ACR Meeting Abstracts

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  • Abstract Number: 951 • 2018 ACR/ARHP Annual Meeting

    IFN-Gamma Production in Lyme Arthritis Synovial Tissue Promotes Differentiation of Fibroblast-like Synoviocytes into Inflammatory Effector Cells

    Robert Lochhead1, David Ordonez-Del Valle1, Sheila Arvikar2, Allen C. Steere2 and Klemen Strle3, 1Center for Immunology and Inflammatory Diseases, Massachusetts General Hospital, Harvard Medical School, BOSTON, MA, 2Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Department of Immunology and Inflammatory Diseases, Massachusetts General Hospital, Harvard Medical School, BOSTON, MA

    Background/Purpose: Lyme arthritis (LA), a late-disease manifestation of Borrelia burgdorferi infection, usually responds to antibiotic therapy. However, some patients may develop a proliferative synovitis lasting…
  • Abstract Number: 952 • 2018 ACR/ARHP Annual Meeting

    Effusion-Synovitis and Infrapatellar Fat Pad Edema Differentiate Accelerated Knee Osteoarthritis: Data from the Osteoarthritis Initiative

    Julie Davis1, Robert J. Ward2, James MacKay3, Bing Lu4, Lori Lyn Price5,6, Timothy E. McAlindon7, Charles B. Eaton8, Mary Barbe9, Grace H. Lo10, Matthew Harkey1 and Jeffrey B. Driban11, 1Rheumatology, Tufts Medical Center, Boston, MA, 2Radiology, Tufts Medical Center, Boston, MA, 3Radiology, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom, 4Brigham & Women's Hospital and Harvard Medical School, Boston, MA, 5Tufts Clinical and Translational Science Institute, Tufts University, Boston, MA, 6Biostatistics Research Center, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, 7Division of Rheumatology, Tufts Medical Center, Boston, MA, 8Family Medicine and Community Health( Epidemiology), Alpert Medical School of Brown University, Pawtucket, RI, 9Temple University School of Medicine, Philadelphia, PA, 10Michael E. DeBakey Veterans Affairs Medical Center / Baylor College of Medicine, Houston, TX, 11Medicine, Division of Rheumatology, Tufts Medical Center, Boston, MA

    Background/Purpose: Accelerated knee osteoarthritis (AKOA) is a unique endotype of knee osteoarthritis (KOA) that is characterized by a sudden onset of advance-stage disease and greater…
  • Abstract Number: 953 • 2018 ACR/ARHP Annual Meeting

    Evaluating MRI-Detected Knee Inflammation Prior to Total Knee Replacement As a Predictive Biomarker of Clinically Important Pain Reduction Two Years Later

    Manjinder Kaur1, Lili Zhou2, Erin L. Ashbeck2, Ernest Vina3, Frank Roemer4, Ali Guermazi5, David J. Hunter6 and C. Kent Kwoh1,2, 1Division of Rheumatology, Department of Medicine, The University of Arizona, Tucson, AZ, 2University of Arizona Arthritis Center, Tucson, AZ, 3University of Arizona School of Medicine, University of Arizona Arthritis Center, Tucson, AZ, 4Department of Radiology, Boston University School of Medicine, Boston, MA, USA, Boston, MA, 5Boston University School of Medicine, Boston, MA, 6University of Sydney, Sydney, Australia

    Background/Purpose: Some patients do not experience clinical improvement after total knee replacement (TKR). Presence of structural abnormalities on MRI before surgery may inform pain prognosis…
  • Abstract Number: 954 • 2018 ACR/ARHP Annual Meeting

    A New Way to Think about Composite Magnetic Resonance Imaging Scores to Measure Osteoarthritis Severity and Progression

    Lori Lyn Price1,2, Jeffrey B. Driban3, Grace H. Lo4, Ming Zhang5, Michael P. LaValley6 and Timothy E. McAlindon7, 1Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, 2Tufts Clinical and Translational Science Institute, Tufts University, Boston, MA, 3Medicine, Division of Rheumatology, Tufts Medical Center, Boston, MA, 4Michael E. DeBakey Veterans Affairs Medical Center / Baylor College of Medicine, Houston, TX, 5Tufts Medical Center, Boston, MA, 6Biostatistics, Boston University School of Public Health, Boston, MA, 7Division of Rheumatology, Tufts Medical Center, Boston, MA

