients using non-steroidal anti-inflammatory drugs (NSAIDs): a retrospective review

Author

Nocton James J, Syverson Grant D, Bengtson Christine E, and Vora Sheetal S

Subjects
Pediatrics, RJ1-570, Diseases of the musculoskeletal system, RC925-935
Abstract

Abstract Background No consensus evidence-based guidelines for the routine laboratory monitoring of children with JIA receiving non-steroidal anti-inflammatory drugs (NSAIDs) exist. The purpose of this study is to evaluate the clinical utility of routine laboratory monitoring of hemoglobin, transaminases, blood urea nitrogen, serum creatinine, and urinalysis in patients with juvenile idiopathic arthritis (JIA) receiving NSAIDs. Methods The medical records of 91 children with JIA followed between 1996 and 2006 were retrospectively reviewed for laboratory results and clinically significant adverse effects attributed to NSAID use. Laboratory abnormalities were documented, with potential adverse clinical sequelae, including if NSAID use was discontinued. Results Abnormal laboratory results were recorded for 24 of 91 patients. Nearly all abnormalities were mild and not associated with adverse clinical sequelae. All patients but one continued to receive NSAID therapy after the abnormality was detected. Conclusions Although detection of abnormal laboratory values occurred while on NSAIDs, these abnormalities did not correlate with adverse clinical signs and symptoms. The routine monitoring of laboratory tests in asymptomatic children treated with NSAIDs is of questionable utility.

Published
2010
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25. Contributors

