PT  - JOURNAL ARTICLE
AU  - Maddalena Allegra
AU  - Maria Francesca Gicchino
AU  - Gabriella Giancane
AU  - Alessandra Alongi
AU  - Jessica Tibaldi
AU  - Marta Mazzoni
AU  - Alessandro Consolaro
AU  - Angelo Ravelli
TI  - The Effect of Morning Stiffness Duration on the Definition of Clinically Inactive Disease in Juvenile Idiopathic Arthritis
AID  - 10.3899/jrheum.190890
DP  - 2020 Aug 01
TA  - The Journal of Rheumatology
PG  - 1238--1241
VI  - 47
IP  - 8
4099  - http://www.jrheum.org/content/47/8/1238.short
4100  - http://www.jrheum.org/content/47/8/1238.full
SO  - J Rheumatol2020 Aug 01; 47
AB  - Objective. To investigate the effect of morning stiffness (MS) on parent disease perception in children with juvenile idiopathic arthritis (JIA) with clinically inactive disease (CID).Methods. We examined 652 visits in which patients fulfilled 2004 or 2011 Wallace criteria for CID. Parent-reported outcomes were compared among patients with no MS or with MS < or ≥ 15 min.Results. Among 652 visits with CID by 2004 criteria, no MS was reported in 554 visits (85%), MS < 15 min in 53 (8%), and MS ≥ 15 min in 45 (7%). The frequency of altered physical function, health-related quality of life and well-being, pain, and disease activity visual analog scales was proportionally greater in patients without MS than those with longer MS. The frequency of parent subjective rating of disease state as remission was 87.7%, 58%, and 26.7% among patients with no MS, MS < 15 min, and MS ≥ 15 min, respectively.Conclusion. Our results suggest that a change in 2011 CID criteria to require absence of MS should be considered.