ACR Meeting Abstracts

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  • Abstract Number: 1251 • 2018 ACR/ARHP Annual Meeting

    Guideline Adherence for Perioperative Use of Immunosuppressive Medications in Patients with Rheumatologic Disease

    Grace Berlin, Carolyn Casey, Susan Kim and James Ross, Rheumatology, Lehigh Valley Health Network, Allentown, PA

    Background/Purpose: In response to the lack of clear data to dictate recommendations for use of DMARDs and biologic therapy in the perioperative period, The American…
  • Abstract Number: 1252 • 2018 ACR/ARHP Annual Meeting

    Screening for Tuberculosis before Initiating TNF Inhibitors: How Well Do We Do? a Nationwide Experience

    Karim Ladak1, Ting Pan2 and Catherine MacLean1, 1Rheumatology, Hospital For Special Surgery, New York, NY, 2Value Office, Hospital For Special Surgery, New York, NY

    Background/Purpose: Tumor necrosis factor inhibitors (TNFi) revolutionized treatment of various conditions, however they drastically increase the risk of latent tuberculosis (LTBI) reactivation. Many national medical…
  • Abstract Number: 1253 • 2018 ACR/ARHP Annual Meeting

    Lipid Screening and Treatment Patterns Among Patients with Rheumatic Diseases

    Alexander Peck1, Gilbert Ortega2, Jawad Bilal3, Ella Starobinska2, Phan Saligrama2 and Dominick Sudano4, 1Division of Internal Medicine, University of Arizona College of Medicine, Tucson, AZ, 2Internal Medicine, University of Arizona, Tucson, Tucson, AZ, 3Internal Medicine, University of Arizona, Tucson, AZ, 4University of Arizona Arthritis Center, University of Arizona, Tucson, AZ

    Background/Purpose: The importance of lipid management is well recognized in rheumatic diseases. In fact, annual cardiovascular risk assessment is especially recommended for individuals with rheumatoid…
  • Abstract Number: 1254 • 2018 ACR/ARHP Annual Meeting

    QI Project: Inpatient Practices in Ordering Fluorescent Anti-Nuclear Antibodies (F-ANA) and ANA Subserologies in a City Hospital in an Underserved Community

    Ivan Emil Ramirez de Oleo1, Beverly Johnson2,3 and Barbara Mendez-Agrusa4, 1Internal Medicine, Jacobi Medical Center, Bronx, NY, 2Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY, 3Rheumatology, Albert Einstein College of Medicine, Bronx, NY, 4Medicine, Department of Rheumatology, Albert Einstein College of Medicine, Bronx, NY

    Background/Purpose: It is important for internists to know how to appropriately and effectively order subspecialty labs. As part of the choosing wisely campaign in 2013,…
  • Abstract Number: 1255 • 2018 ACR/ARHP Annual Meeting

    Elevated Serum Globulin Gap As a Reliable and Cost-Savings Marker of Inflammation in Patients with Systemic Rheumatic Diseases

    William Stohl1, Beatrice Kenol2, Andrew Kelly2, Aditi Ananth Correa2 and Richard Panush3, 1Division of Rheumatology, University of Southern California Keck School of Medicine, Los Angeles, CA, 2Keck School of Medicine of University of Southern California, Los Angeles, CA, 3Rheumatology, Keck School of Medicine of University of Southern California, Los Angeles, CA

    Background/Purpose: In clinical practice, the two most commonly used markers of systemic inflammation are the serum CRP level and ESR. The economic costs of these…
  • Abstract Number: 1256 • 2018 ACR/ARHP Annual Meeting

    A Customized Health Information Technology Effectively Identifies and Directs Bone Health Services in Rural Veterans with Osteoporosis Risk Factors

    Shardool Patel1, Zachary L. Anderson1, Grant W. Cannon2, Brian C. Sauer2 and Karla L. Miller2, 1Salt Lake City VA Medical Center, Salt Lake City, UT, 2Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT

