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  • Abstract Number: 636 • 2018 ACR/ARHP Annual Meeting

    Remission/Low Disease Activity Is a Reasonable Treatment Target in Psa: Results from a Routine Care European Cohort of Psa Patients Treated with Ustekinumab or TNF Inhibitors

    Laure Gossec1,2, Paul Bergmans3, Kurt de Vlam4, Elisa Gremese5, Beatriz E. Joven6, Tatiana Korotaeva7, Michael Nurmohamed8,9, Petros Sfikakis10, Stefan Siebert11, Pavel Smirnov12, Elke Theander13 and Josef S. Smolen14, 1Rheumatology, Pitié Salpêtrière Hospital, Paris, France, 2Rheumatology, Sorbonne Université, Paris, France, 3Biometrics, Janssen-Cilag B.V., Breda, Netherlands, 4University Hospitals Leuven, Leuven, Belgium, 5Division of Rheumatology, Fondazione Policlinico Universitario A.Gemelli IRCCS, Catholic University of the Sacred Heart, Rome, Italy, 6Hospital Universitario 12 de Octubre, Madrid, Spain, 7Nasonova Research Institute of Rheumatology, Moscow, Russian Federation, 8Rheumatology, VU University Medical Center, Amsterdam, Netherlands, 9Amsterdam Rheumatology and Immunology Center | Reade, Amsterdam, Netherlands, 10Rheumatology Unit, 1st Dept. of Propaedeutic Internal Medicine, Joined Academic Rheumatology Program, Athens University Medical School, Athens, Greece, 11Institute of Infection, Immunity and Inflammation, University of Glasgow, Cardiff, United Kingdom, 12Biometrics, Janssen-Cilag B.V., Moscow, Russian Federation, 13Biometrics, Janssen-Cilag B.V., Solna, Sweden, 14Division of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria

    Background/Purpose: The link between treatment recommendations for PsA (to aim for a state of remission or low disease activity (LDA))1,2 and patient-important outcomes has been…
  • Abstract Number: 637 • 2018 ACR/ARHP Annual Meeting

    How to Define Remission and Low Disease Activity in Psoriatic Arthritis? an Analysis of 419 Patients with a Double Perspective, Based on Composite Scores and Patients’ and Physicians’ Perspectives

    Clémence Gorlier1, Deborah Puyraimond-Zemmour1, Laura C. Coates2, Ana-Maria Orbai3, Uta Kiltz4, Ying Ying Leung5, Penelope Palominos6, Juan D. Cañete7, Rossana Scrivo8, Andra Rodica Balanescu9, Emmanuelle Dernis10, Sandra Tälli11, Adeline Ruyssen-Witrand12, Martin Soubrier13, Sibel Zehra Aydın14, Lihi Eder15, Inna Gaydukova16, Ennio Lubrano17, Pascal Richette18, M. Elaine Husni19, Maarten de Wit20, Josef S. Smolen21 and Laure Gossec22, 1Sorbonne Université, PARIS, France, 2University of Oxford, Oxford, United Kingdom, 3Johns Hopkins University School of Medicine, Baltimore, MD, 4Rheumazentrum Ruhrgebiet, Herne, Germany, 5Department of Rheumatology and Immunology, Singapore General Hospital, Singapore, Singapore, 6Rheumatology, Hospital de Clinicas de Porto Alegre, Santa Cecilia, Brazil, 7Rheumatology, Hospital Clinic and IDIBAPS, Barcelona, Spain, 8Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy, 9Department of Internal Medicine and Rheumatology “Sf. Maria” Hospital, Bucharest, Romania, 10Service de Rhumatologie, CH du Mans, Le Mans, France, 11East-Tallinn Central Hospital, Department of Rheumatology, Tallinn, Estonia, 12Rheumatology, Purpan Hospital, Toulouse III University, Toulouse, France, 13Rheumatology, Department of Rheumatology, CHU Gabriel Montpied, Clermont-Ferrand, France, 14University of Ottawa, Ottawa, ON, Canada, 15Women's College Research Institute, University of Toronto, Women's College Hospital, Toronto, ON, Canada, 16North-western state medical university n.a. II Mechnikov, St. Petersburg, Russian Federation, 17Department of Medicine and Health Sciences Vincenzo Tiberio, University of Molise, Campobasso, Italy, 18Lariboisière Hospital, Lariboisière, University of Paris 7, Paris, France, 19Orthopedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH, 20Dept. Medical Humanities, Amsterdam Public Health (APH), VU University Medical Centre, Amsterdam, Netherlands, 21Division of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria, 22Sorbonne Universités, Paris, France

