Disease activity trajectories in paediatric lupus and associations with socioeconomic factors and patient-reported pain

Objective Using data from participants with paediatric SLE (pSLE) in the Childhood Arthritis and Rheumatology Research Alliance Registry, we aimed to: (1) describe 2-year disease activity trajectories, measured by the SLE Disease Activity Index 2000 (SLEDAI 2K); (2) identify characteristics associat...

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Main Authors:	E Schmitt, C Smith, V Saper, G Schulert, S Canna, A Grom, E Mellins, S Paul, J Smith, S Wong, A Stephens, S Canny, P Patel, N Thomas, K Stewart, W Stewart, O Mwizerwa, T Davis, C Williams, T Mason, C Todd, L Thomas, Y Zhao, B Thomas, A Nguyen, A Reed, J Jones, J Cooper, T Lee, Laura Eve Schanberg, J Chang, M Holland, L Lim, A Murphy, A Machado, K Moore, S Li, P Lee, H Schmeling, K Abulaban, S Akoghlanian, L Barillas-Arias, K Baszis, M Becker, S Benseler, H Brunner, H Bukulmez, E Chalom, J Dean, F Dedeoglu, J Drew, B Feldman, P Ferguson, I Goh, D Goldsmith, B Gottlieb, T Graham, T Griffin, K Hickey, M Hollander, J Hsu, A Huber, L Imundo, C Inman, P Kahn, D Kingsbury, K Klein, M Klein-Gitelman, S Kramer, S Lapidus, D McCurdy, L Moorthy, E Muscal, K Onel, L Ponder, S Prahalad, C Rabinovich, M Riordan, A Robinson, M Rosenkranz, N Ruth, K Schikler, H Stapp, R Syed, M Tesher, E von Scheven, D Wahezi, J Weiss, C Larry Hill, S Kim, Y Zhang, L Favier, J Patel, A Jackson, R Kaur, Y Jiang, J Rupp, K Hayward, A White, T Moore, D Lovell, A Zeft, J Harris, A Lee, A Knight, E Morgan, E Lawson, M Sutter, M Sherman, T Hammond, L Johnson, A Cooper, L Buckley, C Lawler, M Miller, C Black, J McDonald, R Schneider, J Taylor, M Oliver, A Long, A Waters, M Twilt, M Tóth, N Singer, M Fox, D Glaser, E Cohen, J Moreno, M Chang, R Stevenson, L Robinson, J Fuller, V Gennaro, L Henderson, A Patrick, S Mohan, A Chen, H Reid, Y Kimura, L Harel, R Laxer, I Ferguson, J McColl, E Duncan, A Hay, E Fox, A PARSONS, B Stevens, S Ballinger, C SPENCER, J NOCTON, N Johnson, J Shirley, M Ibarra, Emily von Scheven, J Sullivan, S Hong, M Guevara, K James, L Santiago, A Adams, C Bingham, C Kremer, K Cook, M Ma, A Theisen, T Wright, L Cannon, Thomas Phillips, D Levy, D Siegel, W Bernal, E Kessler, C Lin, J Collinge, D Rogers, D Horton, M Lerman, S Yasin, T Hahn, B Walker, A Rosado, E Allenspach, R Alperin, G Amarilyo, W Ambler, S Ardoin, S Armendariz, I Balboni, S Balevic, M Basiaga, T Bigley, B Binstadt, M Blakley, J Bohnsack, A Boneparth, E Brooks, M Brothers, M Buckley, D Bullock, V Cartwright, E Cassidy, A Chang-Hoftman, D Co, H Conlon, R Connor, C Correll, R Cron, M Curry, A Dalrymple, D De Ranieri, N Delnay, E DeSantis, K Driest, Q Du, D Durkee, J Dvergsten, A Eberhard, K Ede, B Edelheit, C Edens, M Elder, S Fadrhonc, C Failing, D Fair, J Fennell, L Fogel, R Fuhlbrigge, D Gerstbacher, M Gilbert, S Grevich, O Halyabar, E Hammelev, O Harry, J Hausmann, M Henrickson, A Hersh, L Hiraki, M Hiskey, P Hobday, C Hoffart, M Horwitz, J Huggins, G Janow, S Jared, B Kienzle, M Kitcharoensakkul, T Klausmeier, L Kovalick, B Lang, B Lapin, A Lasky, L Lentini, S Lieberman, N Ling, M Lo, N Luca, S Lvovich, J Madison, M Mannion, C Manos, L McAllister, E Meidan, P Miettunen, D Milojevic, R Modica, K Nanda, N Nasah, L Nassi, S Nativ, M Natter, J Neely, L Newhall, P Nigrovic, B Nolan, E Oberle, A Orandi, A Paller, N Pan, S Panupattanapong, R Pooni, B Puplava, M Quinlan-Waters, J Rafko, S Ramsey, R Randell, M Riebschleger, M Riskalla, M Rodriquez, T Ronis, H Rothermel, D Rothman, E Roth-Wojcicki, K Rouster-Stevens, T Rubinstein, S Sabbagh, R Sadun, A Sarkissian, L Scalzi, A Schlefman, C Seper, R Sheets, S Shenoi, M Shishov, V Sivaraman, E Smitherman, J Soep, L Spiegel, J Spitznagle, H Srinivasalu, K Steigerwald, Y Sterba Rakovchik, S Stern, C Stingl, M Stoll, E Stringer, S Sule, R Sundel, G Syverson, A Szymanski, S Taber, R Tal, A Tambralli, A Taneja, T Tanner, S Tarvin, L Tate, A Taxter, T Ting, D Toib, K Torok, H Tory, S Tse, T Valcarcel, H Van Mater, L Vannoy, C Varghese, N Vasquez, J Velez, J Verbsky, S Vora, L Wagner-Weiner, H Waite, H Walters, M Waterfield, P Weiser, P Weiss, E Wershba, L Woolnough, E Wu, A Yalcindag, R Yeung, K Yomogida, A Zhu, S Baxter, J MacMahon, L Franklin, L Mansfield, C Schütt, E Behrens, K Schultz, Aimee Hersh, Andrea M Knight, J