Czech and Slovak Ophthalmology 147 10.31348/2020/7 Others Recommendations for the Management of Uveitis Associated with Juvenile Idiopathic Arthritis: The Czech and Slovak Adaptation of the Share Initiative Malcová Hana Michaličková Marcela Minxová Lenka Moravčíková Dušana Němcová Dana Pískovský Tomáš https://orcid.org/0009-0005-2676-1822 Říhová Eva Skalická Eva Svozílková Petra https://orcid.org/0000-0002-9221-0210 Tomčíková Dana https://orcid.org/0000-0002-9285-7066 Vargová Veronika Vrtíková Eva Doležalová Pavla Melocíková Jana Macků Marie Lokaj Martin Dallos Tomáš Bouchalová Kateřina Brejchová Ivana Brichová Michaela https://orcid.org/0000-0001-7154-1427 Bušányová Beáta https://orcid.org/0009-0007-8587-9164 Fabiánová Jarmila Fráňová Jana Furdová Alena Jarošová Alena Kobrová Kateřina Kostolná Barbora https://orcid.org/0009-0003-6780-0539 Košková Elena Heissigerová Jarmila https://orcid.org/0000-0002-2614-4681 14 9 2020 4 6

Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in children and uveitis is its most important extra-articular manifestation. Evidence-based recommendations are available only to a limited extent and therefore JIA associated uveitis management is mostly based on physicians’ experience. Consequently, treatment practices differ widely, both nationally and internationally. Therefore, an effort to optimize and publish recommendations for the care of children and young adults with rheumatic diseases was launched in 2012 as part of the international project SHARE (Single Hub and Access Point for Pediatric Rheumatology in Europe) to facilitate clinical practice for paediatricians and (paediatric) rheumatologists. The aim of this work was to translate published international SHARE recommendations for the diagnosis and treatment of JIA associated uveitis and to adapt them for use in the Czech and Slovak Republics.International recommendations were developed according to the standard methodology of the European League against Rheumatism (EULAR) by a group of nine experienced paediatric rheumatologists and three experts in ophthalmology. It was based on a systematic literature review and evaluated in the form of an online survey and subsequently discussed using a nominal group technique. Recommendations were accepted if > 80% agreement was reached (including all three ophthalmologists).A total of 22 SHARE recommendations were accepted: 3 on diagnosis, 5 on disease activity assessment, 12 on treatment and 2 on future recommendations. Translation of the original text was updated and modified with data specific to the czech and slovak health care systems and supplemented with a proposal for a protocol of ophthalmological dispensarization of paediatric JIA patients and a treatment algorithm for JIA associated uveitis. Conclusion: The aim of the SHARE initiative is to improve and standardize care for paediatric patients with rheumatic diseases across Europe. Therefore, recommendations for the diagnosis and treatment of JIA-associated uveitis have been formulated based on the evidence and agreement of leading European experts in this field.

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The authors of the Czech-Slovak adaptation of the recommendation thank the authors of the original text: Tamas Constantin 1 , Ivan Foeldvari 2 , Jordi Anton 3 , Joke de Boer 4 , Severine Czitrom-Guillaume 5 , Clive Edelsten 6 , Raz Gepstein 7 , Arnd Heiligenhaus 8,9 , Clarissa A Pilkington 10 , Gabriele Simonini 11 , Yosef Uziel 12 , Sebastian J Vastert 13 , Nico M Wulffraat 13 , Anne-Mieke Haasnoot 4 , Karoline Walscheid 8 , Annamária Pálinkás 1 , Reshma Pattani