    Background/Purpose: Remission (REM) or minimal/low disease activity (LDA) is the treatment goal in Psoriatic Arthritis (PsA). There is no consensus on definitions of REM/LDA. Recently,…
  • Abstract Number: 638 • 2018 ACR/ARHP Annual Meeting

    Diagnostic Delay and Associated Factors in Axial Spondyloarthritis across Europe. Results from the European Map of Axial Spondyloarthritis Survey

    Laure Gossec1, Marco Garrido-Cumbrera2,3,4, Denis Poddubnyy5,6, David Galvez-Ruiz2,4, Christine Bundy7, Carlos Jesus Delgado Dominguez2,4, Raj Mahapatra8, Pedro Plazuelo-Ramos3, Souzi Makri9 and Victoria Navarro-Compán10, 1Sorbonne Universités, Paris, France, 2Health & Territory Research (HTR), Seville, Spain, 3Spanish Coordinator of Spondyloarthritis Associations (CEADE), Madrid, Spain, 4Universidad de Sevilla, Seville, Spain, 5German Rheumatism Research Centre, Berlin, Germany, 6Charité Universitätsmeidzin Berlin, Berlin, Germany, 7Cardiff University, Cardiff, United Kingdom, 8Ankylosing Spondylitis International Federation (ASIF), London, United Kingdom, 9Cyprus League Against Rheumatism, Nicosia, Cyprus, 10Immuno-Rheumatology research group, IdiPaz. La Paz University Hospital, Madrid, Spain

    Background/Purpose: Axial Spondyloarthritis (axSpA) is a chronic inflammatory disease associated with a long diagnostic delay (DD); however, recent data suggests improvements1. The purpose was to…
  • Abstract Number: 639 • 2018 ACR/ARHP Annual Meeting

    Is a Primary Good Response to Nsaids Predictive of the Subsequent Response to the First TNF Inhibitor in Patients with Early Axial Spondyloarthritis ?

    Loukianos Couvaras1, Daniel Wendling2, Vanessa Pauly3, Vincent Pradel4, Anna Molto5, Pierre Lafforgue1 and Thao Pham6, 1Rheumatology, Aix-Marseille University, APHM, Marseille, France, 2service de rhumatologie, CHU J Minjoz, Besancon, France, 3Public Health, Aix-Marseille university, AP-HM, Marseille, France, 4Public Health, APHM, Marseille, France, 5Hôpital Cochin, Department of Rheumatology, Paris Descartes University, Paris, France, 6Rheumatology Department, Aix-Marseille University, APHM, Marseille, France

    Background/Purpose: Good response to NSAIDs is a SpA feature included in classification criteria for axial spondyloarthritis (axSpA). Among patients eligible for a TNF inhibitor (TNFi),…
  • Abstract Number: 640 • 2018 ACR/ARHP Annual Meeting

    Increasing Rates of Arthroplasty for Psoriatic Arthritis in the United Kingdom between 1995 and 2010

    Ryan Lewinson1, Isabelle Vallerand2, Jeremy LaMothe3, Laurie Parsons1, Alexandra Frolkis4, Mark Lowerison2, Scott Patten2 and Cheryl Barnabe2,5, 1Dermatology, University of Calgary, Calgary, AB, Canada, 2Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 3Orthopaedic Surgery, University of Calgary, Calgary, AB, Canada, 4Internal Medicine, University of Calgary, Calgary, AB, Canada, 5Division of Rheumatology, University of Calgary, Calgary, AB, Canada