Bridges, M Lloyd, Peter Shrader, S Gagne, Anne Dennos, MaryBeth Son, Siobhan Case, Kamil Barbour, R Aamir, C Aguiar Lapsia, A Akinsete, M Al Manaa, A AlBijadi, A Almutairi, M Amoruso, S Angeles-Han, L Asfaw, N Aviran Dagan, C Bacha, S Baluta, A Begezda, E Beil, L Bermudez-Santiago, B Blackmon, H Bradfield, D Castro, P Chiraseveenuprapund, K Ciaglia, K Corbin, E Datyner, C DeCoste, M DeGuzman, R Devine, M Dhalla, A Dhanrajani, D Dissanayake, B Dizon, N Drapeau, K Dunnock, T El Tal, Y Elzaki, C Figueroa, E Flanagan, M Furey, T Futch-West, A Gironella, S Gorry, N Goswami, A Grim, M Hamda Natur, K Hays, A Huberts, L Huie, J Hui-Yuen, A Imlay, D Kafisheh, K Kaidar, S Kasinathan, O Kudas, T LaFlam, E Leisinger, Y Levinsky, E Limenis, G Lionetti, R Livny, M Lopez-Peña, A Lytch, B Marston, D Matchett, K McBrearty, K McDaniels, Z Mian, R Mitacek, A Moyer, B Murante, A Najafi, K Nearanz, K Nowicki, R Oakes, S Ogbonnaya-Whittesley, E Ogbu, R Olveda, J Padam, J Pandya, A Pappo Toledano, S Patrizi, J Perfetto, M Perron, M Peskin, H Rahimi, K Rampone, L Ray, D Reiff, S Richins, E Rife, L Rodgers, N Rosenwasser, E Rothschild, J Schahn, A Shehab, E Sloan, Mary B Son, D Sosna, C Swaffar, N Swayne, T Symington, T Thakurdeen, C Tsin, J Twachtman-Bassett, R Valdovinos, A Vallee, S Vandenbergen, P Vega-Fernandez, R Verstegen, V Westheuser, K Widrick
Format:	Article
Language:	English
Published:	BMJ Publishing Group 2025-08-01
Series:	Lupus Science and Medicine
Online Access:	https://lupus.bmj.com/content/12/2/e001521.full
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author	E Schmitt C Smith V Saper G Schulert S Canna A Grom E Mellins S Paul J Smith S Wong A Stephens S Canny P Patel N Thomas K Stewart W Stewart O Mwizerwa T Davis C Williams T Mason C Todd L Thomas Y Zhao B Thomas A Nguyen A Reed J Jones J Cooper T Lee Laura Eve Schanberg J Chang M Holland L Lim A Murphy A Machado K Moore S Li P Lee H Schmeling K Abulaban S Akoghlanian L Barillas-Arias K Baszis M Becker S Benseler H Brunner H Bukulmez E Chalom J Dean F Dedeoglu J Drew B Feldman P Ferguson I Goh D Goldsmith B Gottlieb T Graham T Griffin K Hickey M Hollander J Hsu A Huber L Imundo C Inman P Kahn D Kingsbury K Klein M Klein-Gitelman S Kramer S Lapidus D McCurdy L Moorthy E Muscal K Onel L Ponder S Prahalad C Rabinovich M Riordan A Robinson M Rosenkranz N Ruth K Schikler H Stapp R Syed M Tesher E von Scheven D Wahezi J Weiss C Larry Hill S Kim Y Zhang L Favier J Patel A Jackson R Kaur Y Jiang J Rupp K Hayward A White T Moore D Lovell A Zeft J Harris A Lee A Knight E Morgan E Lawson M Sutter M Sherman T Hammond L Johnson A Cooper L Buckley C Lawler M Miller C Black J McDonald R Schneider J Taylor M Oliver A Long A Waters M Twilt M Tóth N Singer M Fox D Glaser E Cohen J Moreno M Chang R Stevenson L Robinson J Fuller V Gennaro L Henderson A Patrick S Mohan A Chen H Reid Y Kimura L Harel R Laxer I Ferguson J McColl E Duncan A Hay E Fox A PARSONS B Stevens S Ballinger C SPENCER J NOCTON N Johnson J Shirley M Ibarra Emily von Scheven J Sullivan S Hong M Guevara K James L Santiago A Adams C Bingham C Kremer K Cook M Ma A Theisen T Wright L Cannon Thomas Phillips D Levy D Siegel W Bernal E Kessler C Lin J Collinge D Rogers D Horton M Lerman S Yasin T Hahn B Walker A Rosado E Allenspach R Alperin G Amarilyo W Ambler S Ardoin S Armendariz I Balboni S Balevic M Basiaga T Bigley B Binstadt M Blakley J Bohnsack A Boneparth E Brooks M Brothers M Buckley D Bullock V Cartwright E Cassidy A Chang-Hoftman D Co H Conlon R Connor C Correll R Cron M Curry A Dalrymple D De Ranieri N Delnay E DeSantis K Driest Q Du D Durkee J Dvergsten A Eberhard K Ede B Edelheit C Edens M Elder S Fadrhonc C Failing D Fair J Fennell L Fogel R Fuhlbrigge D Gerstbacher M Gilbert S Grevich O Halyabar E Hammelev O Harry J Hausmann M Henrickson A Hersh L Hiraki M Hiskey P Hobday C Hoffart M Horwitz J Huggins G Janow S Jared B Kienzle M Kitcharoensakkul T Klausmeier L Kovalick B Lang B Lapin A Lasky L Lentini S Lieberman N Ling M Lo N Luca S Lvovich J Madison M Mannion C Manos L McAllister E Meidan P Miettunen D Milojevic R Modica K Nanda N Nasah L Nassi S Nativ M Natter J Neely L Newhall P Nigrovic B Nolan E Oberle A Orandi A Paller N Pan S Panupattanapong R Pooni B Puplava M Quinlan-Waters J Rafko S Ramsey R Randell M Riebschleger M Riskalla M Rodriquez T Ronis H Rothermel D