    Background/Purpose: For some rheumatologic diseases (e.g. lupus), separate scores evaluate cumulative damage and disease activity.  No such strategy exists for osteoarthritis (OA).  The prevailing approach…
  • Abstract Number: 955 • 2018 ACR/ARHP Annual Meeting

    Lower Limb Muscle Strength and Protection Against Functional Decline and Structural Worsening in Knee Osteoarthritis

    Alison H. Chang1, Joan S. Chmiel2, Orit Almagor1, Karen W. Hayes1, Ali Guermazi3, Prasad Pottumarthi4, Kirsten C. Moisio1, Yunhui Zhang1, Julie Szymaszek1 and Leena Sharma5, 1Northwestern University Feinberg School of Medicine, Chicago, IL, 2Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, 3Boston University School of Medicine, Boston, MA, 4NorthShore University HealthSystem, Evanston, IL, 5Division of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL

    Background/Purpose: Lower limb muscle weakness has been proposed as a factor contributing to functional decline and structural progression. Hip abductor strengthening, in addition to quadriceps…
  • Abstract Number: 956 • 2018 ACR/ARHP Annual Meeting

    Bone Mineral Density Is a Causal Risk Factor for Knee and Hip Osteoarthritis: A Population-Based and Mendelian Randomization Study in the UK Biobank

    Thomas Funck-Brentano1, Maria Nethander2, Sofia Moverare Skrtic1, Pascal Richette3 and Claes Ohlsson1, 1Center for Bone and Arthritis Research, Department of Internal Medicine, Sahlgrensaka Academy, Gothenburg University, Gothenburg, Sweden, 2Bioinformatics Core Facility, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden, 3Lariboisière Hospital, Lariboisière, University of Paris 7, Paris, France

    Background/Purpose: Osteoarthritis (OA) involves the whole joint, with alterations of cartilage, synovium and bone. Whether bone changes are a cause or consequence of the disease…
  • Abstract Number: 957 • 2018 ACR/ARHP Annual Meeting

    Biomechanical Therapy for Osteoarthritis of the Knee: A Randomized Controlled Trial

    Stephan Reichenbach1,2, Sarah Heldner1, Armando Lenz3, David T. Felson4 and Peter Jüni5, 1Institute for Social and Preventive Medicine, Bern, Bern, Switzerland, 2Department of Rheumatology, Immunology and Allergology, Bern, Bern, Switzerland, 3CTU Bern, University of Bern, Bern, Switzerland, 4Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, 5Applied Health Research Centre (AHRC), Toronto, Toronto, ON, Canada

    Background/Purpose: Biomechanics plays an important role in knee osteoarthritis (OA). A new biomechanical footwear system aims at altering knee loading patterns and retraining neuromuscular control…
  • Abstract Number: 958 • 2018 ACR/ARHP Annual Meeting

    Tocilizumab and the Risk for Cardiovascular Disease Events Among Rheumatoid Arthritis Patients: A Direct Comparison in Real World Setting

    Fenglong Xie1, Huifeng Yun1, Emily Levitan2, Paul M. Muntner2 and Jeffrey R. Curtis1, 1University of Alabama at Birmingham, Birmingham, AL, 2Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Multiple studies have observed unfavorable changes in lipid profile associated with tocilizumab (TCZ, anti-IL6 receptor antagonists) and some other rheumatoid arthritis (RA) therapies. The…
  • Abstract Number: 959 • 2018 ACR/ARHP Annual Meeting

    The Prevalence of Methotrexate Associated Hepatotoxicity in a Multi-Hospital Health System

    Elizabeth Pahomov1, Yuliya Belopolsky1, Arshad Ali1 and Robert Woodrick2, 1Internal Medicine, NorthShore University HealthSystem, Evanston, IL, 2Rheumatology, NorthShore University HealthSystem, Evanston, IL

    Background/Purpose: MTX has become the cornerstone in treatment of many rheumatologic disorders including rheumatoid arthritis and psoriasis. Although MTX can have a profound impact on…
  • Abstract Number: 960 • 2018 ACR/ARHP Annual Meeting

    The Risk of Gastrointestinal Perforations Associated with Biologic Disease-Modifying Anti-Rheumatic Drugs Used in Rheumatoid Arthritis: A Nationwide Swedish Cohort Study