    Background/Purpose: Arthroplasty requirements among patients with psoriatic arthritis (PsA) are not well known. This information is of importance to clinical and policy stakeholders for health…
  • Abstract Number: 641 • 2018 ACR/ARHP Annual Meeting

    Construct Validity of the Swollen and Tender Joint Counts for the Measurement of MSK Disease Activity in Psoriatic Arthritis

    Ali Duarte-Garcia1, Lihi Eder2, Alisa Stephens-Shields3, Niti Goel4, Maarten de Wit5, Dafna D Gladman6, Oliver FitzGerald7, Philip Helliwell8, Ying Ying Leung9, Philip J. Mease10, Ana-Maria Orbai11, Beverly Shea12, Vibeke Strand13, William Tillett14, Laura C. Coates15 and Alexis Ogdie16, 1Mayo Clinic College of Medicine and Science, Rochester, MN, 2Women's College Research Institute, University of Toronto, Women's College Hospital, Toronto, ON, Canada, 3Department of Biostatistics, University of Pennsylvania, Philadelphia, PA, 4Kezar Life Sciences; Duke University School of Medicine, Durham, NC, 5EULAR standing committee of PARE, Zurich, Switzerland, 6Krembil Research Institute, Toronto Western Hospital, Toronto, ON, Canada, 7Department of Rheumatology, St Vincent's University Hospital and Conway Institute, University College Dublin, Ireland, Dublin, Ireland, 8LIMM, Section of Musculoskeletal Disease, University of Leeds, Leeds, United Kingdom, 9North District Hospital, Hong Kong, China, 10Swedish Medical Center and University of Washington School of Medicine, Seattle, WA, 11Johns Hopkins University School of Medicine, Baltimore, MD, 12University of Ottawa, Ottawa, ON, Canada, 13Stanford University School of Medicine, Palo Alto, CA, 14Royal National Hospital for Rheumatic Diseases and University of Bath, Bath, United Kingdom, 15University of Oxford, Oxford, United Kingdom, 16Medicine/Rheumatology and Epidemiology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Joint counts are central to the measurement of musculoskeletal disease activity in psoriatic arthritis (PsA).  Few studies have addressed whether the three most commonly…
  • Abstract Number: 642 • 2018 ACR/ARHP Annual Meeting

    Cost of Illness Analysis before and after Initiation of Tumour Necrosis Factor α Inhibitors in Patients with Axial Spondyloarthritis

    Imke Redeker1, Falk Hoffmann2, Johanna Callhoff1, Hildrun Haibel3, Joachim Sieper4, Angela Zink5 and Denis Poddubnyy4, 1Epidemiology Unit, German Rheumatism Research Centre, Berlin, Germany, 2Department of Health Services Research, Carl von Ossietzky University, Oldenburg, Germany, 3Charité Universitätmedizin Berlin, Berlin, Germany, 4Rheumatology, Charité Universitätsmeidzin Berlin, Berlin, Germany, 5Epidemiology Unit / Rheumatology and Clinical Immunology, German Rheumatism Research Centre (DRFZ) / Charité University Hospital, Berlin, Germany

    Background/Purpose: Tumour necrosis factor-α inhibitors (TNFi) are an effective but rather expensive treatment option in axial spondyloarthritis (axSpA) patients who fail conventional treatment. The aim…
  • Abstract Number: 643 • 2018 ACR/ARHP Annual Meeting

    Remission in Psoriatic Arthritis: Definition and Predictors

    Samar AlHarbi1, Justine Y. Ye2, Ker-Ai Lee3, Vinod Chandran2, Richard J. Cook3 and Dafna D Gladman1, 1University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 3Statistics and Actuarial Science, University of Waterloo, Waterloo, ON, Canada

