ACR Meeting Abstracts

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  • Abstract Number: 1836 • 2018 ACR/ARHP Annual Meeting

    Fibromyalgia Diagnosis and Biased Assessment: Sex, Prevalence, Biology and Bias

    Brian Walitt1, Frederick Wolfe2, serge Perrot3, Johannes Rasker4 and Winfried Häuser5, 1National Institutes of Health, National Institute of Nursing Research, Bethesda, MD, 2FORWARD, The National Databank for Rheumatic Diseases, Wichita, KS, 3Pain Clinic, Cochin-Hôtel Dieu Hospital, Paris, France, 45Faculty of Behavioral Management & Social sciences, Psychology, Health & Technology, University of Twente, Enschede, the Netherlands, Enschede, Netherlands, 5Department of Psychosomatic Medicine and Psychotherapy, Technische Universität München, Munich, Germany

    Background/Purpose: Multiple clinical and epidemiological studies have provided estimates of fibromyalgia prevalence and sex ratio, but different criteria sets and methodology, as well as bias,…
  • Abstract Number: 1837 • 2018 ACR/ARHP Annual Meeting

    Validity of the Cognitive Index of the Symptom Severity Scale (SSS-Cog) in Assessing Cognitive Impairment in Fibromyalgia Patients

    Odelia Elkana1, Amir Falcofsky1, Ran Shorer2, Tamar Bar-On Kalfon2, Roie Tzadok3 and Jacob N Ablin3, 1School of Behavioral Sciences, Tel Aviv-Jaffa Academic College, Jaffa, Israel, Tel Aviv, Israel, 2Institute of Rheumatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 3Internal Medicine H, Tel-Aviv Sourasky Medical Center, Israel & Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

    Background/Purpose: Fibromyalgia Syndrome (FMS) is a multi-symptom disorder, characterized by somatic and cognitive manifestations, such as impaired working memory, executive function and attention (1,2). The…
  • Abstract Number: 1838 • 2018 ACR/ARHP Annual Meeting

    Fibromyalgia, Beyond the 2016 Establishment. an Analysis of Novel Symptom Clusters for Differentiating Fibromyalgia from Other Chronic Pain Disorders

    Kim Jones1, Robert M. Bennett1, Amanda W. St. John2 and Ronald Friend3, 1Schools of Nursing and Medicine, Oregon Health & Science University, Portland, OR, 2Anesthesiology and Pain Medicine, Oregon Health & Science University, Portland, OR, 3School of Nursing, Oregon Health & Science University, Portland, OR

    Background/Purpose: Clinicians must commonly differentiate fibromyalgia (FM) from other chronic pain diagnoses. Numerous symptoms, including those from the 2016 criteria, have been proposed to accomplish…
  • Abstract Number: 1839 • 2018 ACR/ARHP Annual Meeting

    Association of Diet Quality with Overall Fibromyalgia Impact, and Psychosocial and Quality of Life Outcomes in Women with Fibromyalgia

    Mei Chung1, Andrew Beauchesne2, Zhuxuan Fu1, Lori Lyn Price3 and Chenchen Wang4, 1Department of Public Health and Community Medicine, Tufts University, School of Medicine, Boston, MA, 2Tufts University, School of Medicine, Boston, MA, 3Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, 4Division of Rheumatology, Center for Complementary and Integrative Medicine, Tufts Medical Center, Boston, MA

    Background/Purpose: Lifestyle modifications, including of diet and exercise, have been widely disseminated for the prevention and treatment of chronic pain. However, the relationships between dietary…
  • Abstract Number: 1840 • 2018 ACR/ARHP Annual Meeting

    Disease Activity in Rheumatoid Arthritis Patients Is Influenced By Countries’ Socioeconomics: Results from the Meteor Registry

    Sytske Anne Bergstra1, José Tavares Costa2, David Vega-Morales3, Karen Salomon-Escoto4, Nimmisha Govind5, Cornelia F. Allaart1 and Robert B.M. Landewé6, 1Department of Rheumatology, LUMC, Leiden, Netherlands, 2Rheumatology, Unidade Local de Saúde do Alto Minho, Ponte de Lima, Portugal, 3Rheumatology, University Hospital “Dr. José Eleuterio González”, UANL, Monterrey, Mexico, 4University of Massachusetts Medical School, Rheumatology Center, UMass Memorial Medical Center, Worcester, MA, 5University of the Witwatersrand, Johannesburg, South Africa, 6Amsterdam Rheumatology & Immunology Center | Zuyderland Medical Center, Heerlen, Netherlands

    Background/Purpose: The treatment and prognosis of rheumatoid arthritis (RA) patients have improved tremendously, but patients across the world may not benefit similarly. One of the…
  • Abstract Number: 1841 • 2018 ACR/ARHP Annual Meeting