Rothman E Roth-Wojcicki K Rouster-Stevens T Rubinstein S Sabbagh R Sadun A Sarkissian L Scalzi A Schlefman C Seper R Sheets S Shenoi M Shishov V Sivaraman E Smitherman J Soep L Spiegel J Spitznagle H Srinivasalu K Steigerwald Y Sterba Rakovchik S Stern C Stingl M Stoll E Stringer S Sule R Sundel G Syverson A Szymanski S Taber R Tal A Tambralli A Taneja T Tanner S Tarvin L Tate A Taxter T Ting D Toib K Torok H Tory S Tse T Valcarcel H Van Mater L Vannoy C Varghese N Vasquez J Velez J Verbsky S Vora L Wagner-Weiner H Waite H Walters M Waterfield P Weiser P Weiss E Wershba L Woolnough E Wu A Yalcindag R Yeung K Yomogida A Zhu S Baxter J MacMahon L Franklin L Mansfield C Schütt E Behrens K Schultz Aimee Hersh Andrea M Knight J Bridges M Lloyd Peter Shrader S Gagne Anne Dennos MaryBeth Son Siobhan Case Kamil Barbour R Aamir C Aguiar Lapsia A Akinsete M Al Manaa A AlBijadi A Almutairi M Amoruso S Angeles-Han L Asfaw N Aviran Dagan C Bacha S Baluta A Begezda E Beil L Bermudez-Santiago B Blackmon H Bradfield D Castro P Chiraseveenuprapund K Ciaglia K Corbin E Datyner C DeCoste M DeGuzman R Devine M Dhalla A Dhanrajani D Dissanayake B Dizon N Drapeau K Dunnock T El Tal Y Elzaki C Figueroa E Flanagan M Furey T Futch-West A Gironella S Gorry N Goswami A Grim M Hamda Natur K Hays A Huberts L Huie J Hui-Yuen A Imlay D Kafisheh K Kaidar S Kasinathan O Kudas T LaFlam E Leisinger Y Levinsky E Limenis G Lionetti R Livny M Lopez-Peña A Lytch B Marston D Matchett K McBrearty K McDaniels Z Mian R Mitacek A Moyer B Murante A Najafi K Nearanz K Nowicki R Oakes S Ogbonnaya-Whittesley E Ogbu R Olveda J Padam J Pandya A Pappo Toledano S Patrizi J Perfetto M Perron M Peskin H Rahimi K Rampone L Ray D Reiff S Richins E Rife L Rodgers N Rosenwasser E Rothschild J Schahn A Shehab E Sloan Mary B Son D Sosna C Swaffar N Swayne T Symington T Thakurdeen C Tsin J Twachtman-Bassett R Valdovinos A Vallee S Vandenbergen P Vega-Fernandez R Verstegen V Westheuser K Widrick
author_facet	E Schmitt C Smith V Saper G Schulert S Canna A Grom E Mellins S Paul J Smith S Wong A Stephens S Canny P Patel N Thomas K Stewart W Stewart O Mwizerwa T Davis C Williams T Mason C Todd L Thomas Y Zhao B Thomas A Nguyen A Reed J Jones J Cooper T Lee Laura Eve Schanberg J Chang M Holland L Lim A Murphy A Machado K Moore S Li P Lee H Schmeling K Abulaban S Akoghlanian L Barillas-Arias K Baszis M Becker S Benseler H Brunner H Bukulmez E Chalom J Dean F Dedeoglu J Drew B Feldman P Ferguson I Goh D Goldsmith B Gottlieb T Graham T Griffin K Hickey M Hollander J Hsu A Huber L Imundo C Inman P Kahn D Kingsbury K Klein M Klein-Gitelman S Kramer S Lapidus D McCurdy L Moorthy E Muscal K Onel L Ponder S Prahalad C Rabinovich M Riordan A Robinson M Rosenkranz N Ruth K Schikler H Stapp R Syed M Tesher E von Scheven D Wahezi J Weiss C Larry Hill S Kim Y Zhang L Favier J Patel A Jackson R Kaur Y Jiang J Rupp K Hayward A White T Moore D Lovell A Zeft J Harris A Lee A Knight E Morgan E Lawson M Sutter M Sherman T Hammond L Johnson A Cooper L Buckley C Lawler M Miller C Black J McDonald R Schneider J Taylor M Oliver A Long A Waters M Twilt M Tóth N Singer M Fox D Glaser E Cohen J Moreno M Chang R Stevenson L Robinson J Fuller V Gennaro L Henderson A Patrick S Mohan A Chen H Reid Y Kimura L Harel R Laxer I Ferguson J McColl E Duncan A Hay E Fox A PARSONS B Stevens S Ballinger C SPENCER J NOCTON N Johnson J Shirley M Ibarra Emily von Scheven J Sullivan S Hong M Guevara K James L Santiago A Adams C Bingham C Kremer K Cook M Ma A Theisen T Wright L Cannon Thomas Phillips D Levy D Siegel W Bernal E Kessler C Lin J Collinge D Rogers D Horton M Lerman S Yasin T Hahn B Walker A Rosado E Allenspach R Alperin G Amarilyo W Ambler S Ardoin S Armendariz I Balboni S Balevic M Basiaga T Bigley B Binstadt M Blakley J Bohnsack A Boneparth E Brooks M Brothers M Buckley D Bullock V Cartwright E Cassidy A Chang-Hoftman D Co H Conlon R Connor C Correll R Cron M Curry A Dalrymple D De Ranieri N Delnay E DeSantis K Driest Q Du D Durkee J Dvergsten A Eberhard K Ede B Edelheit C Edens M Elder S Fadrhonc C Failing D Fair J Fennell L Fogel R Fuhlbrigge D Gerstbacher M Gilbert S Grevich O Halyabar E Hammelev O Harry J Hausmann M Henrickson A Hersh L Hiraki M Hiskey P Hobday C Hoffart M Horwitz J Huggins G Janow S Jared B Kienzle M Kitcharoensakkul T Klausmeier L Kovalick B Lang B Lapin