Author

Abidi, Nadia Y., Abzug, Mark J., Adams, David R., Adams, Nicholas S., Adelson, Stewart L., Ahlfeld, Shawn K., Ahmad, Osman Z., Aiken, John J., Akdis, Cezmi A., Alessandrini, Evaline A., Alexander, Michael A., Ali, Omar, Anderson, Karl E., Anthony, Kelly K., Antoon, Alia Y., Apkon, Susan D., Ardoin, Stacy P., Arkader, Alexandre, Armangué, Thaís, Arndt, Carola A.S., Aronson, Paul L., Asher, David M., Ashworth, Ann, Assa, Amit, Asselin, Barbara L., Astley, Christina M., Ater, Joann L., Atkinson, Norrell, Augustine, Erika U., Augustyn, Marilyn C., Avitzur, Yaron, Bacino, Carlos A., Bailey, Zinzi D., Balakrishnan, Binod, Balamuth, Frances B., Baldassano, Robert N., Baldwin, Keith D., Bales, Christina, Balistreri, William F., Ballantine, Allison, Baltimore, Robert S., Balwani, Manisha, Bamba, Vaneeta, Banwell, Brenda L., Barclay, Sarah F., Barnes-Davis, Maria E., Barron, Karyl S., Basel, Donald, Bass, Dorsey M., Bassett, Mary T., Bauerfeld, Christian P., Baum, Rebecca A., Bell, Michael J., Bender, Nicole R., Benjamin, Daniel K., Jr, Bennett, Michael J., Bernstein, Daniel, Bernstein, Henry H., Bharucha-Goebel, Diana X., Biggs, Holly M., Blanchard, Samra S., Blatter, Joshua A., Bleyer, Archie, Blum, Nathan J., Boas, Steven R., Bockting, Walter O., Boguniewicz, Mark, Boivin, Michael J., Bonthius, Daniel J., Bordini, Brett J., Bosse, Kristopher R., Bostwick, Bret L., Boyer, Kenneth M., Brady, Jennifer M., Brady, Patrick W., Brady, Rebecca C., Brady, Samuel L., Brandow, Amanda M., Breault, David T., Breuner, Cora Collette, Bridgemohan, Carolyn, Britt, William J., Brower, Laura, Brown, Rebeccah L., Brownell, J. Naylor, Browning, Meghen B., Brunetti-Pierri, Nicola, Bryant, Phillip R., Buckley, Rebecca H., Budek, Cynthia Etzler, Bunyavanich, Supinda, Burnham, Carey-Ann D., Burstein, Gale R., Bustinduy, Amaya L., Buyon, Jill P., Cabada, Miguel M., Cada, Michaela, Caglar, Derya, Cairo, Mitchell S., Calello, Diane P., Camarda, Lauren E., Cameron, Lindsay Hatzenbuehler, Camitta, Bruce M., Campbell, Angela J.P., Carlin, Rebecca F., Carr, Michael R., Carrigan, Robert B., Carroll, Michael S., Carter, Rebecca G., Caserta, Mary T., Chapman, Jennifer I., Cheifetz, Ira M., Chelimsky, Gisela G., Chelimsky, Thomas C., Chemaitilly, Wassim, Chen, Yuan-Tsong, Chiriboga, Jennifer A., Chiu, Yvonne E., Cho, Christine B., Chong, Hey Jin, Chou, Stella T., Christenson, John C., Chun, Robert H., Chusid, Michael J., Cieslak, Theodore J., Claes, Donna J., Clark, Jeff A., Clemens, John David, Coates, Thomas D., Coffin, Susan E., Cohen, Joanna S., Cohen, Mitchell B., Cohen-Wolkowiez, Michael, Colbert, Robert A., Cole, F. Sessions, III, Collaco, J. Michael, Colombo, John L., Congeni, Joseph A., Conner, Lindsay N., Creighton, Sarah M., Crowe, James E., Jr, Czinn, Steven J., Dalal, Aarti S., Dalmau, Josep O., Danziger-Isakov, Lara A., Darville, Toni, Daum, Robert S., Davidson, Loren T., Davidson, Richard S., Davies, H. Dele, Daw, Najat C., Dean, Shannon L., Oquendo, Helen M., DeMaso, David R., Denison, Mark R., Dent, Arlene E., Desnick, Robert J., Deterding, Robin R., Devarajan, Prasad, deVeber, Gabrielle A., Dhar, Vineet, Dhawan, Anil, Dick, André A.S., Dietz, Harry C., III, Diiorio, Daren A., DiMeglio, Linda A., Dixon, Bradley P., Dlamini, Nomazulu, Dodhia, Sonam N., Donohoue, Patricia A., Downes, Kevin J., Doyle, Alexander J., Doyle, Daniel A., Doyle, Jefferson J., Dreskin, Stephen C., Driscoll, Sherilyn W., Dror, Yigal, D'Souza, Jill N., Dubowitz, Howard, Dumler, J. Stephen, Duncan, Janet, Dvergsten, Jeffrey A., Earing, Michael G., Eberly, Matthew D., Eddy, S. Derrick, Egan, Marie E., Elder, Jack S., Englander, Elizabeth, Enlow, Elizabeth, Eppes, Stephen C., Ericson, Jessica, Erkan, Elif, Ermias, Yokabed, Eskew, Ashley M., Etzel, Ruth A., Fahrenkopf, Matthew P., Falk, Marni J., Faria, John J., Fargo, John H., Feemster, Kristen A., Feigelman, Susan, Feinstein, Jeffrey A., Feldman, Amy G., Felner, Eric I., Fels, Edward C., Feng, Sing-Yi, Ferkol, Thomas W., Jr, Finberg, Karin E., Finder, Jonathan D., Finkelstein, Laura H., Fiorino, Kristin N., Fischer, Philip R., Fisher, Brian T., Flood, Veronica H., Flores, Francisco X., Flynn, Joseph T., Flynn, Patricia M., Forman, Joel A., Frank, Michael M., Frenck, Robert W., Jr, Friedman, Deborah M., Friehling, Erika, Fritz, Stephanie A., Frush, Donald P., Gadomski, Anne M., Gaensbauer, James T., Gahagan, Sheila, Gahl, William A., Gallagher, Patrick G., Gans, Hayley A., Garcia-Mauriño, Cristina, Gardiner, Paula M., Garibaldi, Luigi R., Gauthier, Gregory M., Gerber, Jeffrey S., Gershon, Anne A., Ghadersohi, Saied, Gibson, Mark, Gigliotti, Francis, Gilliam, Walter S., Ginde, Salil, Girotto, John A., Goldfarb, Samuel B., Goldman, David L., Goldman, Stanton C., Goldstein, Neal D., Goldstein, Stuart L., Gonzalez-Heydrich, Joseph, Goodman, Denise M., Goodman, Tracy S., Gordon, Catherine