    Background/Purpose: No validated definition of remission exists for psoriatic arthritis (PsA) to date. We previously identified 17.6% of our patients as having remission (no actively…
  • Abstract Number: 644 • 2018 ACR/ARHP Annual Meeting

    Influence of Inflammation and Structural Damage on Global Functioning in Patients with Axial Spondyloarthritis – Using the ASAS Health Index in Routine Care

    Uta Kiltz1, Thomas Wiatr2, Xenofon Baraliakos1, Kirill Fedorov2 and Jürgen Braun3, 1Rheumatology, Rheumazentrum Ruhrgebiet, Herne, and Ruhr University Bochum, Herne, Germany, 2Rheumazentrum Ruhrgebiet, Herne, Germany, 3Ruhr-University Bochum, Bochum, Germany

    Background/Purpose: To investigate the relationship between spinal mobility and self-report global functioning as assessed by the ASAS Health Index (ASAS HI), and to study the…
  • Abstract Number: 645 • 2018 ACR/ARHP Annual Meeting

    Real World Secukinumab Study in Ankylosing Spondylitis and Psoriatic Arthritis – Comorbidities and Extraarticular Manifestations: Incidence and Status throughout a Non-Interventional Study in Germany

    Uta Kiltz1, Peter Kaestner2, Holger Krauel2, Ilka Schwarze3, Jan Brandt-Juergens4, Monika Maier-Peuschel5, Carolin Legeler5, Justyna Veit5 and Hans-Peter Tony6, 1Rheumazentrum Ruhrgebiet, Herne, Germany, 2Rheumatology, Ambulantes Rheumazentrum, Erfurt, Germany, 3Praxis internistische Rheumatologie, Leipzig, Germany, 4Rheumatology, Rheumatologische Schwerpunktpraxis, Berlin, Germany, 5Novartis Pharma GmbH, Nürnberg, Germany, 6Rheumatology/Immunology, Medizinische Klinik II, Universitätsklinik, Würzburg, Germany

    Background/Purpose: Patients with psoriatic arthritis (PsA) or ankylosing spondylitis (AS) may suffer from extraarticular (EA) manifestations (uveitis, psoriasis) and have higher rates of comorbidities like…
  • Abstract Number: 646 • 2018 ACR/ARHP Annual Meeting

    Do Ethnicity, Degree of Family Relationship, and the Spondyloarthritis Subtype in Affected Relatives Influence the Association between a Positive Family History for Spondyloarthritis and HLA-B27 Carriership? Results from the Worldwide ASAS Cohort

    Miranda van Lunteren1, Alexandre Sepriano1,2, Robert B.M. Landewé3,4, Joachim Sieper5,6, Martin Rudwaleit6,7, Désirée van der Heijde1 and Floris van Gaalen1, 1Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Rheumatology, NOVA Medical School, Universidade Nova de Lisboa, Lisbon, Portugal, 3Amsterdam Rheumatology & Immunology Center, Amsterdam, Netherlands, 4Rheumatology, Zuyderland Hospital, Heerlen, Netherlands, 5German Rheumatism Research Centre, Berlin, Germany, 6Rheumatology, Charité Campus Benjamin Franklin, Berlin, Germany, 7Internal Medicine and Rheumatology, Klinikum Bielefeld Rosenhöhe, Bielefeld, Germany

    Background/Purpose: The Assessment of SpondyloArthritis international Society (ASAS) defines a positive family history (PFH) of spondyloarthritis (SpA) as presence of ankylosing spondylitis (AS), acute anterior…
  • Abstract Number: 647 • 2018 ACR/ARHP Annual Meeting

    Validation of a New Electronic Spinal Mobility Index for Patients with Axial Spondyloarthritis Based on Inertial Motion Unit (IMU) Sensors

