Defining Inactivity of Juvenile Spondyloarthropathies: Delphi Study Among Pediatric Rheumatology Academy (PeRA) From Türkiye

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dc.contributor.authorTurkucar, Serkan
dc.contributor.authorSozeri, Betul
dc.contributor.authorSonmez, Hafize Emine
dc.contributor.authorSahin, Nihal
dc.contributor.authorAcari, Ceyhun
dc.contributor.authorDundar, Hatice Adiguzel
dc.contributor.authorIsguder, Rana
dc.date.accessioned2026-04-04T13:33:23Z
dc.date.available2026-04-04T13:33:23Z
dc.date.issued2026
dc.departmentİnönü Üniversitesi
dc.description.abstractIntroduction Juvenile spondyloarthropathies (JSpA) are a group of chronic inflammatory diseases that differ in their clinical features and course from adult spondyloarthropathies and other subtypes of juvenile idiopathic arthritis (JIA). Therefore, defining disease inactivity in JSpA requires specific criteria. This Delphi study aimed to establish a national consensus on its core clinical, laboratory, and radiological domains.Methods A total of 27 pediatric rheumatologists participated in the Delphi survey, conducted in two rounds. Participants were asked multiple-choice and Likert-type questions regarding their preferences for using domains including anamnesis, laboratory findings, imaging methods, and predefined disease activity scores for assessing inactivity. At the end of each round, the study coordinators determined the strong consensus items based on a power analysis of these parameters.Results The absence of pain or tenderness in the peripheral joints, lower back and entheseal regions in anamnesis domain and tenderness in the peripheral joints, entheseal areas, and hip examination; swelling in the peripheral joints; tenderness on sacroiliac compression testing; and no reduction in hip RoM examination in physical examination domain received the highest scores and were accepted as strong consensus. Furthermore, normalization of MRI findings of SIJ and hip/peripheral joint and physician global score = 0 reached the specified thresholds, resulting in strong consensus following the second round.Conclusions This Delphi study highlights the need for a multidimensional approach that integrates clinical, radiological, and physician assessments to define disease inactivity in patients with JSpA. The resulting consensus provides a more specific assessment on inactivity defining JSpA patients and reflects a national consensus.
dc.identifier.doi10.1111/1756-185x.70606
dc.identifier.issn1756-1841
dc.identifier.issn1756-185X
dc.identifier.issue3
dc.identifier.pmid41821199
dc.identifier.scopus2-s2.0-105032566221
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.1111/1756-185x.70606
dc.identifier.urihttps://hdl.handle.net/11616/109114
dc.identifier.volume29
dc.identifier.wosWOS:001713805500001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofInternational Journal of Rheumatic Diseases
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250329
dc.subjectDelphi
dc.subjectinactivity
dc.subjectjuvenile
dc.subjectMRI
dc.subjectspondylarthritis
dc.titleDefining Inactivity of Juvenile Spondyloarthropathies: Delphi Study Among Pediatric Rheumatology Academy (PeRA) From Türkiye
dc.typeArticle

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