M., Gordon, Leslie B., Goto, Collin S., Gower, W. Adam, Goyal, Neera K., Goyeneche, Nicholas P., Graepel, Kevin W., Graham, Robert J., Greally, John M., Green, Cori M., Green, Michael, Greenbaum, Larry A., Greenbaum, V. Jordan, Greenberg, James M., Griffiths, Anne G., Grizzle, Kenneth L., Groner, Judith A., Guarino, Alfredo, Gurria, Juan P., Guz-Mark, Anat, Haddad, Gabriel G., Haddad, Joseph, Jr, Hagan, Joseph F., Jr, Hagood, James S., Haider, Suraiya K., Haliloglu, Goknur, Halstead, Scott B., Hammer, Allison R., Hammerschlag, Margaret R., Hamvas, Aaron, Harris, James C., Harrison, Douglas J., Hartman, Corina, Hartman, Mary E., Haslam, David B., Hassan, H. Hesham Abdel-Kader, Hauck, Fern R., Havers, Fiona P., Hayes, Ericka V., Hecht, Jacqueline T., Heidemann, Sabrina M., Heimall, Jennifer R., Hemingway, Cheryl, Hendley, J. Owen, Hernandez, Michelle L., Hershey, Andrew D., Herzog, Cynthia E., Hirner, Jesse P., Hochberg, Jessica, Hodes, Deborah, Hoefgen, Holly R., Holinger, Lauren D., Holland-Hall, Cynthia M., Hooper, David K., Hoover-Fong, Julie E., Hord, Jeffrey D., Horn, B. David, Horstmann, Helen M., Horton, William A., Hotez, Peter J., House, Samantha A., Hsu, Evelyn, Hsu, Katherine, Scaggs, Felicia A., Huddleston, Heather G., Huepenbecker, Sarah P., Huff, Vicki, Huh, Winston W., Humphrey, Stephen R., Hunger, Stephen P., Hunstad, David A., Hunt, Carl E., Huppert, Stacey S., Huppler, Anna R., Ibeziako, Patricia I., Ibrahim, Samar H., Jackson, Allison M., Jackson, Elizabeth C., Jackson, Mary Anne, Jaffe, Ashlee, Janowski, Andrew B., Jatlaoui, Tara C., Jelsing, Elena J., Jensen, M. Kyle, Jenssen, Brian P., Jerardi, Karen E., John, Chandy C., Johnston, Brian D., Johnston, Michael V., Johnston, Richard B., Jr, Jones, Bridgette L., Joselow, Marsha, Josephson, Cassandra D., Jospe, Nicholas, Joyce, Joel C., Kabbouche, Marielle A., Kacperski, Joanne, Kamat, Deepak, Kamath-Rayne, Beena D., Kansra, Alvina R., Kanter, David M., Karlin, Aaron M., Kattan, Jacob, Kazura, James W., Kearns, Gregory L., Kelly, Andrea, Kelly, Desmond P., Kelly, Kevin J., Kelly, Matthew S., Kelly, Michael, Ken, Kimberly M., Kennedy, Melissa A., Kerem, Eitan, Kerschner, Joseph E., Khan, Seema, Khatami, Ameneh, Khatua, Soumen, Kilinsky, Alexandra, Kim, Chong-Tae, Kim, Wendy E., King, Charles H., Kingma, Paul S., Kinsman, Stephen L., Kishnani, Priya S., Klein, Bruce L., Klein, Bruce S., Kliegman, Robert M., Koch, William C., Kochanek, Patrick M., Kodish, Eric, Kohlhoff, Stephan A., Kostic, Mark A., Kotloff, Karen L., Krane, Elliot J., Krause, Peter J., Kreipe, Richard E., Krug, Steven E., Kwiatkowski, Janet L., Kwon, Jennifer M., Lachenauer, Catherine S., Ladisch, Stephan, Lakser, Oren J., Landrigan, Philip J., Landry, Gregory L., Lane, Wendy G., Larson, A. Noelle, LaRussa, Phillip S., Lawrence, J. Todd R., Lee, Brendan, Lee, K. Jane, Leeder, J. Steven, Leiding, Jennifer W., Lentze, Michael J., Lestrud, Steven O., Leung, Donald Y.M., Levas, Michael N., Levy, Rona L., Li, B U.K., Liacouras, Chris A., Liebig, Christopher W., Lipkin, Paul H., Liptzin, Deborah R., Liu, Andrew H., Lo, Lucinda, Lo, Stanley F., Long, Kathleen A., Long, Sarah S., Lopez, Anna Lena, Lopez, Santiago M.C., Lossef, Steven V., Lowry, Jennifer A., Macumber, Ian R., Magnusson, Mark R., Magoulas, Pilar L., Mahajan, Prashant V., Majzoub, Joseph A., Mann, Robert J., Manoli, Irini, Maqbool, Asim, Maranich, Ashley M., Marcantuono, Nicole, Margolis, David, Marin, Mona, Marini, Joan C., Markello, Thomas C., Markowitz, Morri, Maroushek, Stacene R., Marsh, Justin D., Martin, Kari L., Martinez, Maria G., Mason, Wilbert H., Matalon, Reuben K., Reddy, Sravan Kumar, Maybank, Aletha, Mazor, Robert L., McAllister, Jennifer, McCabe, Megan E., McClean, Megan E., McColley, Susanna A., McGann, Patrick T., McGovern, Margaret M., McGrath-Morrow, Sharon A., McKinney, Jeffrey S., McLaughlin, Matthew J., McLeod, Rima, Mejias, Asuncion, Melby, Peter C., Melzer-Lange, Marlene D., Merguerian, Matthew D., Merhar, Stephanie L., Merritt, Diane F., Messacar, Kevin, Michaels, Marian G., Michniacki, Thomas F., Mikati, Mohamad A., Milgrom, Henry, Mink, Jonathan W., Mistovich, R. Justin, Mitchell, Jonathan A., Mitsnefes, Mark M., Mohandas, Sindhu, Moon, Rachel Y., Moran, Joan P., Morava, Eva, Moreno, Megan A., Morgan, Esi, Morrison, Peter E., Moseley, Lovern R., Mozer-Glassberg, Yael, Muglia, Louis J., Murphy, Kevin P., Murphy, Timothy F., Murray, Karen F., Murray, Thomas S., Narula, Sona, Natale, Mindo J., Nathan, Amy T., Navsaria, Dipesh, Neal, William A., Nehme, Grace, Nehus, Edward J., Nelson, Maureen R., Neri, Caitlin M., Neuman, Mark I., Nevin, Mary A., Newburger, Jane W., Newmark, Jonathan, Nield, Linda S., Niss, Omar, Noah, Zehava L., Nocton, James J., Nogee, Lawrence M., Noje, Corina, Norton, Laura E., Nowak-Węgrzyn, Anna, Obaro, Stephen K., Obeid, Makram M., O'Brien, Hope