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ABSTRACT: Background
Biologic therapy has changed the prognosis of patients with juvenile idiopathic arthritis (JIA). The aim of this study was to examine the pattern of use, drug survival, and adverse events of biologics in patients with JIA during the period from diagnosis to adulthood.Methods
All patients included in BIOBADASER (Spanish Registry for Adverse Events of Biological Therapy in Rheumatic Diseases), a multicenter prospective registry, diagnosed with JIA between 2000 and 2015 were analyzed. Proportions, means, and SDs were used to describe the population. Incidence rates and 95% CIs were calculated to assess adverse events. Kaplan-Meier analysis was used to compare the drug survival rates.Results
A total of 469 patients (46.1% women) were included. Their mean age at diagnosis was 9.4?±?5.3 years. Their mean age at biologic treatment initiation was 23.9?±?13.9 years. The pattern of use of biologics during their pediatric years showed a linear increase from 24% in 2000 to 65% in 2014. Biologic withdrawal for disease remission was higher in patients who initiated use biologics prior to 16 years of age than in those who were older (25.7% vs 7.9%, p?ConclusionsSurvival and suspension by remission of biologics were higher when these compounds were initiated in patients with JIA who had not yet reached 16 years of age. The incidence rate of serious adverse events in pediatric vs adult patients with JIA treated with biologics was similar; however, a significant increase of infection was observed in patients under 16 years old.
SUBMITTER: Bethencourt Baute JJ
PROVIDER: S-EPMC6235210 | biostudies-literature | 2018 Oct
REPOSITORIES: biostudies-literature
Bethencourt Baute Juan José JJ Sanchez-Piedra Carlos C Ruiz-Montesinos Dolores D Medrano San Ildefonso Marta M Rodriguez-Lozano Carlos C Perez-Pampin Eva E Ortiz Ana A Manrique Sara S Roselló Rosa R Hernandez Victoria V Campos Cristina C Sellas Agustí A Sifuentes-Giraldo Walter Alberto WA García-González Javier J Sanchez-Alonso Fernando F Díaz-González Federico F Gómez-Reino Juan Jesús JJ Bustabad Reyes Sagrario S
Arthritis research & therapy 20181010 1
<h4>Background</h4>Biologic therapy has changed the prognosis of patients with juvenile idiopathic arthritis (JIA). The aim of this study was to examine the pattern of use, drug survival, and adverse events of biologics in patients with JIA during the period from diagnosis to adulthood.<h4>Methods</h4>All patients included in BIOBADASER (Spanish Registry for Adverse Events of Biological Therapy in Rheumatic Diseases), a multicenter prospective registry, diagnosed with JIA between 2000 and 2015 w ...[more]