    Andrei Barbulescu1, Thomas Frisell1, Johan Askling2 and Bénédicte Delcoigne1, 1Clinical Epidemiology Unit, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden, 2Unit of Clinical Epidemiology, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose: Gastrointestinal (GI) perforations occur more often than expected in patients with RA. Reports indicate that tocilizumab may be associated with an increased risk of…
  • Abstract Number: 961 • 2018 ACR/ARHP Annual Meeting

    The Association of Biologic Drug-Levels with Infection Risk: Results from the British Society for Rheumatology Biologics Register for Rheumatoid Arthritis

    Meghna Jani1, William G Dixon1, Mark Lunt1, Diederik De Cock1, John Isaacs2, Ann Morgan3, Kath Watson1, Anthony G. Wilson4, Anne Barton5,6 and Kimme L. Hyrich1,5, 1Arthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, United Kingdom, 2Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom, 3Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds Teaching Hospitals NHS Trust, Leeds, Great Britain, 4UCD School of Medicine and Medical Science, Conway Institute, University College Dublin, Dublin, Ireland, 5National Institute of Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom, 6Arthritis Research UK Centre for Genetics and Genomics, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, The University Of Manchester, Manchester, United Kingdom

      Background/Purpose: High dose tumour necrosis factor inhibitor (TNFi) drugs are associated with an increased serious infection (SI) risk[1]. It is feasible that high biologic…
  • Abstract Number: 962 • 2018 ACR/ARHP Annual Meeting

    Safety Profile of Baricitinib for the Treatment of Rheumatoid Arthritis up to 6 Years: An Updated Integrated Safety Analysis

    Mark C. Genovese1, Josef S. Smolen2, Tsutomu Takeuchi3, Terence P. Rooney4, Christina L. Dickson4, Xiao-Yan Yang4, Chadi Saifan4, Anabela Cardoso4, Maher Issa4, Taeko Ishii5 and Kevin Winthrop6, 1Stanford University Medical Center, Palo Alto, CA, 2Division of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria, 3Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, 4Eli Lilly and Company, Indianapolis, IN, 5Eli Lilly and Company, Kobe, Japan, 6Oregon Health and Science University, Portland, OR

    Background/Purpose:  Baricitinib (bari), an oral, selective inhibitor of Janus kinase (JAK) 1 and JAK 2, is approved for the treatment of moderately to severely active…
  • Abstract Number: 963 • 2018 ACR/ARHP Annual Meeting

    Long-Term Safety of Tofacitinib up to 9.5 Years: A Comprehensive Integrated Analysis of the RA Clinical Development Program

    Stanley Cohen1, Yoshiya Tanaka2, Xavier Mariette3, Jeffrey R. Curtis4, Eun Bong Lee5, Peter Nash6, Kevin Winthrop7, Christina Charles-Schoeman8, Lisy Wang9, Connie Chen10, Kenneth Kwok10, Pinaki Biswas10, Andrea Shapiro11, Ann Madsen10 and Jürgen Wollenhaupt12, 1Metroplex Clinical Research Center and University of Texas Southwestern Medical Center, Dallas, TX, 2University of Occupational and Environmental Health, Kitakyushu, Japan, 3Paris-Sud University, Le Kremlin Bicêtre, France, 4University of Alabama at Birmingham, Birmingham, AL, 5Seoul National University, Seoul, Korea, Republic of (South), 6University of Queensland, Brisbane, Australia, 7Oregon Health and Science University, Portland, OR, 8University of California, Los Angeles, CA, 9Pfizer Inc, Groton, CT, 10Pfizer Inc, New York, NY, 11Pfizer Inc, Peapack, NJ, 12Schön-Klinik Hamburg-Eilbek Teaching Hospital of the University of Hamburg, Hamburg, Germany

    Background/Purpose: Tofacitinib is an oral Janus kinase inhibitor for the treatment of RA. Here, we report the largest integrated safety analysis of tofacitinib to date…
  • Abstract Number: 964 • 2018 ACR/ARHP Annual Meeting

    Psoriatic Arthritis Impact of Disease (PsAID12) Was Provisionally Endorsed at Omeract 2018 As Core Instrument to Measure Psoriatic Arthritis-Specific Health-Related Quality of Life in Randomized Controlled Trials and Longitudinal Observational Studies

