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- W2265818709 abstract "Musculoskeletal pain is one of the most common causes of visits to pediatricians but only a very small proportion (<1%) have chronic arthritis. Even among those referred to a pediatric rheumatologist, only a minority has chronic arthritis. Thus, it is important for pediatricians to correctly identify those few children with a high probability of having chronic arthritis in order to facilitate an accurate work-up and prompt referral. In this issue of The Journal, Cattalini et al report their analysis of 178 children referred by primary pediatricians to their practice in Brescia, Italy, for clinical and laboratory variables associated with the diagnosis of chronic (juvenile idiopathic) arthritis. They found that four factors that can be obtained by a simple focused history and translated by a formula to a probability score, can predict, with a high sensitivity and specificity, the likelihood of child having chronic arthritis. These factors include the frequency/persistence of pain, precipitators of pain, duration of morning stiffness, and pattern of joint swelling. The major limitation of this study was the substantial difference in the diagnostic constitution of their Italian practice to many other pediatric rheumatology practices in Western Europe and the US. However, their practice may better resemble that of the general pediatrician where many children with musculoskeletal complaints have postural or minor orthopedic abnormalities. This study stresses that obtaining an accurate history (!) can help pediatricians correctly identify those children needing a quick referral to a pediatric rheumatologist as opposed to those with a low probability of having chronic arthritis. If validated, this study may lead to a more optimized utilization of time, money, and health care resources in investigating musculoskeletal complaints. Article page 188▶ Developing a Predictive Score for Chronic Arthritis among a Cohort of Children with Musculoskeletal Complaints—The Chronic Arthritis Score StudyThe Journal of PediatricsVol. 169PreviewTo explore if features obtained from a carefully taken medical history can be predictors of the final diagnosis in children with musculoskeletal complaints. Full-Text PDF" @default.
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- W2265818709 date "2016-02-01" @default.
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- W2265818709 title "My child hurts. Does he have arthritis?" @default.
- W2265818709 doi "https://doi.org/10.1016/j.jpeds.2015.11.062" @default.
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