Outcome in adults with juvenile idiopathic arthritis. Comparison of the DUTCH-AIMS2 between JIA and RA.
OBJECTIVE
To compare outcome in adult patients with JIA in childhood with outcome in young adults with RA and to evaluate the use of the DUTCH-AIMS2 in adult JIA patients


METHODS
A questionnaire containing the DUTCH-AIMS2 to assess health outcomes (answers ranging from 0-10: 0=best) was sent to 142 adults with JIA (18-40 years). These health outcomes were compared with those of 34 young RA patients (< or = 40 years) from former studies. The DUTCH-AIMS2 was tested for its reliability and validity in adult JIA patients.


RESULTS
The response rate was 71%. Disease duration of JIA patients (mean 19.2+/-9.5 years) was longer than in young RA patients (mean 7.8+/-5.3 years). RA patients scored worse than JIA patients in all health status areas with the exception of mobility. The mean health outcome scores were low for all groups (< or = 4.80). The internal consistency and the validity of the DUTCH-AIMS2 were satisfactory.


CONCLUSIONS
Overall, the health outcome of oligoarticular and polyarticular adult JIA and young RA patients was quite good. The DUTCH-AIMS2 can be used as an instrument in outcome studies in JIA patients.
Department of Rheumatology, Slotervaart Hospital, Amsterdam, The Netherlands.
L N
LN
Bruinooge
R
R
El Moussaoui
E
E
Taal
B A C
BA
Dijkmans
R M
RM
Van Soesbergen
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D001171:Arthritis, Juvenile / Q000150:complications / Q000503:physiopathology; D003431:Cross-Cultural Comparison; D018450:Disease Progression; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D017533:Marital Status; D011379:Prognosis; D015203:Reproducibility of Results; D016353:Self-Examination; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires