Uveitis screening: Difference between revisions
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{{Uveitis}} | {{Uveitis}} | ||
{{CMG}}; {{AE}}{{TarekNafee}} | {{CMG}}; {{AE}}{{TarekNafee}} | ||
==Overview== | ==Overview== | ||
There is insufficient evidence to recommend routine screening for uveitis for the general population. For patients diagnosed with or suspected of having [[juvenile idiopathic arthritis|juvenile idiopathic arthritis (JIA)]], screening guidelines have been recommended by the American Academy of Pediatrics (AAP) and the British Society of Paediatrics and Rheumatology (BSPAR).<ref name="pmid25825278">{{cite journal| author=Sen ES, Dick AD, Ramanan AV| title=Uveitis associated with juvenile idiopathic arthritis. | journal=Nat Rev Rheumatol | year= 2015 | volume= 11 | issue= 6 | pages= 338-48 | pmid=25825278 | doi=10.1038/nrrheum.2015.20 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25825278 }} </ref><ref name="pmid16651348">{{cite journal| author=Cassidy J, Kivlin J, Lindsley C, Nocton J, Section on Rheumatology. Section on Ophthalmology| title=Ophthalmologic examinations in children with juvenile rheumatoid arthritis. | journal=Pediatrics | year= 2006 | volume= 117 | issue= 5 | pages= 1843-5 | pmid=16651348 | doi=10.1542/peds.2006-0421 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16651348 }} </ref> | There is insufficient evidence to recommend routine screening for uveitis for the general population. For patients diagnosed with or suspected of having [[juvenile idiopathic arthritis|juvenile idiopathic arthritis (JIA)]], screening guidelines have been recommended by the American Academy of Pediatrics (AAP) and the British Society of Paediatrics and Rheumatology (BSPAR).<ref name="pmid25825278">{{cite journal| author=Sen ES, Dick AD, Ramanan AV| title=Uveitis associated with juvenile idiopathic arthritis. | journal=Nat Rev Rheumatol | year= 2015 | volume= 11 | issue= 6 | pages= 338-48 | pmid=25825278 | doi=10.1038/nrrheum.2015.20 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25825278 }} </ref><ref name="pmid16651348">{{cite journal| author=Cassidy J, Kivlin J, Lindsley C, Nocton J, Section on Rheumatology. Section on Ophthalmology| title=Ophthalmologic examinations in children with juvenile rheumatoid arthritis. | journal=Pediatrics | year= 2006 | volume= 117 | issue= 5 | pages= 1843-5 | pmid=16651348 | doi=10.1542/peds.2006-0421 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16651348 }} </ref> | ||
==Screening== | ==Screening== | ||
There is insufficient evidence to recommend routine screening for uveitis for the general population.<ref name=uspstfuveitis>U.S. Preventative Services Task Force Recommendations (2016)http://www.uspreventiveservicestaskforce.org/BrowseRec/Index/browse-recommendations</ref> For patients diagnosed with, or suspected of having [[juvenile idiopathic arthritis|juvenile idiopathic arthritis (JIA)]], screening guidelines have been recommended based on the AAP, Cincinnati Children's Hospital, and the BSPAR. Screening for uveitis in children with [[juvenile idiopathic arthritis|JIA]] is recommended as follows: | There is insufficient evidence to recommend routine screening for uveitis for the general population.<ref name=uspstfuveitis>U.S. Preventative Services Task Force Recommendations (2016)http://www.uspreventiveservicestaskforce.org/BrowseRec/Index/browse-recommendations</ref> For patients diagnosed with, or suspected of having [[juvenile idiopathic arthritis|juvenile idiopathic arthritis (JIA)]], screening guidelines have been recommended based on the AAP, Cincinnati Children's Hospital, and the BSPAR. Screening for uveitis in children with [[juvenile idiopathic arthritis|JIA]] is recommended as follows: | ||
Patients should be referred at the time of diagnosis or suspicion of [[juvenile idiopathic arthritis|JIA]], and a slit lamp ophthalmologic examination be performed within one month to 6 weeks of referral. It is recommended that after the initial screening examination, regular follow-up screenings be maintained based on risk category and classification. | |||
