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      Consensus Approach to a Treat-to-target Strategy in Juvenile Idiopathic Arthritis Care: Report From the 2020 PR-COIN Consensus Conference.

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          Abstract

          Treat to target (T2T) is a strategy of adjusting treatment until a target is reached. An international task force recommended T2T for juvenile idiopathic arthritis (JIA) treatment. Implementing T2T in a standard and reliable way in clinical practice requires agreement on critical elements of (1) target setting, (2) T2T strategy, (3) identifying barriers to implementation, and (4) patient eligibility. A consensus conference was held among Pediatric Rheumatology Care and Outcomes Improvement Network (PR-COIN) stakeholders to inform a statement of understanding regarding the PR-COIN approach to T2T.

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          Author and article information

          Journal
          J Rheumatol
          The Journal of rheumatology
          The Journal of Rheumatology
          1499-2752
          0315-162X
          May 2022
          : 49
          : 5
          Affiliations
          [1 ] T. El Tal, MD, B.M. Feldman, MD, PhD, R.M. Laxer, MD, The Hospital for Sick Children, and University of Toronto, Toronto, Ontario, Canada.
          [2 ] M.E. Ryan, DO, D. Bullock, MD, University of Minnesota, Minneapolis, Minnesota, USA.
          [3 ] C.A. Bingham, MD, Penn State Children's Hospital, Hershey, Pennsylvania, USA.
          [4 ] J.M. Burnham, MD, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
          [5 ] M. Batthish, MD, McMaster University, Hamilton, Ontario, Canada.
          [6 ] M. Gilbert, MD, Medical University of South Carolina, Charleston, South Carolina, USA.
          [7 ] M. Gillispie-Taylor, MD, C. Yildirim Toruner, MD, Texas Children's Hospital Baylor College of Medicine, Houston, Texas, USA.
          [8 ] B. Gottlieb, MD, Cohen Children's Medical Center, Lake Success, New York, USA.
          [9 ] J.G. Harris, MD, Children's Mercy Kansas City, Kansas City, Kansas, USA.
          [10 ] M. Hazen, MD, Boston Children's Hospital, Boston, Massachusetts, USA.
          [11 ] T.C. Lee, MD, Stanford Children's Health, Palo Alto, California, USA.
          [12 ] D. Lovell, MD, J. Taylor, CNP, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
          [13 ] M. Mannion, MD, University of Alabama at Birmingham, Birmingham, Alabama, USA.
          [14 ] L. Noonan, MD, Levine Children's Hospital/Carolinas Healthcare System, Charlotte, North Carolina, USA.
          [15 ] E. Oberle, MD, Nationwide Children's Hospital, Columbus, Ohio, USA.
          [16 ] J.E. Weiss, MD, Hackensack University Medical Center, Hackensack, Hackensack, New Jersey, USA.
          [17 ] E.M. Morgan, MD, MSCE, University of Washington, and Seattle Children's Hospital, Seattle, Washington, USA.
          Article
          jrheum.210709
          10.3899/jrheum.210709
          35105705
          67f9316b-1d5a-4831-a579-f9d60416a172
          History

          disease activity score,registries,practice guidelines,physician practice patterns,outcomes,juvenile idiopathic arthritis

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