Evidence map›Paper›PMID 39893309›Full record

GuidelineClinical rheumatology2025

Pediatric Society of the African League Against Rheumatism juvenile idiopathic arthritis recommendations for enthesitis-related arthritis and juvenile psoriatic arthritis.

Wafa Hamdi, Angela Migowa, Hanene Lassoued Ferjani, Chafia Dahou Makhloufi, Yasmine Makhlouf, Samah Ismail Nasef, Nelly Ziade, Xenophone Baraliakos, Hermine Brunner, Mohammed Hassan and 14 more

Abstract readPractice GuidelineReview
PubMed Publisher
In one paragraph

Guideline in Clinical rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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. Review
  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

24 authors.

Wafa HamdiDepartment of Rheumatology, Faculty of Medicine of Tunis, Kassab Institute, Tunis El Manar University, UR17SP04, Tunis, Tunisia. wafahamdi6@yahoo.fr.ORCID http://orcid.org/0000-0003-3045-4831
Angela MigowaDepartment of Pediatrics, Aga Khan University Medical College East Africa, Nairobi, P.O. Box 30270, Nairobi, 00100, Kenya.ORCID http://orcid.org/0000-0002-1146-7963
Hanene Lassoued FerjaniDepartment of Rheumatology, Faculty of Medicine of Tunis, Kassab Institute, Tunis El Manar University, UR17SP04, Tunis, Tunisia.ORCID http://orcid.org/0000-0002-8658-0936
Chafia Dahou MakhloufiDepartment of Rheumatology, Faculty of Medicine of Algiers, Med Lamine Debaghine University Hospital, Bab El Oued, BD Said Touati, Algiers, Algeria.ORCID http://orcid.org/0000-0002-6523-9851
Yasmine MakhloufDepartment of Rheumatology, Tunis El Manar University Faculty of Medicine of Tunis, Mongi Slim Hospital, Tunis, Tunisia.ORCID http://orcid.org/0000-0001-8788-0626
Samah Ismail NasefDepartment of Rheumatology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.ORCID http://orcid.org/0000-0002-8875-2455
Nelly ZiadeRheumatology Department, Saint Joseph University and Hotel-Dieu De France, Beirut, Lebanon.ORCID http://orcid.org/0000-0002-4479-7678
Xenophone BaraliakosRheumazentrum Ruhrgebiet, Ruhr University Bochum, Bochum, Germany.ORCID http://orcid.org/0000-0002-9475-9362
Hermine BrunnerDivision of Rheumatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0001-9478-2987
Mohammed HassanRheumatology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.ORCID http://orcid.org/0000-0001-8436-8598
Temesgen LibeCollege of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.ORCID http://orcid.org/0000-0003-4452-5573
Elisa PalalaneHospital Central de Maputo, Maputo, Mozambique.
Waleed HassanRheumatology and Rehabilitation Department, Benha University, Banha, Egypt.ORCID http://orcid.org/0000-0002-3238-6804
Ali SobhDepartment of Pediatrics, Mansoura University Children's Hospital, Mansoura University Faculty of Medicine, Mansoura, Egypt.ORCID http://orcid.org/0000-0001-7047-076X
Ahmed SeriClinical Immunology and Allergy Center, Royal Care International Hospital, Khartoum, Sudan.ORCID http://orcid.org/0009-0000-2690-6538
Doaa MosadDepartment of Rheumatology and Rehabilitation, Mansoura University Hospitals, Mansoura University Faculty of Medicine, Mansoura, Egypt.ORCID http://orcid.org/0000-0002-1220-7215
Hanna LishanRheumatology Unit, Department of Pediatrics and Child Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.ORCID http://orcid.org/0000-0002-4668-2575
Yassmin TahaPediatric Rheumatology Unit, Ahmed Gasim Children Hospital, Khartoum, Sudan.ORCID http://orcid.org/0009-0005-0623-2878
Ourida GacemAlgiers Faculty of Medicine, Department of Pediatrics, El Biar Hospital Algiers, Algiers, Algeria.ORCID http://orcid.org/0000-0002-9690-0569
Soad HashedTripoli Children's Hospital, University of Tripoli, Tripoli, Libya.ORCID http://orcid.org/0000-0003-0500-7458
Francis Fredrick FuriaSchool of Clinical Medicine, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania.ORCID http://orcid.org/0000-0003-2668-3041
Samy SlimaniAtlas Clinic of Rheumatology, Batna, Algeria.ORCID http://orcid.org/0000-0001-9332-3551
Christiaan ScottPediatric Rheumatology, University of Ottawa, Ottawa, Ontario, Canada.ORCID http://orcid.org/0000-0003-3874-1704
Djohra HadefDepartment of Pediatrics, University Hospital Center of Batna Faculty of Medicine, Batna 2 University, Batna, Algeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study is to develop evidence-based recommendations for the diagnosis and management of enthesitis-related arthritis (ERA) and juvenile psoriatic arthritis (JPsA) in the African context. The recommendations for ERA and JPsA were combined into a single document. The steering committee and task force identified 15 key questions and formulated 35 research questions. A comprehensive literature review, utilizing Medline and a manual search for African local data, was conducted to gather evidence. Following this synthesis, the task force developed draft recommendations and engaged in a Delphi process with an expert panel, including 17 African and three international experts, to reach a consensus and ensure alignment with global standards. The final recommendations were assigned a level of evidence and subsequently approved by the task force members, the expert panel, and the PAFLAR Board. Fifteen recommendations on the diagnosis and management of ERA and JPsA were developed, covering the role of the pediatric rheumatologist in multiple aspects of disease management, including diagnosis, monitoring of disease and extra-articular manifestations, determining treatment strategies, and guiding interventions. The level of evidence supporting these recommendations was variable, leading to the identification of a research agenda to address African particularities and answer pending questions. The final recommendations achieved a high level of agreement, with consensus ranging from 90 to 100%. These recommendations represent an important achievement for pediatric rheumatology in Africa, being the first of their kind, tailored specifically to the region. Developed through a rigorous methodology and collaboration between international and African experts, they aim to standardize care and address the unique challenges faced in African setting.

Indexed as

Arthritis, JuvenileArthritis, PsoriaticEnthesopathyAfricaChildConsensusDelphi TechniqueHumansRheumatologySocieties, MedicalAfricaEnthesitis-related arthritisJuvenile idiopathic arthritisJuvenile psoriatic arthritisPAFLARRecommendations

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.