A5066459817- Autoimmune and Inflammatory Disorders Research
- Adolescent and Pediatric Healthcare
- Childhood Cancer Survivors' Quality of Life
- Traumatic Brain Injury Research
- Inflammasome and immune disorders
- Child and Adolescent Health
- Health Sciences Research and Education
- Family and Disability Support Research
- Cardiac Arrest and Resuscitation
- Osteomyelitis and Bone Disorders Research
- Cardiovascular Effects of Exercise
- Shoulder Injury and Treatment
- Inclusion and Disability in Education and Sport
- Acute Lymphoblastic Leukemia research
- Bee Products Chemical Analysis
- Tendon Structure and Treatment
- Cardiovascular and exercise physiology
- Innovations in Medical Education
- Sports Performance and Training
- Musculoskeletal Disorders and Rehabilitation
- Sports injuries and prevention
- Congenital Heart Disease Studies
- Orthopedic Infections and Treatments
- Global Health and Surgery
- Physical Activity and Health
University of British Columbia
2006-2023
University of Calgary
2017-2022
British Columbia Children's Hospital
2022
Digital Research Alliance of Canada
2019
University College London
2017
English Institute of Sport
2017
Objective. To date there is no uniformly effective treatment for either chronic recurrent multifocal osteomyelitis (CRMO) or synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome. We report on our clinical experience of using biologic therapy to treat children with these conditions. Methods. Retrospective descriptive case series four refractory disease treated biologics. Disease activity was assessed at predetermined time points (T = 0, T 6 weeks 12 months after the start...
Objective To develop best practice statements for the provision of virtual care in adult and pediatric rheumatology Canadian Rheumatology Association’s (CRA) Telehealth Working Group (TWG). Methods Four members TWG representing adult, pediatric, university-based, community practices defined scope project. A rapid literature review existing systematic reviews, policy documents, published abstracts on topic was conducted between April May 2021. The informed a candidate set 7 supporting...
Abstract Objectives The aim was to describe the design, methods and initial findings of a new Canadian inception cohort children with JIA, Alliance Pediatric Rheumatology Investigators (CAPRI) JIA Registry. Methods CAPRI Registry started in 2017 collect information prospectively on enrolled within 3 months diagnosis across Canada. registry has non-traditional modular no artificially set times for visits occur, streamlined multi-method data collection that requires 2–4 min per visit, reports...
The application of topical diclofenac has been suggested as a possible treatment for Achilles tendinopathy. Our aim was to answer the question, is more effective than placebo tendinopathy?.67 participants with persistent midportion or insertional tendinopathy were randomly assigned receive 4 week course 10% (n = 32) 35). priori primary outcome measure change in severity (VISA-A score) at and 12 weeks. Secondary measures included numeric pain rating, patient-reported symptoms using 7 point...
The COVID-19 pandemic has disrupted healthcare delivery and clinical research worldwide, with data from areas most affected demonstrating an impact on rheumatology care. This study aimed to characterize the of initial presentation JIA JIA-related in Canada. Data collected Canadian Alliance Pediatric Rheumatology Investigators Registry year pre-pandemic (March 11, 2019-March 10, 2020) was compared during first 2020-March 2021). Outcomes included time symptom onset assessment, disease severity...
Abstract Objective To assess changes in juvenile idiopathic arthritis (JIA) treatments and outcomes Canada, comparing 2005–2010 2017–2021 inception cohorts. Methods Patients enrolled within three months of diagnosis the Research Arthritis Canadian Children Emphasizing Outcomes (ReACCh-Out) Alliance Pediatric Rheumatology Investigators Registry (CAPRI) cohorts were included. Cumulative incidences drug starts outcome attainment 70 weeks compared with Kaplan–Meier survival analysis...
To describe the frequency and severity of parent-reported medication side effects (SEs) in children with juvenile idiopathic arthritis (JIA) relative to physician-reported actionable adverse events (AEs), assess their impact on health-related quality life (HRQoL).Newly diagnosed JIA patients recruited between 2017 2019 Canadian Alliance Pediatric Rheumatology Investigators (CAPRI) Registry were included. Parents reported presence (0 = no problem, 10 very severe) SEs at every clinic visit....