    Background/Purpose: Osteoporosis is underdiagnosed and undertreated in the Veterans Health Administration (VHA), especially in rural Veterans. Tools to identify risk factors in Veterans are available.…
  • Abstract Number: 1257 • 2018 ACR/ARHP Annual Meeting

    Simple and Cost-Effective Intervention Doubled the Rate of Osteoporosis Screening in High Risk Rheumatology Patients

    Mosaab Mohameden1, Victoria Malkhasyan2, Adam Shurbaji1 and Candice Yuvienco3, 1Internal Medicine, University of California San Francisco - Fresno Medical Education Program, Fresno, CA, 2University of California San Francisco - Fresno Medical Education Program, Fresno, CA, 3Internal Medicine, Division of Rheumatology Director, University of California San Francisco - Fresno Medical Education Program, Division of Rheumatology Director, Fresno, CA

    Background/Purpose: Osteoporosis is a common bone disorder that places patients at risk of pathologic fractures. Osteoporotic fractures can be devastating and associated with significant morbidity,…
  • Abstract Number: 1258 • 2018 ACR/ARHP Annual Meeting

    Can Patients Enter Medical History Data By Self-Report Directly into an Electronic Medical Record (EMR)? “Private Medical History” (PMH) Software for Physician Report in EMR Format and Patient Storage to Correct and Update Medical History for Any EMR

    Theodore Pincus1, Ricardo Gomez Lara2 and Niels Steen Krogh3, 1Division of Rheumatology, Rush University Medical Center, Chicago, IL, 2of ZiteLab ApS, Frederiksberg, Denmark, 3ZiteLab ApS, Copenhagen, Denmark

    Background/Purpose: The electronic medical record (EMR) promised greater efficiencies in clinical medicine. This goal may be met in part in an ICU, operating room, and…
  • Abstract Number: 1259 • 2018 ACR/ARHP Annual Meeting

    Driving Performance and Safety in Rheumatoid Arthritis: A Systematic Review

    Daniel Zhou1, Ted R. Mikuls2, Cynthia Schmidt3, Bryant R. England4, Debra A Bergman5, Matthew Rizzo6, Jennifer Merickel6 and Kaleb Michaud7,8, 1Internal Medicine, University of Nebraska Medical Center, Omaha, NE, 2Internal Medicine, Division of Rheumatology, VA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha, NE, 3McGoogan Library of Medicine, University of Nebraska Medical Center, Omaha, NE, 4Rheumatology, VA Nebraska-Western Iowa Health Care System & University of Nebraska Medical Center, Omaha, NE, 5Division of Rheumatology, VA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha, NE, 6Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, 7Rheumatology, University of Nebraska Medical Center, Omaha, NE, 8FORWARD, The National Databank for Rheumatic Diseases, Wichita, KS

    Background/Purpose: Automobile driving represents an instrumental activity of daily living (IADL). Symptoms accompanying RA, including fatigue, joint pain and stiffness, decreased strength, reduced mobility, and…
  • Abstract Number: 1260 • 2018 ACR/ARHP Annual Meeting

    Predictors of Hospitalization Due to Acute Gout: A Retrospective Cohort Study

    Nadine Mbuyi1, Isha Shah2, Steven Reinert3, Grayson Baird4, Pieusha Malhotra5, Ross Hilliard6 and Deepan Dalal7, 1Rheumatology, The Warren Alpert Medical School of Brown University, Providence, RI, 2Internal Medicine, The Warren Alpert Medical School of Brown University, Providence, RI, 3Lifespan Information Services, Lifespan Information Services, Providence, RI, Providence, RI, 4Department of Biostatistics, Lifespan, Rhode Island Hospital, Providence, RI, 5Rheumatology, Roger William Medical Center, Providence, RI, Providence, RI, 6Medicine, The Warren Alpert Medical School of Brown University, Providence, RI, 7Medicine/Rheumatology, The Warren Alpert Medical School of Brown University, Providence, RI

    Background/Purpose: Despite effective treatments, hospitalization due to acute gout is increasing and is financially burdensome. Prior studies have primarily attributed the increased rate of gout…
  • Abstract Number: 1261 • 2018 ACR/ARHP Annual Meeting

