Results for outcome disease activity*
Baseline predictors (within 6 months after diagnosis) | Number of studies | |||||
---|---|---|---|---|---|---|
− | <† | NS | >† | + | References | |
Demographics | ||||||
Gender: female | 1/1 | 4 | 24, 36, 37, 39–41 | |||
Higher age at onset | 5 | 1/0 | 1 | 24, 36, 37, 39–42 | ||
Higher age at diagnosis | 1/1 | 36, 38 | ||||
Longer time from onset to diagnosis | 2 | 36, 40 | ||||
Family history of AS in first degree relative | 1 | 37 | ||||
JIA category‡ | 1 | 39 | ||||
Oligoarticular persistent | 0/1 | 42 | ||||
Oligoarticular extended | 0/1 | 0/1 | 24, 42 | |||
Systemic | 1 | 0/1 | 1/1 | 24, 36, 41, 42 | ||
Poly RF− | 1 | 0/2 | 1 | 24, 36, 40, 41 | ||
Poly RF+ | 0/3 | 2 | 24, 36, 38, 40, 41 | |||
Psoriatic | 1 | 36 | ||||
ERA | 0/1 | 1 | 34, 36 | |||
Undifferentiated | ||||||
Disease activity | ||||||
Higher active joint count | 1 | 1/0 | 1 | 36, 41, 42 | ||
Higher limited joint count | 2 | 36, 42 | ||||
Higher PGA | 1/0 | 36 | ||||
Higher parent/patient GA | 1/0 | 36 | ||||
Higher pain VAS | 1/0 | 36 | ||||
Higher CHAQ score | 1/0 | 36 | ||||
Higher JAQQ score | 1 | 36 | ||||
Hip involvement | 1 | 34 | ||||
Ankle involvement | 1 | 37 | ||||
Sacroiliitis present | 1 | 34 | ||||
Enthesitis present | 1 | 34 | ||||
Uveitis | 1/0 | 41 | ||||
Laboratory | ||||||
ANA positive | 1/0 | 3 | 24, 36, 39, 41 | |||
RF positive | 1 | 1/0 | 36, 41 | |||
Higher ESR | 2 | 36, 42 | ||||
Higher number of months with elevated ESR (in first 6 months) | 1 | 41 | ||||
Higher CRP | 2 | 36, 42 | ||||
α2- or γ-globulins | 1 | 42 | ||||
Genetics | ||||||
HLA-B27 positive | 1 | 1/1 | 34, 41, 42 | |||
HLA-DRB1*08 | 2 | 37, 41 | ||||
RANTES −28G allele | 0/1 | 35 | ||||
RANTES −403A allele | 1 | 35 | ||||
Imaging | ||||||
Erosions or joint space narrowing on images | 0/1 | 38 |
*Values are the number of studies that found that particular result for the respective predictors.
†The first number in this column refers to the number of studies that performed a multivariate analysis disconfirming the univariate finding (studies in which the multivariate analysis confirmed the univariate finding, are shown in the columns labelled − and +, respectively). The second number in this column refers to the number of studies that did not perform a multivariate analysis.
‡In studies that evaluated onset categories oligoarticular, polyarticular and systemic, results have been duplicated for oligoarthritis persistent and extended, and polyarthritis RF-positive and RF-negative, respectively.
−, lower chance of favourable outcome in multivariate analysis (p≤0.05); <, lower chance of favourable outcome in univariate analysis (p≤0.05); NS, not significant (p>0.05); S, significant in univariate analysis. Direction of the effect not shown (p≤0.05); >, higher chance of favourable outcome in univariate analysis (p≤0.05); +, higher chance of favourable outcome in multivariate analysis (p≤0.05). ANA, antinuclear antibodies; AS, ankylosing spondylitis; CHAQ, childhood health assessment questionnaire; CRP, C-reactive protein; ERA, enthesitis-related arthritis; ESR, erythrocyte sedimentation rate; GA, global assessment; HLA, human leucocyte antigen; IFN, interferon; IL, interleukin; JAQQ, juvenile arthritis quality of life questionnaire; JIA, juvenile idiopathic arthritis; PIP, proximal interphalangeal joint; PGA, physician's global assessment; RF, rheumatoid factor; TGF, transforming growth factor; TNF, tumour necrosis factor; VAS, visual analogue scale.