L., Okwo-Bele, Jean-Marie, Oleszek, Joyce L., Olitsky, Scott E., Olsson, John M., Ombrello, Amanda K., O'Neill, Meghan E., Onigbanjo, Mutiat T., Orenstein, Walter A., Orscheln, Rachel C., Osorio, Marisa, Otto, Christian A., Owens, Judith A., Özen, Seza, Pachter, Lee M., Padhye, Amruta, Pak-Gorstein, Suzinne, Panganiban, Jennifer, Pappas, Diane E., Parent, John J., Parker, Alasdair P.J., Parks, Elizabeth Prout, Patterson, Briana C., Patterson, Maria Jevitz, Peters, Anna L., Peters, Timothy R., Phelan, Rachel A., Pinto, Anna, Poindexter, Brenda B., Pollard, Andrew J., Preciado, Diego, Proctor, Mark R., Pryor, Howard I., II, Pyles, Lee A., Quinn, Molly, Quint, Elisabeth H., Rabatin, Amy E., Rabinovich, C. Egla, Raffini, Leslie J., Ralston, Shawn L., Ram, Sanjay, Ramilo, Octavio, Ramirez, Kacy A., Rand, Casey M., Ratner, Adam J., Ratner, Lee, Raymond, Gerald V., Reed, Ann M., Reif, Shimon, Reller, Megan E., Reuter, Caroline H., Reyes, Jorge D., Rinawi, Firas, Ritchey, A. Kim, Rivara, Frederick P., Robinette, Eric, Robinson, Angela Byun, Rodrigues, Kristine Knuti, Rodriguez-Buritica, David F., Rodríguez-Fernández, Rosa, Roosevelt, Genie E., Rosenberg, David R., Roskind, Cindy Ganis, Ross, A. Catharine, Rossano, Joseph W., Rothman, Jennifer A., Rozenfeld, Ranna A., Ryan, Colleen A., Ryan, Monique M., Ryu, Julie, Sachdev, H.P.S., Sadarangani, Manish, Sadun, Rebecca E., Sahin, Mustafa, Sainath, Nina N., Salata, Robert A., Salvana, Edsel Maurice T., Sampson, Hugh A., Samsel, Chase B., Sandora, Thomas J., Sandritter, Tracy L., Sankar, Wudbhav N., Sarkissian, Eric J., Sarnaik, Ajit A., Sarnaik, Ashok P., Sarnat, Harvey B., Schaffzin, Joshua K., Schanberg, Laura E., Schechter, Michael S., Schleiss, Mark R., Schor, Nina F., Schroeder, James W., Jr, Schulte, Elaine E., Schuster, Mark A., Scott, Daryl A., Scott, J. Paul, Scott, John P., Seed, Patrick C., Serwint, Janet R., Shah, Apurva S., Shah, Dheeraj, Shah, Samir S., Shaikhkhalil, Ala, Shamir, Raanan, Shanti, Christina M., Shapiro, Bruce K., Shaughnessy, Erin E., Shaywitz, Bennett A., Shaywitz, Sally E., Shchelochkov, Oleg A., Sheanon, Nicole M., Shneider, Benjamin L., Shulman, Stanford T., Sicherer, Scott H., Simms, Mark D., Simmons, Jeffery M., Simões, Eric A.F., Simonsen, Kari A., Sinclair-McBride, Keneisha, Sivaraman, Vidya, Slavotinek, Anne M., Smith, Jessica R., Smith, Stephanie H., Smith-Whitley, Kim, Son, Mary Beth F, Sosinsky, Laura Stout, Souder, Emily, Spahn, Joseph D., Spearman, Paul, Sperling, Mark A., Spiegel, David A., Spitzer, Jaclyn B., Spranger, Jürgen W., Squires, James E., Srivastava, Siddharth, St Geme, Joseph W., III, Stallings, Amy P., Stallings, Virginia A., Stambough, Kathryn C., Stanberry, Lawrence R., Stanley, Charles A., Starke, Jeffrey R., Starr, Taylor B., Steenhoff, Andrew P., Stein, Ronen E., Steinbach, William J., Stewart, Janet, Storch, Gregory A., Strauss, Ronald G., Sucato, Gina S., Suchy, Frederick J., Suhrie, Kristen R., Sullivan, Kathleen E., Szilagyi, Moira, Tabbah, Sammy M., Tanz, Robert R., Tarango, Cristina, Tarek, Nidale, Tasker, Robert C., Tchapyjnikov, Dmitry, Tesini, Brenda L., Theobald, Jillian L., Thielen, Beth K., Thomas, Anita A., Thomas, Cameron W., Thornburg, Courtney D., Tieder, Joel S., Tifft, Cynthia J., Todd, James K., Tolentino, Victor R., Jr, Toro, Camilo, Tower, Richard L., II, Trapasso, Joseph M., Troncone, Riccardo, Tsao, Elaine, Tubergen, David G., Tuchman, Lisa K., Turk, Margaret A., Turner, David A., Ullrich, Christina, Ullrich, Nicole, Upadhya, Krishna K., Urion, David K., Valika, Taher, Hare, George F. Van, Van Mater, Heather A., Varnell, Charles D., Jr, Vaughan, Ana M., Vece, Timothy J., Vemana, Aarthi P., Venditti, Charles P., Vepraskas, Sarah, Verbsky, James W., Vermilion, Jennifer A., Vickery, Brian P., Vitola, Bernadette E., Voynow, Judith A., Wagner, Jonathan B., Waguespack, Steven G., Walker, David M., Walkovich, Kelly J., Walter, Heather J., Wambach, Jennifer A., Wang, Julie, Wangler, Michael F., Ware, Russell E., Ware, Stephanie M., Washam, Matthew C., Wassner, Ari J., Wattier, Rachel, Weber, David R., Weese-Mayer, Debra E., Weinberg, Jason B., Weinman, Jason P., Weise, Kathryn L., Weiss, Anna K., Weiss, Pamela F., Weitzman, Carol, Welebir, Morgan P., Wells, Lawrence, Wen, Jessica W., Wendel, Danielle, Werlin, Steven L., Wessels, Michael R., Wetmore, Ralph F., Wexelblatt, Scott L., Wexler, Isaiah D., White, A. Clinton, Jr, White, Perrin C., Williams, John V., Willoughby, Rodney E., Jr, Wilschanski, Michael, Wilson, Karen M., Wilson, Pamela, Winell, Jennifer J., Winnie, Glenna B., Wissow, Lawrence, Witters, Peter, Wolf, Joshua, Wolfgram, Peter M., Wolfe, Joanne, Woods, Brandon T., Wright, Benjamin L., Wright, Joseph L., Wright, Terry W., Wu, Eveline Y., Yagupsky, Pablo, Yeh, E. Ann, Yeshokumar, Anusha K., Zaky, Wafik, Zapata, Lauren B., Zeltzer, Lonnie K., Zhou, Amy, and Zuckerman, Barry S.