A Lasky L Lentini S Lieberman N Ling M Lo N Luca S Lvovich J Madison M Mannion C Manos L McAllister E Meidan P Miettunen D Milojevic R Modica K Nanda N Nasah L Nassi S Nativ M Natter J Neely L Newhall P Nigrovic B Nolan E Oberle A Orandi A Paller N Pan S Panupattanapong R Pooni B Puplava M Quinlan-Waters J Rafko S Ramsey R Randell M Riebschleger M Riskalla M Rodriquez T Ronis H Rothermel D Rothman E Roth-Wojcicki K Rouster-Stevens T Rubinstein S Sabbagh R Sadun A Sarkissian L Scalzi A Schlefman C Seper R Sheets S Shenoi M Shishov V Sivaraman E Smitherman J Soep L Spiegel J Spitznagle H Srinivasalu K Steigerwald Y Sterba Rakovchik S Stern C Stingl M Stoll E Stringer S Sule R Sundel G Syverson A Szymanski S Taber R Tal A Tambralli A Taneja T Tanner S Tarvin L Tate A Taxter T Ting D Toib K Torok H Tory S Tse T Valcarcel H Van Mater L Vannoy C Varghese N Vasquez J Velez J Verbsky S Vora L Wagner-Weiner H Waite H Walters M Waterfield P Weiser P Weiss E Wershba L Woolnough E Wu A Yalcindag R Yeung K Yomogida A Zhu S Baxter J MacMahon L Franklin L Mansfield C Schütt E Behrens K Schultz Aimee Hersh Andrea M Knight J Bridges M Lloyd Peter Shrader S Gagne Anne Dennos MaryBeth Son Siobhan Case Kamil Barbour R Aamir C Aguiar Lapsia A Akinsete M Al Manaa A AlBijadi A Almutairi M Amoruso S Angeles-Han L Asfaw N Aviran Dagan C Bacha S Baluta A Begezda E Beil L Bermudez-Santiago B Blackmon H Bradfield D Castro P Chiraseveenuprapund K Ciaglia K Corbin E Datyner C DeCoste M DeGuzman R Devine M Dhalla A Dhanrajani D Dissanayake B Dizon N Drapeau K Dunnock T El Tal Y Elzaki C Figueroa E Flanagan M Furey T Futch-West A Gironella S Gorry N Goswami A Grim M Hamda Natur K Hays A Huberts L Huie J Hui-Yuen A Imlay D Kafisheh K Kaidar S Kasinathan O Kudas T LaFlam E Leisinger Y Levinsky E Limenis G Lionetti R Livny M Lopez-Peña A Lytch B Marston D Matchett K McBrearty K McDaniels Z Mian R Mitacek A Moyer B Murante A Najafi K Nearanz K Nowicki R Oakes S Ogbonnaya-Whittesley E Ogbu R Olveda J Padam J Pandya A Pappo Toledano S Patrizi J Perfetto M Perron M Peskin H Rahimi K Rampone L Ray D Reiff S Richins E Rife L Rodgers N Rosenwasser E Rothschild J Schahn A Shehab E Sloan Mary B Son D Sosna C Swaffar N Swayne T Symington T Thakurdeen C Tsin J Twachtman-Bassett R Valdovinos A Vallee S Vandenbergen P Vega-Fernandez R Verstegen V Westheuser K Widrick
collection	DOAJ
description	Objective Using data from participants with paediatric SLE (pSLE) in the Childhood Arthritis and Rheumatology Research Alliance Registry, we aimed to: (1) describe 2-year disease activity trajectories, measured by the SLE Disease Activity Index 2000 (SLEDAI 2K); (2) identify characteristics associated with each trajectory and (3) assess achievement of lupus low disease activity state (LLDAS) and associated baseline characteristics.Methods Participants were diagnosed with pSLE within 12 months of baseline visit. Baseline sociodemographic, clinical and treatment characteristics were included in latent trajectory analyses. Associations between patient characteristics with trajectory groups and LLDAS were analysed with multinomial generalised logistic regression modelling.Results 1002 patients were screened; 553 were included for SLEDAI 2K and 269 for LLDAS analyses. SLEDAI 2K trajectories included (T1) low and stable, (T2) high and decreasing, (T3) intermediate and stable. In multinomial generalised logistic regression, baseline SLEDAI 2K score and insurance type were significantly associated with trajectories. 51% (136/269) of patients achieved LLDAS at least once in 24 months as compared with 17% (47/269) at first assessment. LLDAS attainment at both time points was predicted by lower pain interference scores; LLDAS attainment over 24 months was also associated with baseline American College of Rheumatology classification criteria, rituximab use at baseline and highest completed level of parent/guardian education.Conclusions Disease activity trajectories in a pSLE cohort were predicted by baseline SLEDAI 2K and insurance. Only half of the patients achieved LLDAS during the 2-year study period, which was predicted by baseline characteristics including pain interference. The relationship between disease activity and socioeconomic factors and pain warrants further investigation to identify modifiable factors to reduce pSLE disease activity.
