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What evidence is available?

Sources of evidence Information Provided Limitation of Evidence
Parent / carer First source of information and associated evidence. Does not have specialist knowledge.
Juvenile arthritis is often managed by a multidisciplinary team.

It is important to determine the healthcare professional that is regularly managing the child’s condition. This enables contact with the person most likely to give the most up to date and most useful information

If medical evidence relating to JIA and its treatment are required this is the best source of evidence. N/A
The team may include:

  • Paediatric rheumatologist

Provides an overall profile of significant issues, medication and most up to date treatment and its effect.

N/A

  • Occupational therapist
Can provide valuable information regarding function and interventions such as splints/ aids May be unable to provide information on overall management and control of the condition.
  • Physiotherapist
Can provide information about therapeutic exercise and function. May be unable to provide information on overall management and control of the condition.
  • Specialist nurse
Works closely with the rheumatologist and can provide information about overall control, drug treatment, blood tests etc. N/A
  • Ophthalmologist
For those with visual impairment, can provide information to indicate level of visual impairment May be unable to provide information on overall management and control of the condition.
  • Orthopaedic surgeon
Provide details of outcome and any future surgical procedures, as well as information on joint function. May be unable to provide information on overall management and control of the condition.