Burden of childhood-onset arthritis

被引:83
作者
Moorthy, Lakshmi N. [1 ]
Peterson, Margaret G. E. [2 ]
Hassett, Afton L. [4 ]
Lehman, Thomas J. A. [2 ,3 ]
机构
[1] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch, Dept Pediat, New Brunswick, NJ 08903 USA
[2] Hosp Special Surg, New York, NY 10021 USA
[3] Cornell Univ, Weill Med Coll, New York, NY 10021 USA
[4] Univ Michigan, Sch Med, Dept Anesthesiol, Chron Pain & Fatigue Res Ctr, Ann Arbor, MI USA
关键词
JUVENILE IDIOPATHIC ARTHRITIS; QUALITY-OF-LIFE; RHEUMATOID-ARTHRITIS; UNITED-STATES; PEDIATRIC RHEUMATOLOGY; PHYSICAL-DISABILITY; CHILDREN; ADOLESCENTS; OUTCOMES; UVEITIS;
D O I
10.1186/1546-0096-8-20
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Juvenile arthritis comprises a variety of chronic inflammatory diseases causing erosive arthritis in children, often progressing to disability. These children experience functional impairment due to joint and back pain, heel pain, swelling of joints and morning stiffness, contractures, pain, and anterior uveitis leading to blindness. As children who have juvenile arthritis reach adulthood, they face possible continuing disease activity, medication-associated morbidity, and life-long disability and risk for emotional and social dysfunction. In this article we will review the burden of juvenile arthritis for the patient and society and focus on the following areas: patient disability; visual outcome; other medical complications; physical activity; impact on HRQOL; emotional impact; pain and coping; ambulatory visits, hospitalizations and mortality; economic impact; burden on caregivers; transition issues; educational occupational outcomes, and sexuality. The extent of impact on the various aspects of the patients', families' and society's functioning is clear from the existing literature. Juvenile arthritis imposes a significant burden on different spheres of the patients', caregivers' and family's life. In addition, it imposes a societal burden of significant health care costs and utilization. Juvenile arthritis affects health-related quality of life, physical function and visual outcome of children and impacts functioning in school and home. Effective, well-designed and appropriately tailored interventions are required to improve transitioning to adult care, encourage future vocation/occupation, enhance school function and minimize burden on costs.
引用
收藏
页数:9
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