Table 1.

Characteristics of subjects in study.

CharacteristicsC-PO, n = 63C-GC, n = 18p, C-GC vs C-POaC-IV, n = 31p, C-IV vs C-POa
Age, yrs, median (IQR; range)11 (9–14; 2–16)11 (8–15; 3–17)0.64b12 (10–14; 5–17)0.78b
Male sex45 (71)11 (61)0.4017 (55)0.11
Days of continuous joint symptoms at diagnosis10 (5–30)5 (3–28)0.41b14 (7–28)0.56b
Continuous joint symptoms at presentation
  ≥ 6 weeks9 (14)2 (11)0.60c3 (10)0.31c
  Unknown18 (29)3 (17)5 (16)
> 1 joint involved6 (10)4 (22)0.22c5 (16)0.50c
Non-knee joint involved6 (10)2 (11)0.99c2 (6)0.99c
Severe arthritisd22 (35)8 (44)0.4611 (35)0.96
Premature IAGC1 (2)1 (6)0.40c00.99c
HLA-B27–positive3 (5)00.42c1 (3)0.56c
  HLA-B27 missing48 (76)12 (67)27 (87)
Dose of first antibiotic course
  Correct per guidelines6,747 (75)13 (72)0.34c24 (77)0.99c
  Dose unknown10 (16)5 (28)5 (16)
Trajectory of disease activity at initiation of second-line treatment e
  Improving24 (38)10 (56)0.44c6 (19)< 0.01
  No change21 (33)5 (28)5 (16)
  Worsening18 (29)3 (17)20 (65)
Marked clinical worsening ≤ 6 weeks after antibiotic initiationf9 (14)00.20c12 (39)0.01
Days of followup from diagnosis to final rheumatology clinic visit263 (155–580)102 (74–232)< 0.01b264 (101–772)0.62
Days of followup from diagnosis to final encounter in EHR449 (200–1026)331 (100–1060)0.40309 (101–1084)0.35
  • Values are median (IQR) or n (%) unless otherwise specified.

  • a P value calculated from chi-square testing except where indicated.

  • b P value calculated from Wilcoxon rank-sum testing.

  • c P value calculated from Fisher’s exact test.

  • d Unexplained fever, severe pain, hospitalization for severe pain, or measured sedimentation rate ≥ 40 mm/h.

  • e Early improvement with subsequent worsening by the time of second-line treatment was characterized as worsening; early worsening with subsequent improvement by the time of second-line treatment was characterized as improving; no change indicated no change in clinical activity (i.e., extent of synovitis) from the time of first-line treatment to second-line treatment.

  • f Massive effusion, popliteal cyst rupture, or symptomatic joint recruitment after antibiotic initiation. C-GC: intraarticular glucocorticoid cohort; C-IV: intravenous antibiotics cohort; C-PO: oral antibiotics cohort; EHR: electronic health record; IAGC: intraarticular glucocorticoid; IQR: interquartile range.