    Development a Core Domain Set to Assess Shared Decision Making Interventions in Rheumatology: An OMERACT White Paper to Facilitate Endorsement

    Karine Toupin-April1, Jennifer Barton2,3, Liana Fraenkel4, Alexa Meara5, Linda Li6, Peter Brooks7, Maarten de Wit8, Dawn Stacey9,10, France Légaré11, Beverly Shea9,12,13, Anne Lyddiatt14, Catherine Hofstetter15, Robin Christensen16, Marieke Scholte-Voshaar17,18, Maria Suarez-Almazor19, Annelies Boonen20, Tanya Meade21,22, Lyn March22, Janet Elizabeth Jull9, Willemina Campbell23, Rieke Alten24, Suvi Karuranga25, Esi Morgan26, Jessica Kaufmann27, Sophie Hill27, Lara J. Maxwell9,10, Dorcas Beaton28, Yasser El-Miedany29, Shikha Mittoo30, Susan J. Bartlett31, Jasvinder A. Singh32 and Peter Tugwell33, 1Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada, 2VA Portland Health Care System, Portland, OR, 3Oregon Health & Science University, Portland, OR, 4Yale University School of Medicine, New Haven, CT, 5Internal Medicine/Rheumatology, The Ohio State University Wexner Medical Center, Columbus, OH, 6Arthritis Research Canada, Richmond, BC, Canada, 7The University of Melbourne, Victoria, Australia, 8EULAR standing committee of PARE, Zurich, Switzerland, 9University of Ottawa, Ottawa, ON, Canada, 10The Ottawa Hospital Research Institute, Ottawa, ON, Canada, 11Université Laval, Montreal, QC, Canada, 12Bruyere Research Institute, Ottawa, ON, Canada, 13School of Epidemiology, Public Health, and Preventive Medicine, Faculty of Medicine, University of Ottawa, and Ottawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa, ON, Canada, 14Musculoskeletal Group, Cochrane Collaboration, Hamilton, ON, Canada, 15OMERACT patient research partner group, Ottawa, ON, Canada, 16Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark, 17University of Twente, Enschede, ON, Netherlands, 18OMERACT patient research partner group, Enschede, Netherlands, 19Section of Rheumatology and Clinical Immunology, Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, 20Department of Rheumatology, Maastricht University Medical Center, Maastricht, The Netherlands, Maastricht, Netherlands, 21Western Sydney University, New South Wales, Australia, 22University of Sydney, New South Wales, Australia, 23OMERACT patient research partner group, Toronto, ON, Canada, 24University Medicine Berlin, Berlin, Germany, 25Access to Medicine Foundation, Haarlem, Netherlands, 26University of Cincinnati, Cincinnati, OH, 27La Trobe University, Victoria, Australia, 28Mobility Program Clinical Research Unit, St Michael's Hospital, Toronto, ON, Canada, 29Ain Shams University, Cairo, Egypt, 30Involved medicine, Toronto, ON, Canada, 31Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 32Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 33Center For Global Health, Institute of Population Hlth, Ottawa, ON, Canada

    Background/Purpose: Shared decision making (SDM) improves decisional outcomes and patient-physician communication and holds great potential for improving the management of various rheumatology conditions. However, the…
  • Abstract Number: 1262 • 2018 ACR/ARHP Annual Meeting

    The Importance of Standardization of Musculoskeletal Procedures Performed in an Academic Rheumatology Clinic

    Sarah Ifteqar1, Ricky Mehta1, Paul Schmidt2 and Mehrdad Maz3, 1Allergy, Clinical Immunology and Rheumatology, Division of Allergy, Clinical Immunology and Rheumatology, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, 2Allergy, Clinical Immunology, & Rheumatology, Division of Allergy, Clinical Immunology and Rheumatology, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, 3Allergy, Clinical Immunology, and Rheumatology, Division of Allergy, Clinical Immunology and Rheumatology, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS

    Background/Purpose: Diagnostic and therapeutic arthrocentesis and soft tissue injections are routinely performed by Rheumatologists mostly in the outpatient and some in the inpatient settings. There…
  • Abstract Number: 1263 • 2018 ACR/ARHP Annual Meeting

    Develop a Master Algorithm for Drug Withdraw Strategy in Reduction of Adverse Events – a Machine Learning Model from the Smart System of Disease Management (SSDM)

    Yan Zhao1, Jing Yang2, Jianlin Huang3, Hua Wei4, Yongfu Wang5, Rong Mu6, Xiaoxia Zuo7, Hongzhi Wang8, Xinwang Duan9, Jing Xue10, Hongsheng Sun11, Bin Wu12, Lirong Kang5, Feng Wei13, Cundong Mi14, Yanping Zhao15, Yang Li16, Haiying Chen17, Zhenbin Li18, Qingliang Meng19, Yuhua Jia20, Hui Xiao20 and Fei Xiao20, 1Rheumatology, Peking Union Medical College Hospital, Beijing, China, 2Department of rheumatology, Central Hospital of MianYang, Sichuan, Mian Yang, China, 3Department of rheumatology, The Sixth Hospital Affiliated to Sun yat-sen University, Guangzhou, China, 4Northern Jiangsu People's Hospital, Yangzhou, China, 5The First Affiliated Hospital of BaoTou Medical College, Baotou, China, 6Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China, 7Xiangya Hospital Central South University, Changsha, China, 8The First Hospital of Jiaxing, Jiaxing, China, 9Department of rheumatology, The Second Affiliated Hospital of Nanchang University, Nanchang, China, 1088 Jiefang Road, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China, 11Department of Rheumatology and Immunology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China, 12Department of Rheumatology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China, 13JIANGMEN CENTRAL HOSPITAL, AFFILIATED JIANGMEN HOSPITAL OF SUN YAT-SEN UNIVERSITY, Jiangmen, China, 14The Second Affiliated Hospital of Guangxi Medical University, Nanning, China, 15The First Affiliated Hospital of Harbin Medical University, Harbin, China, 16The Second Affiliated Hospital of Harbin Medical University, Harbin, China, 17The third hospital of hebei medical university, Shijiazhuang, China, 18Peace Hospital, Shijiazhuang, China, 19Henan Province Hospital of TCM, Zhengzhou, China, 20Shanghai Gothic Internet Technology Co., Ltd., Shanghai, China

    Background/Purpose: Combination therapy with DMARDs for treating RA is considered as standard of care. However, certain rates of adverse events (AEs) are unavoidable. The stigma…
  • Abstract Number: 1264 • 2018 ACR/ARHP Annual Meeting

    Modeling the Costs and Outcomes Associated with Treatment Sequences, with and without Tofacitinib, for Moderately to Severely Active Psoriatic Arthritis in the US

    George Bungey1, Stacey Chang-Douglass1, Ming-Ann Hsu2, Joseph C Cappelleri2, Pamela Young3 and John Woolcott3, 1Decision Resources Group, London, United Kingdom, 2Pfizer Inc, Groton, CT, 3Pfizer Inc, Collegeville, PA

    Background/Purpose: Psoriatic Arthritis (PsA) is a chronic progressive inflammatory condition associated with significant direct and indirect costs. Tofacitinib is an oral Janus kinase inhibitor for…
  • Abstract Number: 1265 • 2018 ACR/ARHP Annual Meeting

    The Challenges of Managing Gout in Primary Care: Results of a Best Practice Audit

    Lisa K. Stamp1, Peter T. Chapman2, Ben Hudson3, Greg Hamilton4 and Andrea Judd5, 1University of Otago, Christchurch, New Zealand, 2Christchurch Hospital, Christchurch, New Zealand, 3University of Otago, Christchurch, Christchurch, New Zealand, 4Canterbury District Health Board, Christchurch, New Zealand, 5Kaikoura Medical Centre, Kaikoura, New Zealand

    Background/Purpose: The majority of gout management occurs in primary care and may be suboptimal. While community based clinical trials have reported improvements whether such improvements…
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