Published
2020
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27. Serum S100A8/A9 and S100A12 Levels in Children With Polyarticular Forms of Juvenile Idiopathic Arthritis: Relationship to Maintenance of Clinically Inactive Disease During Anti–Tumor Necrosis Factor Therapy and Occurrence of Disease Flare After Discontinuation of Therapy

Author

Hinze, Claas H., Foell, Dirk, Johnson, Anne L., Spalding, Steven J., Gottlieb, Beth S., Morris, Paula W., Kimura, Yukiko, Onel, Karen, Li, Suzanne C., Grom, Alexei A., Taylor, Janalee, Brunner, Hermine I., Huggins, Jennifer L., Nocton, James J., Haines, Kathleen A., Edelheit, Barbara S., Shishov, Michael, Jung, Lawrence K., Williams, Calvin B., and Tesher, Melissa S.

Subjects
ANTIRHEUMATIC agents, DISEASE relapse, CALCIUM-binding proteins, LONGITUDINAL method, MEDICAL needs assessment, MEDICAL cooperation, RESEARCH, STATISTICS, JUVENILE idiopathic arthritis, TUMOR necrosis factors, DATA analysis, SYMPTOMS, TERMINATION of treatment, TREATMENT effectiveness, RECEIVER operating characteristic curves, MANN Whitney U Test, KRUSKAL-Wallis Test, CHEMICAL inhibitors, DIAGNOSIS
Abstract