    Philip Gardiner1, Dawn Small2, Eithne Boyle2, Ann Marie Conlon2, José António P. da Silva3, Joan Condell4, Antonio Cuesta-Vargas5, Eduardo Collantes-Estévez6 and Juan Luis Garrido-Castro7, 1Rheumatology, Western Health and Social Care Trust, Londonderry, United Kingdom, 2Western Health and Social Care Trust, Londonderry, United Kingdom, 3Department of rheumatology, Centro Hospitalar e Universitário de Coimbra (SRHUC), Coimbra, Portugal, 4Ulster University, Coleraine, United Kingdom, 5University of Malaga, Malaga, Spain, 6Rheumatology service, IMIBIC/Reina Sofia Hospital/University of Cordoba, Cordoba, Spain, 7IMIBIC, Cordoba, Spain

    Background/Purpose:  Spinal mobility is a major problem for people with axial spondyloarthritis (axSpA). The BASMI has been widely used for measuring spinal mobility but it…
  • Abstract Number: 648 • 2018 ACR/ARHP Annual Meeting

    Performance of an Online Self-Referral Questionnaire Compared to a Physician-Based Referral Approach to Identify Patients with a High Probability of Axial Spondyloarthritis: Results from the Optiref Study

    Fabian Proft1, Laura Spiller1, Mikhail Protopopov1, Valeria Rios Rodriguez1, Burkhard Muche1, Judith Rademacher1, Susanne Lueders2, Anne-Katrin Weber1, Inge Spiller1, Joachim Sieper3,4 and Denis Poddubnyy3,4, 1Charité Universitätsmedizin Berlin, Berlin, Germany, 2Department of Rheumatology and Clinical Immunology, Charité Universitätsmedizin Berlin, Berlin, Germany, 3German Rheumatism Research Centre, Berlin, Germany, 4Charité Universitätsmeidzin Berlin, Berlin, Germany

    Background/Purpose: The diagnostic delay in axial spondyloarthritis (axial SpA) has been reported to be 9 years and still remains unacceptably high. One of the major…
  • Abstract Number: 649 • 2018 ACR/ARHP Annual Meeting

    Ankylosing Spondylitis Disease Activity Score (ASDAS) Based on a Quick Quantitative CRP Assay Performs Similarly Well to ASDAS Based on Conventional CRP in Patients with Axial Spondyloarthritis

    Fabian Proft1, Burkhard Muche1, Laura Spiller1, Valeria Rios Rodriguez1, Judith Rademacher1, Anne-Katrin Weber1, Susanne Lueders2, Mikhail Protopopov1, Inge Spiller1, Joachim Sieper3 and Denis Poddubnyy3,4, 1Charité Universitätsmedizin Berlin, Berlin, Germany, 2Department of Rheumatology and Clinical Immunology, Charité Universitätsmedizin Berlin, Berlin, Germany, 3Charité Universitätsmeidzin Berlin, Berlin, Germany, 4German Rheumatism Research Centre, Berlin, Germany

    Background/Purpose: The Ankylosing Spondylitis Disease Activity Score (ASDAS) is a composite index to assess disease activity in patients with axial spondyloarthritis (axSpA). According to the…
  • Abstract Number: 650 • 2018 ACR/ARHP Annual Meeting

    Can Disease Activity in Patients with Psoriatic Arthritis be Adequately Assessed By a Modified Disease Activity Index for Psoriatic Arthritis (DAPSA) Based on 28 Joints?

    Brigitte Michelsen1,2, Joseph Sexton1, Josef S. Smolen3, Daniel Aletaha4, Niels Steen Krogh5, Désirée van der Heijde6, Tore Kvien7 and Merete Lund Hetland8,9, 1Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 2Division of Rheumatology, Department of Internal Medicine, Hospital of Southern Norway Trust, Kristiansand, Norway, 3Division of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria, 4Medical University of Vienna, Vienna, Austria, 5ZiteLab ApS, Copenhagen, Denmark, 6Leiden University Medical Centre, Leiden, Netherlands, 7Dept. of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 8Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, The DANBIO Registry, Glostrup, Denmark, 9University of Copenhagen, Copenhagen, Denmark

    Background/Purpose: Many registries routinely collect only 28 joint count, although 66/68 joint count has higher face validity in PsA. We aimed to compute and test…
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