Evidence map›Paper›PMID 39707697›Full record

ArticleACR open rheumatology2025

Achieving Medication-Free Remission in Patients With Juvenile Dermatomyositis.

Ilaria Maccora, Hermine I Brunner, Amy Cassedy, Mekibib Altaye, Megan Quinlan-Waters, Daniel J Lovell, Alexei Grom, Sheila T Angeles-Han

Abstract read
In one paragraph

Article in ACR open rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ilaria MaccoraCincinnati Children's Hospital Medical Center, Cincinnati, Ohio, and University of Florence and Meyer Children's Hospital IRCCS, Florence, Italy.ORCID https://orcid.org/0000-0001-6418-3254
Hermine I BrunnerCincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio.ORCID https://orcid.org/0000-0001-9478-2987
Amy CassedyCincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio.
Mekibib AltayeCincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio.
Megan Quinlan-WatersCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Daniel J LovellCincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio.ORCID https://orcid.org/0000-0003-1604-0130
Alexei GromCincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio.
Sheila T Angeles-HanCincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio.ORCID https://orcid.org/0000-0002-9552-6464

Funding

Pediatric musculOskeletal & RheumaTology Innovation COre center (PORTICO)P30AR076316 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI BRUNNER, HERMINE I · 2019 to 2023
$3.4M
National Institutes of Arthritis and Musculoskeletal Skin DiseasesNIAMS NIH HHS P30 AR076316
6 · The paper itself

Abstract

objectivePrognostic factors associated with medication discontinuation in children with juvenile dermatomyositis (JDM) remain largely elusive. We aim to identify the predictors of medication-free remission (MFR) in children with JDM.

methodsIn this retrospective study, patients diagnosed with JDM according to Peter & Bohan criteria and followed for ≥18 months at a tertiary care center from 2006 through 2022 were included. Data extracted included demographics, physical examination, laboratory results, and medications. MFR was defined as inactive JDM after discontinuation of all systemic immunosuppressives for ≥6 months, in line with international consensus guidelines for trials of therapies in idiopathic inflammatory myopathies. A two-sided P < 0.05 was considered statistically significant.

resultsOf 55 patients with JDM (63.6% female, age median [interquartile range (IQR)] 6 [3.5-12] years), 29 (52.7%) achieved MFR after a median (IQR) of 33 (22.5-55.2) months. MFR was more common in those who were younger at JDM diagnosis (median 5 vs 8 years, P = 0.008), had early resolution of disease activity (median 11 vs 18 months, P < 0.001), and presented with Gottron papules (χ

conclusionHalf of our patients with JDM achieved MFR. Age at JDM diagnosis may be an important predictor of achieving MFR.

Identifiers

PMID39707697
PMCPMC11707262

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.