Objective: To determine the relationship between serum levels of S100A8/A9 and S100A12 and the maintenance of clinically inactive disease during anti–tumor necrosis factor (anti‐TNF) therapy and the occurrence of disease flare following withdrawal of anti‐TNF therapy in patients with polyarticular forms of juvenile idiopathic arthritis (JIA). Methods: In this prospective, multicenter study, 137 patients with polyarticular‐course JIA whose disease was clinically inactive while receiving anti‐TNF therapy were enrolled. Patients were observed for an initial 6‐month phase during which anti‐TNF treatment was continued. For those patients who maintained clinically inactive disease over the 6 months, anti‐TNF was withdrawn and they were followed up for 8 months to assess for the occurrence of flare. Serum S100 levels were measured at baseline and at the time of anti‐TNF withdrawal. Spearman's rank correlation test, Mann‐Whitney U test, Kruskal‐Wallis test, receiver operating characteristic (ROC) curve, and Kaplan‐Meier survival analyses were used to assess the relationship between serum S100 levels and maintenance of clinically inactive disease and occurrence of disease flare after anti‐TNF withdrawal. Results: Over the 6‐month initial phase with anti‐TNF therapy, the disease state reverted from clinically inactive to clinically active in 24 (18%) of the 130 evaluable patients with polyarticular‐course JIA; following anti‐TNF withdrawal, 39 (37%) of the 106 evaluable patients experienced a flare. Serum levels of S100A8/A9 and S100A12 were elevated in up to 45% of patients. Results of the ROC analysis revealed that serum S100 levels did not predict maintenance of clinically inactive disease during anti‐TNF therapy nor did they predict disease flare after treatment withdrawal. Elevated levels of S100A8/A9 were not predictive of the occurrence of a disease flare within 30 days, 60 days, 90 days, or 8 months following anti‐TNF withdrawal, and elevated S100A12 levels had a modest predictive ability for determining the risk of flare within 30, 60, and 90 days after treatment withdrawal. Serum S100A12 levels at the time of anti‐TNF withdrawal were inversely correlated with the time to disease flare (r = −0.36). Conclusion: Serum S100 levels did not predict maintenance of clinically inactive disease or occurrence of disease flare in patients with polyarticular‐course JIA, and S100A12 levels were only moderately, and inversely, correlated with the time to disease flare. [ABSTRACT FROM AUTHOR]

Published
2019
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31. Contributors

Author

Adams, Laura, Beacher, Daniel, Burek, Alina G., Carroll, Brian, Coleman, Keli, Coren, Alison, Doolittle, Rose, DuMez, Danielle, Gedeit, Rainer G., Girolami, Michael, Katusic, Maja Z., Kovacic, Karlo, Krishna, Hema, Lhost, Jennifer, Light, Susan K., McFadden, Vanessa C., Nocton, James J., Richards, Julia, Rosenwald, Kent, Rubey, Kathryn M., Schmitz, Anna, Sonowal, Purabi, Sridhar, Shela, Steffes, Lea, Sullivan, Rachel T., Swearingen, Corinne, Velazquez, Eric, Weigert, Rachel, Wenzel, Amanda A., and Wilkinson, Stephen E.

Published
2019
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33. Risk, Timing, and Predictors of Disease Flare After Discontinuation of Anti–Tumor Necrosis Factor Therapy in Children With Polyarticular Forms of Juvenile Idiopathic Arthritis With Clinically Inactive Disease.

Author

Lovell, Daniel J., Johnson, Anne L., Huang, Bin, Gottlieb, Beth S., Morris, Paula W., Kimura, Yukiko, Onel, Karen, Li, Suzanne C., Grom, Alexei A., Taylor, Janalee, Brunner, Hermine I., Huggins, Jennifer L., Nocton, James J., Haines, Kathleen A., Edelheit, Barbara S., Shishov, Michael, Jung, Lawrence K., Williams, Calvin B., Tesher, Melissa S., and Costanzo, Denise M.

Subjects
METHOTREXATE, AGE factors in disease, CHI-squared test, LIFE expectancy, LONGITUDINAL method, REGRESSION analysis, JUVENILE idiopathic arthritis, STATISTICS, T-test (Statistics), TIME, TERMINATION of treatment, TUMOR necrosis factors, PROPORTIONAL hazards models, DISEASE duration, DISEASE exacerbation, ODDS ratio, CHEMICAL inhibitors, THERAPEUTICS
Abstract