    Current Rheumatology Fellows Experiences with Health Disparities and Disparity Education: A Qualitative Study

    Irene Blanco1 and Cristina Gonzalez2, 1Rheumatology, Albert Einstein College of Medicine, Bronx, NY, 2Medicine, Albert Einstein College of Medicine, Bronx, NY

    Background/Purpose: Health disparities (HD) are pervasive across all specialties including rheumatology; such that the ACGME has mandated that all programs teach house officers about HD.…
  • Abstract Number: 1842 • 2018 ACR/ARHP Annual Meeting

    Implementation of an African American Popular Opinion Leader Model to Address Disparities in Lupus Knowledge and Care

    Courtnie Phillip1, Cianna Leatherwood2, Elmer Freeman3, Gail Granville4, Gayna Sealy5, Toni Wiley5, Chase Correia6, Karen Mancera-Cuevas7, Patricia Canessa8, Rosalind Ramsey-Goldman9 and Candace H. Feldman2, 1Brigham and Women's Hospital, Boston, MA, 2Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 3Northeastern University, Boston, MA, 4Women of Courage, Inc., Boston, MA, 5Sportsmen's Tennis and Enrichment Center, Dorchester, MA, 6Northwestern University, Chicago, IL, 7Rheumatology, Northwestern University, Chicago, IL, 8Illinois Public Health Association, Springfield, IL, 9FSM, Northwestern University, Chicago, IL

    Background/Purpose: Lupus is a chronic, autoimmune disease that disproportionately affects African American individuals. Community-based educational interventions that capitalize on rich social networks can be used…
  • Abstract Number: 1843 • 2018 ACR/ARHP Annual Meeting

    Improving Access to Rheumatology Care for High-Risk Lupus Patients Can Help Decrease Hospitalizations

    Allen P. Anandarajah1, Sean McMahon2, Amanda Ostronic3, Changyong Feng4, Jennifer Anolik5 and Christopher T. Ritchlin6, 1Dept of Rheumatology, Univ of Rochester Medical Ctr, Rochester, NY, 2Quality office, University of Rochester Medical Center, Rochester, NY, 3University of Rochester Medical Center, Rochester, NY, 4Statistics, University of Rochester, Rochester, NY, 5Medicine- Allergy, Immunology and Rheumatology, University of Rochester Medical Center, Rochester, NY, 6Division of Allergy/Immunology and Rheumatology and Center for Musculoskeletal Research, School of Medicine and Dentistry, University of Rochester Medical School, Rochester, New York, USA, Rochester, NY

    Background/Purpose: We previously demonstrated that a small group of high risk, high cost patients (HRHC) account for majority of the hospitalizations, length of stay (LOS)…
  • Abstract Number: 1844 • 2018 ACR/ARHP Annual Meeting

    Racial Disparities and Accelerated SLE Mortality from a Population-Based Registry: The Georgia Lupus Registry

    S. Sam Lim1, Charles G. Helmick2, Gaobin Bao3, Caroline Gordon4, Jennifer M. Hootman2 and Cristina Drenkard5, 1Emory University School of Medicine, Atlanta, GA, 2Arthritis Program, Centers for Disease Control and Prevention, Atlanta, GA, 3Department of Medicine, Division of Rheumatology, Emory University School of Medicine, Atlanta, GA, 4Rheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, United Kingdom, 5Medicine/Rheumatology, Emory University, Atlanta, GA

    Background/Purpose: Population-based SLE mortality studies have depended on administrative data from vital statistics records to identify cases. However, a high proportion of SLE deaths have…
  • Abstract Number: 1845 • 2018 ACR/ARHP Annual Meeting

    Defining and Examining Retention in Care in an Urban Lupus Cohort

    Umber Ahmad1, Ian Chang2, Marit Johnson3, Ann Rosenthal3, Amanda Perez4 and Christie M. Bartels4, 1Consultant Care (CC111W) - Rheumatology/Medicine, Milwaukee VA Medical Center, Milwaukee, WI, 2Medicine/Rheumatology, Medical College of Wisconsin, Milwaukee, WI, 3Division of Rheumatology, Medical College of Wisconsin, Milwaukee, WI, 4Rheumatology/Medicine, University of Wisconsin - Madison, Madison, WI

    Background/Purpose: Systemic Lupus Erythematous (SLE) disproportionately impacts black patients and those of low socioeconomic status who experience higher rates of kidney disease and premature mortality.…
  • Abstract Number: 1846 • 2018 ACR/ARHP Annual Meeting