    Richard Holland1, Robin Christensen2, Niti Goel3, Pil Hoejgaard4, William Tillett5, Laure Gossec6, Maarten de Wit7, Neil McHugh8, Philip J. Mease9, Beverly Shea10, Ying Ying Leung11, Dafna D Gladman12, Christine Lindsay13, Laura C. Coates14, Alexis Ogdie15, Vibeke Strand16, Lara Fallon17, Julie Birt18, Kristina Callis Duffin19, Oliver FitzGerald20, Peter Tugwell21, Dorcas Beaton22,23 and Ana-Maria Orbai24, 1Royal Prince Alfred Hospital Medical Centre, Sydney, Australia, 2Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg, Denmark, 3Kezar Life Sciences; Duke University School of Medicine, Durham, NC, 4Center for Rheumatology and Spine Diseases - Gentofte, Rigshospitalet, Hellerup, Denmark, 5Royal National Hospital for Rheumatic Diseases and University of Bath, Bath, United Kingdom, 6Sorbonne Universités, Paris, France, 7EULAR standing committee of PARE, Zurich, Switzerland, 8Rheumatology, Royal National Hospital, Bath, Great Britain, 9Swedish Medical Center and University of Washington, Seattle, WA, 10School of Epidemiology, Public Health, and Preventive Medicine, Faculty of Medicine, University of Ottawa, and Ottawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa, ON, Canada, 11Singapore General Hospital, Singapore, Singapore, 12University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 13Medical Affairs, Amgen Inc, Thousand Oaks, CA, 14University of Oxford, Oxford, United Kingdom, 15Medicine/Rheumatology and Epidemiology, University of Pennsylvania, Philadelphia, PA, 16Stanford University School of Medicine, Palo Alto, CA, 17Pfizer Canada, Montreal, QC, Canada, 18Eli Lilly and Company, Indianapolis, IN, 19Department of Dermatology, University of Utah, Salt Lake City, UT, 20Department of Rheumatology, St. Vincent’s University Hospital, UCD School of Medicine and Medical Sciences and Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland, 21Center For Global Health, Institute of Population Hlth, Ottawa, ON, Canada, 22University of Toronto, Musculoskeletal Health and Outcomes Research, St. Michael's Hospital and Institute for Work and Health, Toronto, ON, Canada, 23University of Toronto, Department of Occupational Science and Occupational Therapy, Rehabilitation Sciences Institute, and the Institute for Health Policy Management and Evaluation, Toronto, ON, Canada, 24Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: The GRAPPA-OMERACT PsA working group (WG) is using the OMERACT Filter 2.1 instrument selection algorithm1 to develop a Psoriatic Arthritis (PsA) core instrument set…
  • Abstract Number: 965 • 2018 ACR/ARHP Annual Meeting

    Defining Cutoffs Corresponding to Low Levels of Disease Activity in Psoriatic Arthritis, Using the Patient-Reported Psoriatic Arthritis Impact of Disease Questionnaire (PsAID12). an Analysis of 436 Patients

    Clémence Gorlier1, Deborah Puyraimond-Zemmour1, Ana-Maria Orbai2, Laura C. Coates3, 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 Eder15,16, Inna Gaydukova17, Ennio Lubrano18, Pascal Richette19, M. Elaine Husni20, Maarten de Wit21, Josef S. Smolen22 and Laure Gossec23, 1Sorbonne Université, PARIS, France, 2Johns Hopkins University School of Medicine, Baltimore, MD, 3University of Oxford, Oxford, United Kingdom, 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, 16Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada, 17North-western state medical university n.a. II Mechnikov, St. Petersburg, Russian Federation, 18Department of Medicine and Health Sciences Vincenzo Tiberio, University of Molise, Campobasso, Italy, 19Lariboisière Hospital, Lariboisière, University of Paris 7, Paris, France, 20Orthopedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH, 21Dept. Medical Humanities, Amsterdam Public Health (APH), VU University Medical Centre, Amsterdam, Netherlands, 22Division of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria, 23Rhumatologie, Médecine Sorbonne Université, Pitié-Salpétrière Hospital, Paris, France

    Background/Purpose: The Psoriatic Arthritis (PsA) Impact of Disease questionnaire (PsAID12) score allows an assessment of patient-important symptoms and life impact in PsA. It is provisionally…
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