Objective: To determine the frequency, time to flare, and predictors of disease flare upon withdrawal of anti–tumor necrosis factor (anti‐TNF) therapy in children with polyarticular forms of juvenile idiopathic arthritis (JIA) who demonstrated ≥6 months of continuous clinically inactive disease. Methods: In 16 centers 137 patients with clinically inactive JIA who were receiving anti‐TNF therapy (42% of whom were also receiving methotrexate [MTX]) were prospectively followed up. If the disease remained clinically inactive for the initial 6 months of the study, anti‐TNF was stopped and patients were assessed for flare at 1, 2, 3, 4, 6, and 8 months. Life‐table analysis, t‐tests, chi‐square test, and Cox regression analysis were used to identify independent variables that could significantly predict flare by 8 months or time to flare. Results: Of 137 patients, 106 (77%) maintained clinically inactive disease while receiving anti‐TNF therapy for the initial 6 months and were included in the phase of the study in which anti‐TNF therapy was stopped. Stopping anti‐TNF resulted in disease flare in 39 (37%) of 106 patients by 8 months. The mean/median ± SEM time to flare was 212/250 ± 9.77 days. Patients with shorter disease duration at enrollment, older age at onset and diagnosis, shorter disease duration prior to experiencing clinically inactive disease, and shorter time from onset of clinically inactive disease to enrollment were found to have significantly lower hazard ratios for likelihood of flare by 8 months (P < 0.05). Conclusion: Over one‐third of patients with polyarticular JIA with sustained clinically inactive disease will experience a flare by 8 months after discontinuation of anti‐TNF therapy. Several predictors of lower likelihood of flare were identified. [ABSTRACT FROM AUTHOR]

Published
2018
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34. Linear scleroderma en coup de sabre with associated neurologic abnormalities

Author

Holland, Kristen E., Steffes, Burt, Nocton, James J., Schwabe, Michael J., Jacobson, Richard D., and Drolet, Beth A.

Subjects
Scleroderma (Disease) -- Case studies, Systemic scleroderma -- Case studies
Abstract

Linear scleroderma represents a unique form of localized scleroderma that primarily affects the pediatric population, with 67% of patients diagnosed before 18 years of age. When linear scleroderma occurs on the head, it is referred to as linear scleroderma en coup de sabre, given the resemblance of the skin lesions to the stroke of a sabre. Here we describe 3 pediatric patients with linear scleroderma en coup de sabre who presented with neurologic abnormalities before or concurrent with the diagnosis of their skin disease. Our patients&apos; cases highlight the underrecognized relationship between neurologic complications and linear scleroderma en coup de sabre and illustrate the importance of a thorough skin examination in patients with unexplained neurologic disease. KEY WORDS. pediatric, scleroderma, en coup de sabre, neurologic, children. URL: www.pediatrics.org/cgi/doi/10.1542/peds.2005-0470

Published
2006

36. An evaluation of the utility of routine laboratory monitoring of juvenile idiopathic arthritis (JIA) patients using non-steroidal anti-inflammatory drugs (NSAIDs): a retrospective review.

Author

Vora, Sheetal S., Bengtson, Christine E., Syverson, Grant D., and Nocton, James J.

Subjects
ARTHRITIS, CHILD patients, NONSTEROIDAL anti-inflammatory agents, AMINOTRANSFERASES, DRUGS, RETROSPECTIVE studies, CREATININE, SERUM, URINALYSIS
Abstract

Background: No consensus evidence-based guidelines for the routine laboratory monitoring of children with JIA receiving non-steroidal anti-inflammatory drugs (NSAIDs) exist. The purpose of this study is to evaluate the clinical utility of routine laboratory monitoring of hemoglobin, transaminases, blood urea nitrogen, serum creatinine, and urinalysis in patients with juvenile idiopathic arthritis (JIA) receiving NSAIDs. Methods: The medical records of 91 children with JIA followed between 1996 and 2006 were retrospectively reviewed for laboratory results and clinically significant adverse effects attributed to NSAID use. Laboratory abnormalities were documented, with potential adverse clinical sequelae, including if NSAID use was discontinued. Results: Abnormal laboratory results were recorded for 24 of 91 patients. Nearly all abnormalities were mild and not associated with adverse clinical sequelae. All patients but one continued to receive NSAID therapy after the abnormality was detected. Conclusions: Although detection of abnormal laboratory values occurred while on NSAIDs, these abnormalities did not correlate with adverse clinical signs and symptoms. The routine monitoring of laboratory tests in asymptomatic children treated with NSAIDs is of questionable utility. [ABSTRACT FROM AUTHOR]

Published
2010
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37. Anti‐Ku antibody‐positive systemic sclerosis‐polymyositis overlap syndrome in an adolescent.

Author

Loo, Rory J., Nocton, James J., Harmelink, Matthew M., and Chiu, Yvonne E.

Subjects
*SYNDROMES, *POLYMYOSITIS, *IMMUNOGLOBULINS
Abstract

Systemic sclerosis‐polymyositis overlap syndrome is rare in children. Anti‐PM/Scl is the most common autoantibody associated with this syndrome. We present a case of systemic sclerosis‐polymyositis overlap syndrome in a child with isolated anti‐Ku antibodies, an uncommon antibody associated with this rare syndrome. [ABSTRACT FROM AUTHOR]

Published
2020
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43. Comparing Board Examination Scores Between Pediatric Residents in Continuity Clinics at Different Sites.

