{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T16:40:45Z","timestamp":1759423245184,"version":"build-2065373602"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,1,29]],"date-time":"2018-01-29T00:00:00Z","timestamp":1517184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000071","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["T32\u2010HD07\u20100534"],"award-info":[{"award-number":["T32\u2010HD07\u20100534"]}],"id":[{"id":"10.13039\/100000071","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000057","name":"National Institute of General Medical Sciences","doi-asserted-by":"publisher","award":["2T\u201032GM\u2010086330\u201006"],"award-info":[{"award-number":["2T\u201032GM\u2010086330\u201006"]}],"id":[{"id":"10.13039\/100000057","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001502","name":"Blue Cross Blue Shield of Michigan Foundation","doi-asserted-by":"publisher","award":["1430.PIRAP"],"award-info":[{"award-number":["1430.PIRAP"]}],"id":[{"id":"10.13039\/100001502","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare practice patterns and prescribing differences for juvenile idiopathic arthritis (<jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content>) between adult rheumatologists (<jats:styled-content style=\"fixed-case\">AR<\/jats:styled-content>s) and pediatric rheumatologists (<jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>s), the perceived educational needs, and factors that enhance or impede co\u2010management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two parallel, cross\u2010sectional surveys focusing on <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content> were administered in 2009 to a random sample of 193 <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>s and 500 <jats:styled-content style=\"fixed-case\">AR<\/jats:styled-content>s using the American College of Rheumatology membership file. Bivariate analysis was conducted for common items.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The response rate was 62.1% for <jats:styled-content style=\"fixed-case\">AR<\/jats:styled-content>s (n = 306) and 72.3% for <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>s (n = 138).\u00a0Only 23% of responding <jats:styled-content style=\"fixed-case\">AR<\/jats:styled-content>s (n\u00a0= 69) reported caring for children with <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content>. Of these, 94% strongly agreed\/agreed feeling comfortable diagnosing <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content>; however, only 76% felt comfortable treating <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content>. Clinical vignettes highlighted several prescribing differences. Forty\u2010eight percent of <jats:styled-content style=\"fixed-case\">AR<\/jats:styled-content>s and 31% of <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>s felt medications to treat <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content> did not have clear dosing guidelines. Though <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>s initiated disease\u2010modifying antirheumatic drugs and biologic agents earlier, treatments were similar after 3 months. To enhance co\u2010management, 74% of pediatric respondents endorsed shared medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Nearly one\u2010quarter of surveyed <jats:styled-content style=\"fixed-case\">AR<\/jats:styled-content>s care for children with <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content>, with most limiting their practice to older children. There was more discomfort in treating <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content> than diagnosing it, and there were significant prescribing differences. Both provider types identified the need for better dosing and treatment resources.\u00a0Updated management guidelines along with exposure to pediatric rheumatology in fellowship could reduce treatment differences and enhance the care of children with <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content>. Shared medical records and improvement in reimbursement may optimize co\u2010management.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.23273","type":"journal-article","created":{"date-parts":[[2017,5,2]],"date-time":"2017-05-02T13:42:21Z","timestamp":1493732541000},"page":"268-274","source":"Crossref","is-referenced-by-count":3,"title":["Prescribing for Children With Rheumatic Disease: Perceived Treatment Approaches Between Pediatric and Adult Rheumatologists"],"prefix":"10.1002","volume":"70","author":[{"given":"Heather","family":"van Mater","sequence":"first","affiliation":[{"name":"Duke University Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen J.","family":"Balevic","sequence":"additional","affiliation":[{"name":"Duke University Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary L.","family":"Freed","sequence":"additional","affiliation":[{"name":"University of Michigan Ann Arbor"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah J.","family":"Clark","sequence":"additional","affiliation":[{"name":"University of Michigan Ann Arbor"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,1,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.23087"},{"key":"e_1_2_7_3_1","unstructured":"DukeEM.US Department of Health and Human Resources: report to Congress. 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