Causal pathways to health-related quality of life in children with juvenile idiopathic arthritis: results from the ReACCh-Out cohort.
Kiem OenJiahao TianThomas M LoughinNatalie J ShiffLori B TuckerAdam M HuberRoberta A BerardDeborah M LevyDax G RumseyShirley M TseMercedes ChanBrian M FeldmanCiaran M DuffyJaime Guzmannull nullPublished in: Rheumatology (Oxford, England) (2021)
Our findings support disease activity and treatment intensity as being root causes of decreased HRQoL in children with JIA, with pain, functional impairments, and participation restrictions being mediators for disease activity; they support psychosocial effects and side effects as being mediators for treatment intensity.