LetterLetter
Dr. Tsai et al reply
Zoe Tsai, Adam M. Huber, Kiem Oen, Jean-Philippe Proulx-Gauthier, Gaëlle Chédeville, Gilles Boire, Dax G. Rumsey, Kristin M. Houghton, Michelle Batthish, Roberta A. Berard, Heinrike Schmeling, Y. Ingrid Goh, Ciaran M. Duffy and Jaime Guzman for the ReACCh-Out and CAPRI Registry Investigators
The Journal of Rheumatology August 2026, jrheum.2026-0543; DOI: https://doi.org/10.3899/jrheum.2026-0543
Zoe Tsai
Z. Tsai, MD, University of Ottawa, Faculty of Medicine, Ottawa, Ontario, Canada.
Adam M. Huber
A.M. Huber, MD, IWK Health Centre; Dalhousie University, Department of Pediatrics, Halifax, Nova Scotia, Canada.
Kiem Oen
K. Oen, MD, University of Manitoba, Department of Pediatrics and Child Health, Winnipeg, Manitoba, Canada.
Jean-Philippe Proulx-Gauthier
J.-P. Proulx-Gauthier, MD, CHU de Québec – Université Laval, Pediatrics, Quebec, Quebec, Canada.
Gaëlle Chédeville
G. Chédeville, MD, Montreal Children's Hospital, Rheumatology; McGill University, Department of Pediatrics, Montreal, Quebec, Canada.
Gilles Boire
G. Boire, MD, MSc, University of Sherbrooke, Faculty of Medicine; CIUSSS de l'Estrie – CHUS, Division of Rheumatology, Sherbrooke, Quebec, Canada.
Dax G. Rumsey
D.G. Rumsey, MD, MSc, University of Alberta, Department of Pediatrics, Edmonton, Alberta, Canada.
Kristin M. Houghton
K.M. Houghton, MD, MHSc, British Columbia Children's Hospital, Rheumatology; University of British Columbia, Department of Pediatrics, Vancouver, British Columbia, Canada.
Michelle Batthish
M. Batthish, MD, McMaster Children's Hospital, Division of Rheumatology; McMaster University, Department of Pediatrics, Hamilton, Ontario, Canada.
Roberta A. Berard
R.A. Berard, MD, MSc, London Health Sciences Centre Children's Hospital, Pediatrics; Western University, Department of Pediatrics, London, Ontario, Canada.
Heinrike Schmeling
H. Schmeling, MD, Alberta Children's Hospital, Division of Pediatric Rheumatology; University of Calgary, Department of Pediatrics, Calgary, Alberta, Canada.
Y. Ingrid Goh
Y.I. Goh, PhD, The Hospital for Sick Children; SickKids Research Institute, Toronto, Ontario, Canada.
Ciaran M. Duffy
C.M. Duffy, MB BCh, MSc, Children's Hospital of Eastern Ontario (CHEO), Chair of Pediatrics; University of Ottawa, Department of Pediatrics, Ottawa, Ontario, Canada.
Jaime Guzman
J. Guzman, MD, MSc, British Columbia Children's Hospital, Rheumatology; University of British Columbia, Department of Pediatrics, Vancouver, British Columbia, Canada.

Abstract
We appreciate the interest of Drs. Wang and Qu1 in our work,2 and their call for more family-friendly metrics to help convey meaningful quality of life improvements in juvenile idiopathic arthritis (JIA). After considering the different ideas suggested in their letter, we concluded that the most helpful metric is likely the proportion of children with JIA who report no difficulties at all.
In this issue
The Journal of Rheumatology
Vol. 53, Issue 9
1 Sep 2026
Dr. Tsai et al reply
Zoe Tsai, Adam M. Huber, Kiem Oen, Jean-Philippe Proulx-Gauthier, Gaëlle Chédeville, Gilles Boire, Dax G. Rumsey, Kristin M. Houghton, Michelle Batthish, Roberta A. Berard, Heinrike Schmeling, Y. Ingrid Goh, Ciaran M. Duffy, Jaime Guzman
The Journal of Rheumatology Aug 2026, jrheum.2026-0543; DOI: 10.3899/jrheum.2026-0543
Dr. Tsai et al reply
Zoe Tsai, Adam M. Huber, Kiem Oen, Jean-Philippe Proulx-Gauthier, Gaëlle Chédeville, Gilles Boire, Dax G. Rumsey, Kristin M. Houghton, Michelle Batthish, Roberta A. Berard, Heinrike Schmeling, Y. Ingrid Goh, Ciaran M. Duffy, Jaime Guzman
The Journal of Rheumatology Aug 2026, jrheum.2026-0543; DOI: 10.3899/jrheum.2026-0543






