Identifying Research Priorities among Patients and Families of Children with Rheumatic Diseases living in the United States

Objective To improve the quality and participation in pediatric rheumatology research, patient-prioritized studies should be emphasized. We collaborated with United States based pediatric rheumatology advocacy organizations to survey patients and caregivers of children with rheumatic diseases to identify what research topics were most important to them. Methods We conducted web-based surveys and focus groups (FG) of patients and caregivers of children with juvenile myositis (JM), juvenile arthritis (JA), and childhood-onset systemic lupus erythematosus (cSLE). Surveys were emailed to listservs and posted to social media sites of JM, JA, and cSLE patient advocacy organizations. An initial survey asked open-ended questions about patient/caregiver research preferences. Responses were further characterized through FGs. A final ranking survey asked respondents to rank from a list of research themes the seven most important to them. Results There were 365 (JM), 44 (JA), and 32 (cSLE) respondents to the final ranking survey. The top research priority for JM was finding new treatments, and for JA and cSLE was understanding genetic/environmental etiology. The three prioritized research themes common across all disease groups were medication side effects, disease flare and disease etiology. Conclusion Patient-centered research prioritization is recognized as valuable in conducting high-quality research, yet there is a paucity of data describing patient/family preferences, especially in pediatrics. We used multimodal methodologies to assess current patient/caregiver research priorities to help frame the agenda for the pediatric rheumatology research community. Patients and caregivers from all surveyed disease groups prioritized the study of medication side effects, disease flares, and disease etiology.