{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T01:05:14Z","timestamp":1773882314166,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,8,3]],"date-time":"2019-08-03T00:00:00Z","timestamp":1564790400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the incidence, demographics, diagnostic clinical manifestations, and severity of juvenile idiopathic arthritis (<jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content>) in Maori and Pacific Island children compared to European children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A chart review was conducted of all children with <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content> seen by Auckland pediatric and rheumatology services between the years 2000 and 2015. Demographic data and diagnostic clinical manifestations, including poor prognostic features, were collated. The incidence, diagnostic, clinical manifestations, and severity of <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content> were determined and compared between ethnic groups, in particular Maori, Pacific Island, and European children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall incidence in a New Zealand cohort of children with <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content> was 5.1\/100,000 children per year, which was significantly higher among European children (7.2\/100,000 children per year) compared to all other ethnic groups. Poor prognostic features at diagnosis were present in 36% of children with <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content>, with significantly more Maori and Pacific Island children presenting with poor prognostic features compared to European children (58% versus 27%; <jats:italic>P<\/jats:italic> = 0.0001). Maori and Pacific Island children had significantly more poor prognostic features per child associated with <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content> (1.10 versus 0.37; <jats:italic>P<\/jats:italic> &lt; 0.0001) and in oligoarticular and polyarticular <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content> (1.28 versus 0.40; <jats:italic>P<\/jats:italic> &lt; 0.0001), which was independent of socioeconomic status. Significant features included cervical involvement (25% versus 9%; <jats:italic>P<\/jats:italic> = 0.03), erosive changes (22% versus 8%; <jats:italic>P<\/jats:italic> = 0.05), joint space narrowing (13% versus 2%; <jats:italic>P<\/jats:italic> = 0.02), and positive rheumatoid factor polyarticular disease (47% versus 14%; <jats:italic>P<\/jats:italic> = 0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Maori and Pacific Island children were more likely to present with poor prognostic features at diagnosis, although the incidence of <jats:styled-content style=\"fixed-case\">JIA<\/jats:styled-content> was demonstrated to be significantly higher among European children compared to all ethnic groups.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.23757","type":"journal-article","created":{"date-parts":[[2018,9,17]],"date-time":"2018-09-17T05:07:06Z","timestamp":1537160826000},"page":"1270-1275","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Incidence, Clinical Manifestations, and Severity of Juvenile Idiopathic Arthritis Among Maori and Pacific Island Children"],"prefix":"10.1002","volume":"71","author":[{"given":"Anthony","family":"Concannon","sequence":"first","affiliation":[{"name":"Starship Hospital and Kidz First Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Reed","sequence":"additional","affiliation":[{"name":"Children\u2019s Research Centre  Starship Hospital Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genevieve","family":"Ostring","sequence":"additional","affiliation":[{"name":"Starship Hospital and Waitakere Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2013.09.003"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2016.10.010"},{"key":"e_1_2_7_4_1","first-page":"A64","article-title":"Differences in the prevalence and severity of arthritis among racial\/ethnic groups in the United States, National Health Interview Survey, 2002, 2003, and 2006","volume":"7","author":"Bolen J","year":"2010","journal-title":"Prev Chronic Dis"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0961203313503051"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.1987.tb01233.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20460"},{"key":"e_1_2_7_8_1","unstructured":"Statistics New Zealand.NZ.STAT user guide. 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