Results for outcome functional ability*
Baseline predictors (within 6 months after diagnosis) | Number of studies | ||||||
---|---|---|---|---|---|---|---|
− | <† | NS | S† | >† | + | References | |
Demographics | |||||||
Gender: female | 2 | 5 | 36, 37, 41, 44, 49, 50, 52 | ||||
Ethnicity: Hispanic | 1 | 43 | |||||
Ethnicity: Native North American | 1/0 | 52 | |||||
Higher age at onset | 2/1 | 5 | 36, 37, 41, 44, 45, 50, 52, 53 | ||||
Higher age at diagnosis | 1 | 49 | |||||
Longer time from onset to diagnosis | 2/0 | 2 | 36, 44, 49, 52 | ||||
Diagnosis at first visit | 1 | 44 | |||||
Family history of AS in first degree relative | 1 | 37 | |||||
Residence on a reserve | 1 | 52 | |||||
Rural residence | 1 | 52 | |||||
JIA category‡ | 2 | 44, 50 | |||||
Oligoarticular persistent | |||||||
Oligoarticular extended | |||||||
Systemic | 1/0 | 3 | 36, 41, 52, 53 | ||||
Poly RF- | 1 | 2/0 | 1 | 36, 41, 52, 53 | |||
Poly RF+ | 1 | 2/0 | 1 | 36, 41, 52, 53 | |||
Psoriatic | 1 | 36 | |||||
ERA | 1 | 36 | |||||
Disease activity | |||||||
Higher active joint count | 4/0 | 2 | 36, 41, 44, 49, 50, 53 | ||||
Higher limited joint count | 0/1 | 36 | |||||
Higher involved joint count | 1 | 1 | 37, 50 | ||||
Higher articular severity score | 1 | 53 | |||||
Higher PGA | 1/1 | 1 | 36, 44, 49 | ||||
Higher parent/patient GA | 2/0 | 36, 49 | |||||
Higher pain VAS | 2/0 | 36, 49 | |||||
Higher CHAQ score | 2 | 36, 49 | |||||
Higher JAQQ score | 1 | 36 | |||||
Hand involvement | 2/0 | 41, 53 | |||||
Hip involvement | 1 | 1 | 37, 41 | ||||
Ankle involvement | 1 | 37 | |||||
Symmetric involvement | 2 | 1/0 | 41, 47, 53 | ||||
Laboratory | |||||||
ANA positive | 2 | 1 | 50, 52, 53 | ||||
RF positive | 1 | 1/0 | 1 | 41, 50, 53 | |||
Higher ESR | 2/0 | 4 | 36, 37, 44, 49, 50, 53 | ||||
Higher number of months with elevated ESR (in first 6 months) | 1 | 41 | |||||
Higher CRP | 2 | 36, 44 | |||||
Higher number of platelets | 1 | 44 | |||||
Higher albumin level | 1/0 | 53 | |||||
Genetics | |||||||
HLA-B5 (51,52) | 1 | 53 | |||||
HLA-B8 | 1 | 53 | |||||
HLA-B27 | 1 | 37 | |||||
HLA-B35 | 1 | 53 | |||||
HLA-C3 (9,10) | 1/0 | 53 | |||||
HLA-DR1 (15,16) | 1 | 53 | |||||
HLA-DR3 (17,18) | 1 | 53 | |||||
HLA-DR5 (11,12) | 1 | 53 | |||||
HLA-DRB1*08 | 1/0 | 37 | |||||
HLA-DRB1*01 | 1 | 37 | |||||
HLA-DRB1*04 | 1 | 37 | |||||
HLA-DPB1*02 | 1 | 37 | |||||
HLA-DPB1*03 | 1 | 37 | |||||
HLA-DQ3 | 1 | 53 | |||||
TNF-α -308G→A | 2 | 48, 51 | |||||
TGF-β codon 10T→C | 1 | 48 | |||||
TGF-β codon 25G→C | 1 | 48 | |||||
IFN-γ+874T→A | 1 | 48 | |||||
IL-6 -174G→C | 1 | 48 | |||||
IL-10 -1082G→A | 1 | 48 | |||||
IL-10 -819C→T | 1 | 48 | |||||
IL-10 -592C→A | 1 | 48 | |||||
MIF -173 C allele | 0/1 | 1 | 54, 55 | ||||
MIF -794 CATT repeats | 1 | 54 |
*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; HLA, human leucocyte antigens; IFN, interferon; IL, interleukin; JAQQ, juvenile arthritis quality of life questionnaire; JIA, Juvenile idiopathic arthritis; MIF, macrophage migratory inhibition factor; PGA, physician's global assessment; RF, rheumatoid factor; TGF, transforming growth factor; TNF, tumour necrosis factor; VAS, visual analogue scale.