format	Article
id	doaj-art-9b970652fecc42cdabbd7e8a05c23408
institution	Kabale University
issn	2053-8790
language	English
publishDate	2025-08-01
publisher	BMJ Publishing Group
record_format	Article
series	Lupus Science and Medicine
spelling	doaj-art-9b970652fecc42cdabbd7e8a05c234082025-08-20T03:41:36ZengBMJ Publishing GroupLupus Science and Medicine2053-87902025-08-0112210.1136/lupus-2025-001521Disease activity trajectories in paediatric lupus and associations with socioeconomic factors and patient-reported pain E SchmittC SmithV SaperG SchulertS CannaA GromE MellinsS PaulJ SmithS WongA StephensS CannyP PatelN ThomasK StewartW StewartO MwizerwaT DavisC WilliamsT MasonC ToddL ThomasY ZhaoB ThomasA NguyenA ReedJ JonesJ CooperT LeeLaura Eve Schanberg0J ChangM HollandL LimA MurphyA MachadoK MooreS LiP LeeH SchmelingK AbulabanS AkoghlanianL Barillas-AriasK BaszisM BeckerS BenselerH BrunnerH BukulmezE ChalomJ DeanF DedeogluJ DrewB FeldmanP FergusonI GohD GoldsmithB GottliebT GrahamT GriffinK HickeyM HollanderJ HsuA HuberL ImundoC InmanP KahnD KingsburyK KleinM Klein-GitelmanS KramerS LapidusD McCurdyL MoorthyE MuscalK OnelL PonderS PrahaladC RabinovichM RiordanA RobinsonM RosenkranzN RuthK SchiklerH StappR SyedM TesherE von SchevenD WaheziJ WeissC Larry Hill1S KimY ZhangL FavierJ PatelA JacksonR KaurY JiangJ RuppK HaywardA WhiteT MooreD LovellA ZeftJ HarrisA LeeA KnightE MorganE LawsonM SutterM ShermanT HammondL JohnsonA CooperL BuckleyC LawlerM MillerC BlackJ McDonaldR SchneiderJ TaylorM OliverA LongA WatersM TwiltM TóthN SingerM FoxD GlaserE CohenJ MorenoM ChangR StevensonL RobinsonJ FullerV GennaroL HendersonA PatrickS MohanA ChenH ReidY KimuraL HarelR LaxerI FergusonJ McCollE DuncanA HayE FoxA PARSONSB StevensS BallingerC SPENCERJ NOCTONN JohnsonJ ShirleyM IbarraEmily von Scheven2J SullivanS HongM GuevaraK JamesL SantiagoA AdamsC BinghamC KremerK CookM MaA TheisenT WrightL CannonThomas Phillips3D LevyD SiegelW BernalE KesslerC LinJ CollingeD RogersD HortonM LermanS YasinT HahnB WalkerA RosadoE AllenspachR AlperinG AmarilyoW AmblerS ArdoinS ArmendarizI BalboniS BalevicM BasiagaT BigleyB BinstadtM BlakleyJ BohnsackA BoneparthE BrooksM BrothersM BuckleyD BullockV CartwrightE CassidyA Chang-HoftmanD CoH ConlonR ConnorC CorrellR CronM CurryA DalrympleD De RanieriN DelnayE DeSantisK DriestQ DuD DurkeeJ DvergstenA EberhardK EdeB EdelheitC EdensM ElderS FadrhoncC FailingD FairJ FennellL FogelR FuhlbriggeD GerstbacherM GilbertS GrevichO HalyabarE HammelevO HarryJ HausmannM HenricksonA HershL HirakiM HiskeyP HobdayC HoffartM HorwitzJ HugginsG JanowS JaredB KienzleM KitcharoensakkulT KlausmeierL KovalickB LangB LapinA LaskyL LentiniS LiebermanN LingM LoN LucaS LvovichJ MadisonM MannionC ManosL McAllisterE MeidanP MiettunenD MilojevicR ModicaK NandaN NasahL NassiS NativM NatterJ NeelyL NewhallP NigrovicB NolanE OberleA OrandiA PallerN PanS PanupattanapongR PooniB PuplavaM Quinlan-WatersJ RafkoS RamseyR RandellM RiebschlegerM RiskallaM RodriquezT RonisH RothermelD RothmanE Roth-WojcickiK Rouster-StevensT RubinsteinS SabbaghR SadunA SarkissianL ScalziA SchlefmanC SeperR SheetsS ShenoiM ShishovV SivaramanE SmithermanJ SoepL SpiegelJ SpitznagleH SrinivasaluK SteigerwaldY Sterba RakovchikS SternC StinglM StollE StringerS SuleR SundelG SyversonA SzymanskiS TaberR TalA TambralliA TanejaT TannerS TarvinL TateA TaxterT TingD ToibK TorokH ToryS TseT ValcarcelH Van MaterL VannoyC VargheseN VasquezJ VelezJ VerbskyS VoraL Wagner-WeinerH WaiteH WaltersM WaterfieldP WeiserP WeissE WershbaL WoolnoughE WuA YalcindagR YeungK YomogidaA ZhuS BaxterJ MacMahonL FranklinL MansfieldC SchüttE BehrensK SchultzAimee Hersh4Andrea M Knight5J BridgesM LloydPeter Shrader6S GagneAnne Dennos7MaryBeth Son8Siobhan Case9Kamil Barbour10R AamirC Aguiar LapsiaA AkinseteM Al ManaaA AlBijadiA AlmutairiM AmorusoS Angeles-HanL AsfawN Aviran DaganC BachaS BalutaA BegezdaE BeilL Bermudez-SantiagoB BlackmonH BradfieldD CastroP ChiraseveenuprapundK CiagliaK CorbinE DatynerC DeCosteM DeGuzmanR DevineM DhallaA DhanrajaniD DissanayakeB DizonN DrapeauK DunnockT El TalY ElzakiC FigueroaE FlanaganM FureyT Futch-WestA GironellaS GorryN GoswamiA GrimM Hamda NaturK HaysA HubertsL HuieJ Hui-YuenA ImlayD KafishehK KaidarS KasinathanO KudasT LaFlamE LeisingerY LevinskyE LimenisG LionettiR LivnyM Lopez-PeñaA LytchB MarstonD MatchettK McBreartyK McDanielsZ MianR MitacekA MoyerB MuranteA NajafiK NearanzK NowickiR OakesS Ogbonnaya-WhittesleyE OgbuR OlvedaJ PadamJ PandyaA Pappo ToledanoS PatriziJ PerfettoM PerronM PeskinH RahimiK RamponeL RayD ReiffS RichinsE RifeL RodgersN RosenwasserE RothschildJ SchahnA ShehabE SloanMary B SonD SosnaC SwaffarN SwayneT SymingtonT ThakurdeenC TsinJ Twachtman-BassettR ValdovinosA ValleeS VandenbergenP Vega-FernandezR VerstegenV WestheuserK WidrickPediatrics, Duke University, Durham, North Carolina, USADuke University Duke Clinical Research Institute, Durham, North Carolina, USAPediatrics, UCSF School of Medicine, San Francisco, California, USADuke University Duke Clinical Research Institute, Durham, North Carolina, USAUniversity of Utah Health, Salt Lake City, Utah, USARheumatology, Hospital for Sick Children, Toronto, Ontario, CanadaDuke University Duke Clinical Research Institute, Durham, North Carolina, USADuke University Duke Clinical Research Institute, Durham, North Carolina, USABoston Children’s Hospital, Boston, Massachusetts, USABrigham and Women’s Hospital, Boston, Massachusetts, USANational Institutes of Health, Bethesda, Maryland, USAObjective Using data from participants with paediatric SLE (pSLE) in the Childhood Arthritis and Rheumatology Research Alliance Registry, we aimed to: (1) describe 2-year disease activity trajectories, measured by the SLE Disease Activity Index 2000 (SLEDAI 2K); (2) identify characteristics associated with each trajectory and (3) assess achievement of lupus low disease activity state (LLDAS) and associated baseline characteristics.Methods Participants were diagnosed with pSLE within 12 months of baseline visit. Baseline sociodemographic, clinical and treatment characteristics were included in latent trajectory analyses. Associations between patient characteristics with trajectory groups and LLDAS were analysed with multinomial generalised logistic regression modelling.Results 1002 patients were screened; 553 were included for SLEDAI 2K and 269 for LLDAS analyses. SLEDAI 2K trajectories included (T1) low and stable, (T2) high and decreasing, (T3) intermediate and stable. In multinomial generalised logistic regression, baseline SLEDAI 2K score and insurance type were significantly associated with trajectories. 51% (136/269) of patients achieved LLDAS at least once in 24 months as compared with 17% (47/269) at first assessment. LLDAS attainment at both time points was predicted by lower pain interference scores; LLDAS attainment over 24 months was also associated with baseline American College of Rheumatology classification criteria, rituximab use at baseline and highest completed level of parent/guardian education.Conclusions Disease activity trajectories in a pSLE cohort were predicted by baseline SLEDAI 2K and insurance. Only half of the patients achieved LLDAS during the 2-year study period, which was predicted by baseline characteristics including pain interference. The relationship between disease activity and socioeconomic factors and pain warrants further investigation to identify modifiable factors to reduce pSLE disease activity.https://lupus.bmj.com/content/12/2/e001521.full