Author

Cohen GA, Nocton JJ, and Treat R

Subjects
Certification, Education, Medical, Graduate, Female, Humans, Male, Outpatient Clinics, Hospital, Retrospective Studies, Specialty Boards, United States, Wisconsin, Educational Measurement, Internship and Residency, Pediatrics education
Abstract

Objective: Determine if there is a difference in medical knowledge between pediatric residents attending continuity clinic at a community-based center versus those attending an academic center, as measured by the American Board of Pediatrics In-Training Exam (in-training exam) and the American Board of Pediatrics Certification Exam (certification exam)., Methods: A retrospective evaluation of in-training and certification exam scores of pediatric residents enrolled at the Medical College of Wisconsin and Children's Hospital of Wisconsin was performed. Test scores of the group of residents participating in a community-based continuity clinic were compared to those residents attending an academic center continuity clinic., Results: There were no statistically significant differences in mean test scores for each of the 3 years of residency training on the in-training exam or board certifying exam after graduation. In-training exam scores significantly predicted certification exam scores, and there were significant increases in the in-training exam scores throughout residency, irrespective of clinic location., Conclusion: This study shows no difference between residents participating in a communitybased continuity clinic and those participating in an academic center continuity clinic in objective outcomes as measured by scores on the American Board of Pediatrics In-Training Exam and the American Board of Pediatrics Certifying Exam., (Copyright© Wisconsin Medical Society.)

Published
2019

44. Toxic Epidermal Necrolysis-Like Cutaneous Lupus in Pediatric Patients: A Case Series and Review.

Author

Yu J, Brandling-Bennett H, Co DO, Nocton JJ, Stevens AM, and Chiu YE

Subjects
Adolescent, Biopsy, Child, Diagnosis, Differential, Female, Humans, Lupus Erythematosus, Cutaneous pathology, Male, Stevens-Johnson Syndrome etiology, Lupus Erythematosus, Cutaneous diagnosis, Lupus Erythematosus, Systemic complications, Skin pathology, Stevens-Johnson Syndrome diagnosis
Abstract

Bullous eruptions in patients with underlying systemic lupus erythematosus (LE) can mimic toxic-epidermal necrolysis (TEN), a rapidly progressive mucocutaneous reaction usually associated with medication use. Differentiating between classic drug-induced TEN and TEN-like cutaneous LE is important but difficult. We report a series of 3 patients with pediatric systemic LE who were admitted with severe worsening of skin disease resembling TEN. However, the initial photo-distribution of the eruption, subacute progression, limited mucosal involvement, mild systemic symptoms, supportive biopsy and laboratory results, and lack of culprit drugs was more suggestive of a TEN-like cutaneous LE. These patients recovered with various systemic immunosuppressive medications including methylprednisolone, intravenous immunoglobulin, and plasmapheresis. Our cases are rare and demonstrate key clinical and histologic features of TEN-like cutaneous LE in young patients and the importance of differentiating this entity from drug-induced TEN., (Copyright © 2016 by the American Academy of Pediatrics.)

Published
2016
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45. Takayasu disease associated with severe osteoporosis in a pre-pubertal female.

Author

Kansra AR, Wells RG, and Nocton JJ

Subjects
Absorptiometry, Photon, Bone Density Conservation Agents therapeutic use, Child, Diagnosis, Differential, Female, Humans, Osteoporosis drug therapy, Osteoporosis etiology, Takayasu Arteritis complications, Osteoporosis diagnosis, Takayasu Arteritis diagnosis
Published
2012

46. Comparison of medical knowledge between pediatric residents who attend continuity clinic at different sites.

Author

Cohen GA and Nocton JJ

Subjects
Clinical Competence, Female, Humans, Male, Outpatient Clinics, Hospital, Private Practice, Retrospective Studies, Statistics, Nonparametric, Wisconsin, Health Knowledge, Attitudes, Practice, Internship and Residency, Pediatrics education
Abstract

Objective: The objective of this study is to determine if a difference in medical knowledge exists between pediatric residents attending a private practice continuity clinic and pediatric residents attending an academic continuity clinic, as measured by the American Board of Pediatrics in-training examination., Design: A retrospective evaluation of scores on the American Board of Pediatrics in-training examination was performed, comparing the scores of residents who attend a private practice continuity clinic and those who attend an academic continuity clinic., Results: No significant difference was found in test scores of the 2 groups of residents for each year from 1999 to 2003. There was no significant difference between the mean differences of scores from the PL-1 year to the PL-3 year. Both groups showed improvement in scores betwen the first and last years of residency., Conclusion: It is unlikely that there is a significant difference in medical knowledge between pediatric residents attending a continuity clinic in a private practice setting and pediatric residents attending a continuity clinic in an academic setting.

Published
2009

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