For access to the complete American guideline,'''[[Media:Jiauveitisscreening.pdf|click here]]'''.<ref name="pmid16651348">{{cite journal| author=Cassidy J, Kivlin J, Lindsley C, Nocton J, Section on Rheumatology. Section on Ophthalmology| title=Ophthalmologic examinations in children with juvenile rheumatoid arthritis. | journal=Pediatrics | year= 2006 | volume= 117 | issue= 5 | pages= 1843-5 | pmid=16651348 | doi=10.1542/peds.2006-0421 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16651348 }} </ref> | *Patients should be referred at the time of diagnosis or suspicion of [[juvenile idiopathic arthritis|JIA]], and a slit lamp ophthalmologic examination be performed within one month to 6 weeks of referral. It is recommended that after the initial screening examination, regular follow-up screenings be maintained based on risk category and classification. | ||
For access to the complete American guideline,'''[[Media:Jiauveitisscreening.pdf|click here]]'''.<ref name="pmid16651348">{{cite journal| author=Cassidy J, Kivlin J, Lindsley C, Nocton J, Section on Rheumatology. Section on Ophthalmology| title=Ophthalmologic examinations in children with juvenile rheumatoid arthritis. | journal=Pediatrics | year= 2006 | volume= 117 | issue= 5 | pages= 1843-5 | pmid=16651348 | doi=10.1542/peds.2006-0421 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16651348 }} </ref> | |||
For access to the complete British guideline,'''[[Media:Bsparuveitis.pdf|click here]]'''.<ref name="pmid25825278">{{cite journal| author=Sen ES, Dick AD, Ramanan AV| title=Uveitis associated with juvenile idiopathic arthritis. | journal=Nat Rev Rheumatol | year= 2015 | volume= 11 | issue= 6 | pages= 338-48 | pmid=25825278 | doi=10.1038/nrrheum.2015.20 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25825278 }} </ref> | For access to the complete British guideline,'''[[Media:Bsparuveitis.pdf|click here]]'''.<ref name="pmid25825278">{{cite journal| author=Sen ES, Dick AD, Ramanan AV| title=Uveitis associated with juvenile idiopathic arthritis. | journal=Nat Rev Rheumatol | year= 2015 | volume= 11 | issue= 6 | pages= 338-48 | pmid=25825278 | doi=10.1038/nrrheum.2015.20 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25825278 }} </ref> | ||
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[[Category:Ophthalmology]] | [[Category:Ophthalmology]] | ||
[[Category:Primary care]] | [[Category:Primary care]] | ||
[[Category:FinalQCRequired]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 19:25, 31 August 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]
Overview
There is insufficient evidence to recommend routine screening for uveitis for the general population. For patients diagnosed with or suspected of having juvenile idiopathic arthritis (JIA), screening guidelines have been recommended by the American Academy of Pediatrics (AAP) and the British Society of Paediatrics and Rheumatology (BSPAR).[1][2]
Screening
There is insufficient evidence to recommend routine screening for uveitis for the general population.[3] For patients diagnosed with, or suspected of having juvenile idiopathic arthritis (JIA), screening guidelines have been recommended based on the AAP, Cincinnati Children's Hospital, and the BSPAR. Screening for uveitis in children with JIA is recommended as follows:
- Patients should be referred at the time of diagnosis or suspicion of JIA, and a slit lamp ophthalmologic examination be performed within one month to 6 weeks of referral. It is recommended that after the initial screening examination, regular follow-up screenings be maintained based on risk category and classification.
For access to the complete American guideline,click here.[2]
For access to the complete British guideline,click here.[1]
References
- ↑ 1.0 1.1 Sen ES, Dick AD, Ramanan AV (2015). "Uveitis associated with juvenile idiopathic arthritis". Nat Rev Rheumatol. 11 (6): 338–48. doi:10.1038/nrrheum.2015.20. PMID 25825278.
- ↑ 2.0 2.1 Cassidy J, Kivlin J, Lindsley C, Nocton J, Section on Rheumatology. Section on Ophthalmology (2006). "Ophthalmologic examinations in children with juvenile rheumatoid arthritis". Pediatrics. 117 (5): 1843–5. doi:10.1542/peds.2006-0421. PMID 16651348.
- ↑ U.S. Preventative Services Task Force Recommendations (2016)http://www.uspreventiveservicestaskforce.org/BrowseRec/Index/browse-recommendations