Table 3.
Factors associated with medications received by patients with juvenile dermatomyositis by logistic regression analysis.
| IV Methylprednisolone (N=182) |
Methotrexate (N=225) | IV Immunoglobulin (N=119) |
Antimalarial drugs (N=153) | 2 or more major medication combination (N=242) |
||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Univariabl e analysis OR (95% CI) |
Multivariabl e analysis OR (95% CI) |
Univariabl e analysis OR (95% CI) |
Multivaria ble analysis OR (95% CI) |
Univariable analysis OR (95% CI) |
Multivaria ble analysis OR (95% CI) |
Univariable analysis OR (95% CI) |
Multivariabl e analysis OR (95% CI) |
Univariabl e analysis OR (95% CI) |
Multivaria ble analysis OR (95% CI) |
|
| Year of Diagnosis | ||||||||||
| Before 1997 | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
| After 1997 | 2.25 (1.37–3.76)† | 2.38 (1.32–4.38)† | 13.15 (5.65–38.41)§ | 14.73 (5.62–50.93)§ | 5.33 (3.23–8.96)§ | 5.46 (3.05–10.00)§ | 3.85 (2.34–6.47)§ | 3.22 (1.79–5.94)‡ | 9.44 (4.04–27.62)§ | 10.75 (4.00–37.87)§ |
| Age at first treatment | 1.04 (0.98–1.10) | 1.05 (0.99–1.13) | 1.09 (1.02–1.16)† | 1.09 (1.01–1.18)* | 1.04 (0.99–1.10) | 1.03 (0.96–1.10) | 1.04 (0.98–1.10) | 1.05 (0.98–1.13) | 1.11 (1.04–1.20)† | 1.13 (1.04–1.23)† |
| Gender | ||||||||||
| Male | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | |||||
| Female | 1.21 (0.75–1.95) | 1.01 (0.60–1.70) | 0.83 (0.51–1.36) | 1.15 (0.71–1.86) | 1.03 (0.58–1.78) | |||||
| Race | ||||||||||
| Caucasian | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | |||||
| Other Races | 1.12 (0.69–1.82) | 1.22 (0.72–2.11) | 0.93 (0.57–1.53) | 1.04 (0.64–1.67) | 1.24 (0.71–2.23) | |||||
| Onset Severity | ||||||||||
| Moderate | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
| Mild | 1.34 (0.66–2.78) | 1.20 (0.53–2.75) | 1.08 (0.51–2.41) | 0.75 (0.29–1.97) | 0.89 (0.40–1.88) | 0.82 (0.32–2.02) | 2.95 (1.40–6.56)† | 2.93 (1.19–7.73)* | 0.88 (0.41–1.98) | 0.62 (0.24–1.65) |
| Severe/Very Severe | 3.37 (1.96–5.99)§ | 3.00 (1.59–5.90)‡ | 1.48 (0.85–2.66) | 0.90 (0.45–1.83) | 1.89 (1.13–3.14)* | 1.72 (0.91–3.25) | 1.21 (0.74–2.00) | 1.15 (0.62–2.15) | 2.33 (1.23–4.70)† | 1.99 (0.92–4.57) |
| MSA | ||||||||||
| All MSA negative | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
| Anti-p155/140 (TIF1) | 2.54 (1.26–5.26)† | 2.40 (1.10–5.35)* | 2.77 (1.34–5.76)† | 1.82 (0.80–4.16) | 1.79 (0.85–3.94) | 1.25 (0.53–3.04) | 5.13 (2.44–11.40)§ | 4.38 (1.93–10.51)‡ | 2.44 (1.14–5.20)* | 1.55 (0.65–3.64) |
| Anti-MJ (NXP2) | 2.36 (1.13–5.03)* | 2.51 (1.14–5.69)* | 2.40 (1.13–5.14)* | 2.59 (1.13–6.03)* | 1.88 (0.87–4.26) | 1.64 (0.69–4.03) | 1.71 (0.79–3.88) | 1.96 (0.85–4.77) | 1.86 (0.85–4.05) | 1.97 (0.83–4.70) |
| Anti-MDA5 | 2.54 (0.95–7.07) | 2.44 (0.85–7.32) | 1.46 (0.55–4.00) | 0.92 (0.29–2.89) | 1.67 (0.59–4.71) | 1.29 (0.40–4.15) | 2.67 (0.97–7.52) | 2.57 (0.86–7.95) | 1.71 (0.61–5.16) | 1.04 (0.32–3.53) |
| Muscle symptom score | 1.00 (0.99–1.02) | 0.99 (0.98–1.01) | 1.01 (1.00–1.02) | 0.99 (0.98–1.01) | 1.02 (1.01–1.03)‡ | 1.01 (0.99–1.03) | 1.00 (0.99–1.01) | 1.00 (0.98–1.01) | 1.01 (0.99–1.03) | 0.99 (0.97–1.01) |
| Skin symptom score | 1.02 (1.00–1.04)* | 1.01 (0.99–1.03) | 1.03 (1.01–1.05)† | 1.03 (0.99–1.05) | 1.03 (1.01–1.05)† | 1.01 (0.99–1.04) | 1.03 (1.01–1.05)‡ | 1.01 (0.99–1.04) | 1.04 (1.01–1.06)† | 1.04 (1.01–1.07)† |
Abbreviations: OR, Odds ratio; 95% CI, 95% Confidence interval; MSA, myositis autoantibodies; TIF1, transcription intermediary factor 1; NXP2, anti-nuclear matrix protein 2; Anti–MDA5, Anti–melanoma differentiation–associated gene 5. Age at first treatment and Symptoms scores were calculated by unit odds ratios (per unit change), and the range of variable were Age at first treatment; 1.3–18.8, Muscle symptoms score; 0–100, and Skin symptoms score; 0–61.
P <0.05,
P <0.01,
P <0.001,
P <0.0001.