spellingShingle	E Schmitt C Smith V Saper G Schulert S Canna A Grom E Mellins S Paul J Smith S Wong A Stephens S Canny P Patel N Thomas K Stewart W Stewart O Mwizerwa T Davis C Williams T Mason C Todd L Thomas Y Zhao B Thomas A Nguyen A Reed J Jones J Cooper T Lee Laura Eve Schanberg J Chang M Holland L Lim A Murphy A Machado K Moore S Li P Lee H Schmeling K Abulaban S Akoghlanian L Barillas-Arias K Baszis M Becker S Benseler H Brunner H Bukulmez E Chalom J Dean F Dedeoglu J Drew B Feldman P Ferguson I Goh D Goldsmith B Gottlieb T Graham T Griffin K Hickey M Hollander J Hsu A Huber L Imundo C Inman P Kahn D Kingsbury K Klein M Klein-Gitelman S Kramer S Lapidus D McCurdy L Moorthy E Muscal K Onel L Ponder S Prahalad C Rabinovich M Riordan A Robinson M Rosenkranz N Ruth K Schikler H Stapp R Syed M Tesher E von Scheven D Wahezi J Weiss C Larry Hill S Kim Y Zhang L Favier J Patel A Jackson R Kaur Y Jiang J Rupp K Hayward A White T Moore D Lovell A Zeft J Harris A Lee A Knight E Morgan E Lawson M Sutter M Sherman T Hammond L Johnson A Cooper L Buckley C Lawler M Miller C Black J McDonald R Schneider J Taylor M Oliver A Long A Waters M Twilt M Tóth N Singer M Fox D Glaser E Cohen J Moreno M Chang R Stevenson L Robinson J Fuller V Gennaro L Henderson A Patrick S Mohan A Chen H Reid Y Kimura L Harel R Laxer I Ferguson J McColl E Duncan A Hay E Fox A PARSONS B Stevens S Ballinger C SPENCER J NOCTON N Johnson J Shirley M Ibarra Emily von Scheven J Sullivan S Hong M Guevara K James L Santiago A Adams C Bingham C Kremer K Cook M Ma A Theisen T Wright L Cannon Thomas Phillips D Levy D Siegel W Bernal E Kessler C Lin J Collinge D Rogers D Horton M Lerman S Yasin T Hahn B Walker A Rosado E Allenspach R Alperin G Amarilyo W Ambler S Ardoin S Armendariz I Balboni S Balevic M Basiaga T Bigley B Binstadt M Blakley J Bohnsack A Boneparth E Brooks M Brothers M Buckley D Bullock V Cartwright E Cassidy A Chang-Hoftman D Co H Conlon R Connor C Correll R Cron M Curry A Dalrymple D De Ranieri N Delnay E DeSantis K Driest Q Du D Durkee J Dvergsten A Eberhard K Ede B Edelheit C Edens M Elder S Fadrhonc C Failing D Fair J Fennell L Fogel R Fuhlbrigge D Gerstbacher M Gilbert S Grevich O Halyabar E Hammelev O Harry J Hausmann M Henrickson A Hersh L Hiraki M Hiskey P Hobday C Hoffart M Horwitz J Huggins G Janow S Jared B Kienzle M Kitcharoensakkul T Klausmeier L Kovalick B Lang B Lapin A Lasky L Lentini S Lieberman N Ling M Lo N Luca S Lvovich J Madison M Mannion C Manos L McAllister E Meidan P Miettunen D Milojevic R Modica K Nanda N Nasah L Nassi S Nativ M Natter J Neely L Newhall P Nigrovic B Nolan E Oberle A Orandi A Paller N Pan S Panupattanapong R Pooni B Puplava M Quinlan-Waters J Rafko S Ramsey R Randell M Riebschleger M Riskalla M Rodriquez T Ronis H Rothermel D Rothman E Roth-Wojcicki K Rouster-Stevens T Rubinstein S Sabbagh R Sadun A Sarkissian L Scalzi A Schlefman C Seper R Sheets S Shenoi M Shishov V Sivaraman E Smitherman J Soep L Spiegel J Spitznagle H Srinivasalu K Steigerwald Y Sterba Rakovchik S Stern C Stingl M Stoll E Stringer S Sule R Sundel G Syverson A Szymanski S Taber R Tal A Tambralli A Taneja T Tanner S Tarvin L Tate A Taxter T Ting D Toib K Torok H Tory S Tse T Valcarcel H Van Mater L Vannoy C Varghese N Vasquez J Velez J Verbsky S Vora L Wagner-Weiner H Waite H Walters M Waterfield P Weiser P Weiss E Wershba L Woolnough E Wu A Yalcindag R Yeung K Yomogida A Zhu S Baxter J MacMahon L Franklin L Mansfield C Schütt E Behrens K Schultz Aimee Hersh Andrea M Knight J Bridges M Lloyd Peter Shrader S Gagne Anne Dennos MaryBeth Son Siobhan Case Kamil Barbour R Aamir C Aguiar Lapsia A Akinsete M Al Manaa A AlBijadi A Almutairi M Amoruso S Angeles-Han L Asfaw N Aviran Dagan C Bacha S Baluta A Begezda E Beil L Bermudez-Santiago B Blackmon H Bradfield D Castro P Chiraseveenuprapund K Ciaglia K Corbin E Datyner C DeCoste M DeGuzman R Devine M Dhalla A Dhanrajani D Dissanayake B Dizon N Drapeau K Dunnock T El Tal Y Elzaki C Figueroa E Flanagan M Furey T Futch-West A Gironella S Gorry N Goswami A Grim M Hamda Natur K Hays A Huberts L Huie J Hui-Yuen A Imlay D Kafisheh K Kaidar S Kasinathan O Kudas T LaFlam E Leisinger Y Levinsky E Limenis G Lionetti R Livny M Lopez-Peña A Lytch B Marston D Matchett K McBrearty K McDaniels Z Mian R Mitacek A Moyer B Murante A Najafi K Nearanz K Nowicki R Oakes S Ogbonnaya-Whittesley E Ogbu R Olveda J Padam J Pandya A Pappo Toledano S Patrizi J Perfetto M Perron M Peskin H Rahimi K Rampone L Ray D Reiff S Richins E Rife L Rodgers N Rosenwasser E Rothschild J Schahn A Shehab E Sloan Mary B Son D Sosna C Swaffar N Swayne T Symington T Thakurdeen C Tsin J Twachtman-Bassett R Valdovinos A Vallee S Vandenbergen P Vega-Fernandez R Verstegen V Westheuser K Widrick Disease activity trajectories in paediatric lupus and associations with socioeconomic factors and patient-reported pain Lupus Science and Medicine
title	Disease activity trajectories in paediatric lupus and associations with socioeconomic factors and patient-reported pain
title_full	Disease activity trajectories in paediatric lupus and associations with socioeconomic factors and patient-reported pain
title_fullStr	Disease activity trajectories in paediatric lupus and associations with socioeconomic factors and patient-reported pain
title_full_unstemmed	Disease activity trajectories in paediatric lupus and associations with socioeconomic factors and patient-reported pain
title_short	Disease activity trajectories in paediatric lupus and associations with socioeconomic factors and patient-reported pain
title_sort	disease activity trajectories in paediatric lupus and associations with socioeconomic factors and patient reported pain
url	https://lupus.bmj.com/content/12/2/e001521.full
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diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rcron diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mcurry diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT adalrymple diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT dderanieri diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ndelnay diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT edesantis diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT kdriest diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT qdu diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ddurkee diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jdvergsten diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT aeberhard diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT kede diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT bedelheit diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT cedens diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT melder diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT sfadrhonc diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT cfailing diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT dfair diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jfennell diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lfogel diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rfuhlbrigge diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT dgerstbacher diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mgilbert diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT sgrevich diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ohalyabar diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ehammelev diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT oharry diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jhausmann diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mhenrickson diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ahersh diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lhiraki diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mhiskey diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT phobday diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT choffart diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mhorwitz diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jhuggins diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT