Criteria of the Pediatric Rheumatology International Trials Organization (PRINTO) for Improvement in Juvenile Arthritis

Purpose: To evaluate a pediatric patient with juvenile arthritis for clinical improvement using the criteria of Giannini et al from PRINTO.

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Evaluation

Are you evaluating a pediatric patient with juvenile arthritis?

Yes

Previous measurements

Physician's global assessment of disease activity along 10 cm VAS

Parent's or patient's assessment of well-being along a 10 cm VAS

CHAQ disability index

Number of joints with active arthritis

Number of joints with limited range of motion

ESR

mm in first hour

Current measurements

Physician's global assessment of disease activity along 10 cm VAS

Parent's or patient's assessment of well-being along a 10 cm VAS

CHAQ disability index

Number of joints with active arthritis

Number of joints with limited range of motion

ESR

mm in first hour

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of initial measures with a 0 value

Ratio of current to previous measure of

• physician's global assessment

• parent's or patient's global assessment

• functional ability

• number of joints with active arthritis

• number of joints with limited mobility

• ESR

Number of measures showing a >= 30% improvement

Number of measures showing a > 30% deterioration

Has the patient shown improvement?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Juvenile Arthritis | Tumor Necrosis Factor (TNF) Treatment Risks
- Systemic-Onset Juvenile Rheumatoid Arthritis (JRA) | Predictors for Poor Outcome
Criteria For Diagnosis

Therapy

Selection
- Systemic-Onset Juvenile Rheumatoid Arthritis (JRA) | Predictors for Poor Outcome

Monitoring

Response To Therapy
- Juvenile Rheumatoid Arthritis Range of Motion Scale
Adverse Effects
- Juvenile Arthritis | Tumor Necrosis Factor (TNF) Treatment Risks

Specialty

Immunology/Rheumatology

Objective

response to therapy
disease progression

ICD-10

M08 - Juvenile arthritis

Info

Purpose: To evaluate a pediatric patient with juvenile arthritis for clinical improvement using the criteria of Giannini et al from PRINTO.

Specialty: Immunology/Rheumatology

Objective: response to therapy, disease progression

ICD-10: M08,

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