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Patients diagnosed with JIA in a pediatric clinic were retrospectively reclassified by two experienced adult rheumatologists based on adult criteria incorporating clinical, serological, and radiological findings. The analysis reports frequent reclassification into axial spondyloarthritis and highlights substantial unclassified cases, emphasizing transition management without interruption.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/transformation-of-juvenile-idiopathic-arthritis-in-adult-oriented-rheumatology-care-research-article/455292/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/transformation-of-juvenile-idiopathic-arthritis-in-adult-oriented-rheumatology-care-research-article/455292.png","ImageObject",300,407,{"name":42,"@type":43},"nayy☆","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-01","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What was the aim of this study?","Question",{"text":63,"@type":64},"To compare JIA subtypes using adult diagnostic criteria and to identify clinical characteristics and treatment approaches for patients transitioning into adult-oriented rheumatology care.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How were patients evaluated and reclassified?",{"text":68,"@type":64},"Patients with JIA from a pediatric rheumatology clinic were retrospectively evaluated and those with adult rheumatology follow-up visits were included. 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A notable proportion (25.2%) of patients were unclassified, especially within the oligoarticular subgroup.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},455292,1790794709,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":140,"language":141,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":12,"update_tm":145,"read_time":146,"preview_page_count":4},962090893153,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Turkish Journal of Medical Sciences  \n\n| Volume 55  Number 6 | Article 7 |\n| --- | --- |\n| 12-12-2025\u003Cbr>Transformation of juvenile idiopathic arthritis in\u003Cbr>rheumatology care ŞERİFE ASYA GERME DAĞLIOĞLUZEYNEP BALIK\u003Cbr>ZEHRA ÖZSOY\u003Cbr>YUNUS EMRE DALKILIÇ EZGİ DENİZ BATU\u003Cbr>See next page for additional authors\u003Cbr>Follow this and additional works at: [https://journals.tubitak.gov.tr/medical](https://journals.tubitak.gov.tr/medical)\u003Cbr> Part of the Medical Sciences Commons | adult-oriented |\n\nRecommended Citation  \nGERME DAĞLIOĞLU, Ş, BALIK, Z, ÖZSOY, Z, DALKILIÇ, Y, BATU, E, BAŞARAN, Ö, BİLGİNER, Y, KALYONCU, U, ÖZEN, S, APRAŞ BİLGEN, Ş, & KILIÇ, L (2025) . Transformation of juvenile idiopathic arthritis in adultoriented rheumatology care. Turkish Journal of Medical Sciences 55 (6): 1408-1416 . [https://doi.org/](https://doi.org/)[ ](https://doi.org/)10.55730/1300-0144.6098  \nThis work is licensed under a Creative Commons Attribution 4.0 International License.  \nThis Research Article is brought to you for free and open access by TÜBİTAK Academic Journals. It has been accepted for inclusion in Turkish Journal of Medical Sciences by an authorized editor of TÜBİTAK Academic Journals. For more information, please contact [academic.publications@tubitak.gov.tr](academic.publications@tubitak.gov.tr)  \nTransformation of juvenile idiopathic arthritis in adult-oriented rheumatology care  \nAuthors  \nŞERİFE ASYA GERME DAĞLIOĞLU, ZEYNEP BALIK, ZEHRA ÖZSOY, YUNUS EMRE DALKILIÇ, EZGİ DENİZ BATU, ÖZGE BAŞARAN, YELDA BİLGİNER, UMUT KALYONCU, SEZA ÖZEN, ŞULE APRAŞ BİLGEN, and LEVENT KILIÇ  \nThis research article is available in Turkish Journal of Medical Sciences: [https://journals.tubitak.gov.tr/medical/](https://journals.tubitak.gov.tr/medical/)[ ](https://journals.tubitak.gov.tr/medical/)vol55/iss6/7  \n\n| \u003Cbr>| Turkish Journal of Medical Sciences [http://journals.tubitak.gov.tr/medical/](http://journals.tubitak.gov.tr/medical/)\u003Cbr>\u003Cbr>Research Article | Turk J Med Sci\u003Cbr>(2025) 55: 1408-1416 © TÜBİTAK\u003Cbr>doi:10.55730/1300-0144.6098 |\n| --- | --- | --- |\n\nTransformation of juvenile idiopathic arthritis in adult-oriented rheumatology care  \nŞerife Asya GERME DAĞLIOĞLU1,*􀁋, Zeynep BALIK2􀁋, Zehra ÖZSOY1􀁋, Yunus Emre DALKILIÇ3􀁋, Ezgi Deniz BATU2􀁋,Özge BAŞARAN2􀁋, Yelda BİLGİNER2􀁋, Umut KALYONCU1􀁋, Seza ÖZEN2􀁋, Şule APRAŞ BİLGEN1􀁋, Levent KILIÇ1􀁋  \n1  \nDivision of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkiye 2  \nDivision of Rheumatology, Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, Turkiye 3  \nDepartment of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkiye  \nReceived: 17.07.2025  Accepted/Published Online: 19.10.2025  Final Version: 12.12.2025  \nBackground/aim: Juvenile idiopathic arthritis (JIA) is the most prevalent form of chronic inflammatory arthritis in children, and the symptoms persist into adulthood for a considerable number of patients. This study aimed to compare the JIA subtypes using the diagnostic criteria used for adults and identify the clinical characteristics and treatment approaches for patients with JIA transitioning to adult-oriented rheumatology care.  \nMaterials and methods: Patients diagnosed with JIA in the pediatric rheumatology clinic were retrospectively evaluated. The patients (n=107) who had at least one follow-up visit in the adult rheumatology clinic were included in the study. After transitioning from pediatric to adult-oriented rheumatology care, 2 experienced adult rheumatologists retrospectively reclassified the patients based on the adult classification criteria with clinical, serological, and radiological findings.  \nResults: The most common diagnosis was enthesitis-related arthritis (49.5%), followed by oligoarticular JIA (22.4%) . The followup diagnoses of the JIA patients in adult-oriented rheumatology care were radiographic axial spondyloarthritis (SpA) (30.8%), nonradiographic axial SpA (1","cbCaifQor5rnDYvK","https://ap.wps.com/l/cbCaifQor5rnDYvK","pdf",454647,11,"English","# Abstract\n# Background/aim\n# Materials and methods\n# Results\n# Conclusion\n# Key words\n# Introduction","[{\"question\":\"What was the aim of this study?\",\"answer\":\"To compare JIA subtypes using adult diagnostic criteria and to identify clinical characteristics and treatment approaches for patients transitioning into adult-oriented rheumatology care.\"},{\"question\":\"How were patients evaluated and reclassified?\",\"answer\":\"Patients with JIA from a pediatric rheumatology clinic were retrospectively evaluated and those with adult rheumatology follow-up visits were included. Two adult rheumatologists reclassified them using adult classification criteria with clinical, serological, and radiological findings.\"},{\"question\":\"What were the main results after transition to adult-oriented care?\",\"answer\":\"Enthesitis-related arthritis was the most common initial diagnosis, while follow-up diagnoses in adult care frequently included radiographic axial spondyloarthritis. A notable proportion (25.2%) of patients were unclassified, especially within the oligoarticular subgroup.\"}]","Transformation of juvenile idiopathic arthritis in adult-oriented rheumatology care - Research Article | PDF",1790742546,28]