Using Canadian Alliance of Pediatric Rheumatology Investigators (CAPRI) juvenile idiopathic arthritis (JIA) registry data, we describe (1) clinical characteristics patients with JIA transitioning to adult care, (2) prevalence disease-related damage and complications, (3) changes in disease activity during the final year prior transfer. Registry participants who turned 17 years between February 2017 November 2021 were included. Clinical patient-reported outcomes (PROs) at last recorded...
Objective To examine attention problems in youth ice-hockey players as a risk factor for concussion. Design Secondary analysis of two prospective cohort studies. Setting Ice-rinks and Sport Medicine Centres Canadian cities over three seasons (2011/12, 2012/13, 2014/15). Assessment factors Self-report formal diagnosis or learning disorders were collected on previously validated preseason baseline questionnaires by all participating players. Parents completed the Behaviour System Children...
Background Congenital heart disease is estimated to affect 2 3 children per 1,000 live births. Rheumatic accounts for even more and vascular disease. Many of these malformations can be treated with single-stage surgery. Long-lasting improvements in morbidity mortality are seen from developed countries who reach adulthood, often excellent quality life. Access surgical medical therapy developing unavailable, leading deaths that could otherwise prevented. The Save a Child9s Heart (SACH)...
<h3>Background</h3> Our department of pediatrics has sponsored a student-led initiative to create an interactive audiovisual database pediatric clinical skills. Learnpediatrics.com, is on-line educational tool made up modules developed by medical students, with resident and faculty oversight, for the benefit those learning skills in pediatrics. The initial material was very positively received been used as model other educators. However, development process early proved inefficient. We...
<h3>Background</h3> Treatments for juvenile idiopathic arthritis (JIA) are changing rapidly. Healthcare providers and families require up-to-date knowledge of current treatment practices expected outcomes to inform their decisions. <h3>Objectives</h3> To assess changes in children a new Canadian inception cohort diagnosed with JIA 2017-2018, compared the Research Arthritis Children emphasizing Outcomes (ReACCh-Out) 2005-2010 <sup>1</sup>. <h3>Methods</h3> A investigator-driven Alliance...
BACKGROUND: A key focus of the Exercise is Medicine initiative spearheaded by American College Family Physicians creation an exercise vital sign (EVS). This measure encourages physicians to monitor patient participation documenting a numeric response two- part question of; “how many days week do you engage in moderate strenuous exercise”, and “on average, how minutes per day at this level?”. Despite recognition need promote appropriate physical activity levels children, …
Abstract Objective The aim of this study was to develop and validate a brief disability screen for children with JIA, the Kids Disability Screen (KDS). Methods A total 216 enrolled in Canadian Alliance Pediatric Rheumatology Investigators (CAPRI) Registry 2017–2018 formed development cohort, 220 2019–2020 validation cohort. At every clinic visit, parents answered two questions derived from Childhood Health Assessment Questionnaire (CHAQ): ‘Is it hard your child run play BECAUSE OF...
Abstract Objective To identify differences between baseline Canadian JIA practices and the 2019 ACR guidelines for JIA. Methods paediatric rheumatologists were surveyed their opinions on reasonable a priori target adherence rates guideline recommendations. Prospectively collected data 266 newly diagnosed children from 2017 to analysed calculate observed rates. Kaplan–Meier survival curves used estimate cumulative incidence of starting synthetic or biologic DMARDs (sDMARD bDMARD,...
Objective: To examine the association between self-reported and parent-reported attention problems hyperactivity rates of injury concussion in Canadian youth ice hockey players. Design: Secondary analyses 2 prospective cohort studies. Setting: teams. Participants: Ice players (ages 11-17 years) were recruited by team, over 4 seasons (2011-2016). A combined 1709 contributing 1996 player-seasons analyzed (257 participated more than one season). Assessment Risk Factors: Data collected from...