Datta Debadyuti, Khatun Moksuda, Bankura Biswabandhu, Sarkar Mihir, Hazra Avijit, M D Ivan, Nandy Manab, Mondal Rakesh
Department of Paediatrics, Medical College Kolkata, Kolkata, India.
Multidisciplinary Research Unit, Medical College Kolkata, Kolkata, India.
Rheumatol Immunol Res. 2024 Jul 15;5(2):126-129. doi: 10.1515/rir-2024-0016. eCollection 2024 Jun.
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.
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.
Childhood health assessment questionnaire disability index for oligoarticular juvenile idiopathic arthritis differed significantly from polyarticular juvenile idiopathic arthritis ( < 0.001), systemic-onset juvenile idiopathic arthritis ( = 0.018) and undifferentiated juvenile idiopathic arthritis ( < 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).
Assessment and documentation of the functional health status of juvenile idiopathic arthritis patients will improve the management of the disease.
印度青少年特发性关节炎患儿的功能残疾状况尚不明确。在这项横断面研究中，采用儿童健康评估问卷对60例青少年特发性关节炎患者的功能能力进行了评估。
从印度东部的一家教学医院招募了60例年龄在1至12岁之间的青少年特发性关节炎患者。使用儿童健康评估问卷来评估儿童的功能健康状况。对疼痛、患者/家长对总体健康状况的整体评估以及医生的整体评估进行了评估。
少关节型青少年特发性关节炎的儿童健康评估问卷残疾指数与多关节型青少年特发性关节炎（<0.001）、全身型青少年特发性关节炎（=0.018）和未分化型青少年特发性关节炎（<0.001）有显著差异。在整个青少年特发性关节炎队列中，儿童健康评估问卷残疾指数与疼痛评分、患者/家长的整体评估评分以及医生的整体评估评分之间存在良好至强的正相关。对于青少年特发性关节炎亚型，儿童健康评估问卷残疾指数与患者/家长的整体评估和医生的整体评估之间存在显著相关性（附着点炎相关关节炎除外）。
对青少年特发性关节炎患者的功能健康状况进行评估和记录将改善该疾病的管理。
