Characteristics | C-PO, n = 63 | C-GC, n = 18 | p, C-GC vs C-POa | C-IV, n = 31 | p, C-IV vs C-POa |
---|---|---|---|---|---|
Age, yrs, median (IQR; range) | 11 (9–14; 2–16) | 11 (8–15; 3–17) | 0.64b | 12 (10–14; 5–17) | 0.78b |
Male sex | 45 (71) | 11 (61) | 0.40 | 17 (55) | 0.11 |
Days of continuous joint symptoms at diagnosis | 10 (5–30) | 5 (3–28) | 0.41b | 14 (7–28) | 0.56b |
Continuous joint symptoms at presentation | |||||
≥ 6 weeks | 9 (14) | 2 (11) | 0.60c | 3 (10) | 0.31c |
Unknown | 18 (29) | 3 (17) | 5 (16) | ||
> 1 joint involved | 6 (10) | 4 (22) | 0.22c | 5 (16) | 0.50c |
Non-knee joint involved | 6 (10) | 2 (11) | 0.99c | 2 (6) | 0.99c |
Severe arthritisd | 22 (35) | 8 (44) | 0.46 | 11 (35) | 0.96 |
Premature IAGC | 1 (2) | 1 (6) | 0.40c | 0 | 0.99c |
HLA-B27–positive | 3 (5) | 0 | 0.42c | 1 (3) | 0.56c |
HLA-B27 missing | 48 (76) | 12 (67) | 27 (87) | ||
Dose of first antibiotic course | |||||
Correct per guidelines6,7 | 47 (75) | 13 (72) | 0.34c | 24 (77) | 0.99c |
Dose unknown | 10 (16) | 5 (28) | 5 (16) | ||
Trajectory of disease activity at initiation of second-line treatment e | |||||
Improving | 24 (38) | 10 (56) | 0.44c | 6 (19) | < 0.01 |
No change | 21 (33) | 5 (28) | 5 (16) | ||
Worsening | 18 (29) | 3 (17) | 20 (65) | ||
Marked clinical worsening ≤ 6 weeks after antibiotic initiationf | 9 (14) | 0 | 0.20c | 12 (39) | 0.01 |
Days of followup from diagnosis to final rheumatology clinic visit | 263 (155–580) | 102 (74–232) | < 0.01b | 264 (101–772) | 0.62 |
Days of followup from diagnosis to final encounter in EHR | 449 (200–1026) | 331 (100–1060) | 0.40 | 309 (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.