Development of a tool for early referral of children and adolescents with signs and symptoms suggestive of chronic arthropathy to pediatric rheumatology centers

Development of a tool for early referral of children and adolescents with signs and symptoms suggestive of chronic arthropathy to pediatric rheumatology centers

Author Len, Claudio Arnaldo Autor UNIFESP Google Scholar
Terreri, Maria Teresa Ramos Ascensão Autor UNIFESP Google Scholar
Puccini, Rosana Fiorini Autor UNIFESP Google Scholar
Wechsler, Rudolf Autor UNIFESP Google Scholar
Silva, Edina Mariko Koga da Autor UNIFESP Google Scholar
Oliveira, Leda Magalhães de Autor UNIFESP Google Scholar
Barbosa, Cassia Maria Passarelli Lupoli Autor UNIFESP Google Scholar
Pedroso, Glaura César Autor UNIFESP Google Scholar
Hilário, Maria Odete Esteves Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objective. To develop an easy, time-efficient tool to identify children and adolescents with signs and symptoms suggestive of chronic arthropathies, and to evaluate its interobserver reproducibility and reliability.Methods. the instrument used standardized techniques as required for the development of health-related instruments, targeting parents of apparently healthy children and adolescents ages 1-16 years. A multidisciplinary team was involved in the design of the instrument.Results. Each health professional generated 10-15 questions addressing musculoskeletal complaints that they considered to be the most relevant. A total of 60 questions were listed. During the reduction step, each health professional scored questions from 1 to 4 according to the question's relevance. the tool comprised 12 questions and was administered to the parents of 3 groups: patients with juvenile idiopathic arthritis (JIA; n = 48), children with diffuse musculoskeletal pain (n = 39), and a healthy control group (n = 42). the JIA group achieved the highest scores, followed by the diffuse musculoskeletal pain group and the control group. Nine (18.7%) of 48 patients with JIA and 2 (5.1%) of 39 children with musculoskeletal pain had a score of 5. the interobserver reproducibility was confirmed. All 12 questions were included in the final version of the instrument. We determined that children and adolescents with a score >= 5 should be referred for a rheumatologic evaluation (cluster analysis and logistic regression).Conclusion. Our questionnaire seems to be a useful tool for the early detection of musculoskeletal problems in children that may need a referral for a rheumatologic evaluation.
Keywords juvenile idiopathic arthritis
juvenile rheumatoid arthritis
arthritis
questionnaire
pain
Language English
Date 2006-06-15
Published in Arthritis & Rheumatism-arthritis Care & Research. Hoboken: Wiley-liss, v. 55, n. 3, p. 373-377, 2006.
ISSN 0004-3591 (Sherpa/Romeo, impact factor)
Publisher Wiley-Blackwell
Extent 373-377
Origin http://dx.doi.org/10.1002/art.21983
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000238172900006
URI http://repositorio.unifesp.br/handle/11600/28977

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