BetaEntity Annotation Prototype
← Back to diseases

Annotated abstract

130201 South Yorkshire’s experience – 15 years journey of juvenile idiopathic arthritis-associated anterior uveitis screening service: temporal trends and associated socio-demographic characteristics

bmjophth · 2025-10-05 · canonical JSON source

12 visible annotations · policy: published · automated confidence ≥ 75.00%

Document resource

Juvenile Idiopathic Arthritis (JIA)-associated uveitis (UV) causes majority of uveitis in children and young people (CYP). We aimed to describe uptake of JIA-UV screening in a large regional service and identify socio-demographic associations.Clinical audits were conducted based on the 2006 guidelines published by British Society for Paediatric and Adolescent Rheumatology and The Royal College of Ophthalmologists. Logistic regression was used to describe associations between socio-demographic factors (gender, age, area deprivation, rurality and regional variation).656 CYP were diagnosed and enrolled in JIA-UV-screening service between 2009 and 2024. The mean age at referral was 9.2±4.2 years, 56% were female and main JIA subtypes were oligoarticular (39%). Audits showed improved attendance pre- and post-2016 from 155/234(66%) to 326/422(77%) (p<0.05) for first visit, 76/234(32%) to 181/301(60%) (p<0.05) for first 6 months, and 140/234(60%) to 165/254(65%) (p>0.05) for subsequent assessments. From 2017, with an 99% uptake, appointments offered within timeframe ranged from 70% to 86%. Demographically, 86.0% CYP are from urban area. 66.3% classed as more deprived medianly. Odds of attendance from rural, adjusted odds ratio (OR) [0.85(95%CI:0.34–2.16), p=0.74] and outside Sheffield, OR [1.40(95%CI:0.48–4.07), p=0.54] are comparable to urban and Sheffield. Higher deprivation was associated with lower CYP attendance: OR [0.42(95%CI:0.18–0.99), p=0.047], OR [0.30(95%CI:0.11–0.81), p=0.018], OR [0.34(95%CI:0.16–0.73), p=0.006] for first, 6 months and subsequent assessments respectively.Geographical region within and outside region does not affect attendance rate. No uveitis was diagnosed outside the recommended screening period.Higher deprivations are associated with lower attendance, targeted support should be focused on the more deprived population.