gjanow diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT sjared diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT bkienzle diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mkitcharoensakkul diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT tklausmeier diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lkovalick diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT blang diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT blapin diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT alasky diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT llentini diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT slieberman diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT nling diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mlo diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT nluca diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT slvovich diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jmadison diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mmannion diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT cmanos diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lmcallister diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT emeidan diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT pmiettunen diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT dmilojevic diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rmodica diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT knanda diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT nnasah diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lnassi diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT snativ diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mnatter diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jneely diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lnewhall diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT pnigrovic diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT bnolan diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT eoberle diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT aorandi diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT apaller diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT npan diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT spanupattanapong diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rpooni diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT bpuplava diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mquinlanwaters diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jrafko diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT sramsey diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rrandell diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mriebschleger diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mriskalla diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mrodriquez diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT tronis diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT hrothermel diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT drothman diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT erothwojcicki diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT krousterstevens diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT trubinstein diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ssabbagh diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rsadun diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT asarkissian diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lscalzi diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT aschlefman diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT cseper diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rsheets diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT sshenoi diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mshishov diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT vsivaraman diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT esmitherman diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jsoep diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lspiegel diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jspitznagle diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT hsrinivasalu diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ksteigerwald diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ysterbarakovchik diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT sstern diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT cstingl diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mstoll diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT estringer diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ssule diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rsundel diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT gsyverson diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT aszymanski diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT staber diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rtal diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT atambralli diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ataneja diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ttanner diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT starvin diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ltate diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ataxter diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT tting diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT dtoib diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ktorok diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT htory diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT stse diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT tvalcarcel diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT hvanmater diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lvannoy diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT cvarghese diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT nvasquez diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jvelez diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jverbsky diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT svora diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lwagnerweiner diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT hwaite diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT hwalters diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mwaterfield diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT pweiser diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT pweiss diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ewershba diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lwoolnough diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ewu diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ayalcindag diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ryeung diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT kyomogida diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT azhu diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT sbaxter diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jmacmahon diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lfranklin diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lmansfield diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT cschutt diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ebehrens diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT kschultz diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT aimeehersh diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT andreamknight diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jbridges diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mlloyd diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT petershrader diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT sgagne diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT annedennos diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT marybethson diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT siobhancase diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT kamilbarbour diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT raamir diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT caguiarlapsia diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT aakinsete diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT malmanaa diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT aalbijadi diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT aalmutairi diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mamoruso diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT sangeleshan diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lasfaw diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT navirandagan diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT cbacha diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT sbaluta diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT abegezda diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ebeil diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lbermudezsantiago diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT bblackmon diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT hbradfield diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT dcastro diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT pchiraseveenuprapund diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT kciaglia diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT kcorbin diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT edatyner diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT cdecoste diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mdeguzman diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rdevine diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mdhalla diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT adhanrajani diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ddissanayake diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT bdizon diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ndrapeau diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT kdunnock diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT teltal diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT yelzaki diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT cfigueroa diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT eflanagan diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mfurey diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT tfutchwest diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT agironella diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT sgorry diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ngoswami diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT agrim diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mhamdanatur diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT khays diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ahuberts diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lhuie diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jhuiyuen diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT aimlay diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT dkafisheh diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT kkaidar diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT skasinathan diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT okudas diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT tlaflam diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT eleisinger diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ylevinsky diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT elimenis diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT glionetti diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rlivny diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mlopezpena diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT alytch diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT bmarston diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT dmatchett diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT kmcbrearty diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT kmcdaniels diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT zmian diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rmitacek diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT amoyer diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT bmurante diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT anajafi diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT knearanz diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT knowicki diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT roakes diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT sogbonnayawhittesley diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT eogbu diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rolveda diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jpadam diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jpandya diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT apappotoledano diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT spatrizi diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jperfetto diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mperron diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT mpeskin diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT hrahimi diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT krampone diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lray diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT dreiff diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT srichins diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT erife diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT lrodgers diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT nrosenwasser diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT erothschild diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jschahn diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ashehab diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT esloan diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT marybson diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT dsosna diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT cswaffar diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT nswayne diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT tsymington diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT tthakurdeen diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT ctsin diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT jtwachtmanbassett diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rvaldovinos diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT avallee diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT svandenbergen diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT pvegafernandez diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT rverstegen diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT vwestheuser diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain AT kwidrick diseaseactivitytrajectoriesinpaediatriclupusandassociationswithsocioeconomicfactorsandpatientreportedpain

Disease activity trajectories in paediatric lupus and associations with socioeconomic factors and patient-reported pain

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