    Menarchal Status at Diagnosis and Final Height in Females with Childhood-Onset Systemic Lupus Erythematosus

    Watchareewan Sontichai1, Daniela Dominguez1, Lawrence Ng1, Deborah M. Levy1, Jonathan Wasserman2, Earl Silverman1 and Linda Hiraki1, 1Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 2Division of Endocrinology, The Hospital for Sick Children, Toronto, ON, Canada

    Background/Purpose: The diagnosis of systemic lupus erythematosus (SLE) in childhood affects growth due to disease and therapy. To date, there are few studies of final…
  • Abstract Number: 1847 • 2018 ACR/ARHP Annual Meeting

    Screening Youth with Lupus for Depression and Anxiety in Pediatric Rheumatology Clinics

    Tamar Rubinstein1, Marija Dionizovik-Dimanovski2, Chelsey Smith3, Raphael Kraus4, Jordan T. Jones5, Julia Harris6, Martha Rodriguez7, Lauren Faust8, Beth Rutstein8, Rebecca Puplava9, Melissa Tesher9, Alaina M. Davis10, Karen Onel11, Sangeeta Sule12, Emily von Scheven13 and Andrea M. Knight14, 1Pediatric Rheumatology, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, NY, 2Pediatric Rheumatology, Children's Hospital at Montefiore, Bronx, NY, 3Children's Mercy Kansas City, Kansas City, MO, 4Children's Hospital at Montefiore, Bronx, NY, 5University of Kansas, Kansas City, KS, 6Children's Mercy - Kansas City, Kansas City, MO, 7Riley Children’s Hospital at Indiana, Indianapolis, IN, 8Children's Hospital of Philadelphia, Philadelphia, PA, 9University of Chicago Medicine, Chicago, IL, 10Division of Pediatric Rheumatology, Monroe Carell Junior Children's Hospital at Vanderbilt, Nashville, TN, 11Hospital for Special Surgery, New York, NY, 12Pediatrics, Johns Hopkins University, Baltimore, MD, 13Pediatric Rheumatology, University of California San Francisco, San Francisco, CA, 14Center for Pediatric Clinical Effectiveness & PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA

    Background/Purpose: Despite high rates of depression and anxiety in pediatric lupus, standardized mental health screening is not routinely practiced by pediatric rheumatologists. Our objectives were…
  • Abstract Number: 1848 • 2018 ACR/ARHP Annual Meeting

    Cardiovascular Risk Factors in Adults with Juvenile Idiopathic Arthritis in Sustained Remission

    Ivan Arias de la Rosa1, Inmaculada Concepcion Aranda-Valera2, Rosa Roldan2, Maria Carmen Abalos-Aguilera1, Maria Dolores de la Rosa-Garrido2, Yolanda Jiménez-Gómez3, Carlos Perez-Sanchez3, Alejandro Escudero-Contreras1, Chary Lopez-Pedrera2, Eduardo Collantes-Estévez3 and Nuria Barbarroja3, 1Rheumatology Service, IMIBIC/Reina Sofia Hospital/University of Cordoba, Cordoba, Spain, 2IMIBIC/Reina Sofia Hospital/University of Cordoba, Cordoba, Spain, 3Rheumatology service, IMIBIC/Reina Sofia Hospital/University of Cordoba, Cordoba, Spain

    Background/Purpose: Juvenile Idiopathic Arthritis (JIA) is one of the more common chronic diseases of childhood that often persists into adulthood and can result in significant…
  • Abstract Number: 1849 • 2018 ACR/ARHP Annual Meeting

    Remission Status after 18 Years of Follow-up in the Population-Based Nordic Juvenile Idiopathic Arthritis (JIA) Cohort

    Mia Glerup1, Veronika Rypdal2,3, Ellen Dalen Arnstad4,5, Maria Ekelund6,7, Suvi Peltoniemi8, Kristiina Aalto8, Marite Rygg9,10, Peter Toftedal11, Susan Nielsen11, Anders Fasth12, Lillemor Berntson13, Ellen Nordal14,15 and Troels Herlin16, 1Department of Pediatrics, Dept. of Pediatrics, Aarhus University Hospital, Denmark, Aarhus, Denmark, 2Dept. of Clin. Med, UIT The Arctic University of Norway, Tromsø, Norway, 3Dept. of Pediatrics, University Hospital of North Norway, Tromsø, Norway, 4Dept. Clin. and Mol. Med., NTNU, Norway, Trondheim, Norway, 5Dept. of Pediatrics, Levanger Hospital, Nord-Trøndelag, Norway, Trondheim, Norway, 6Department of Pediatrics, Dept. of Pediatrics, Ryhov County Hospital, Jonkoping, Sweden, Jonkoping, Sweden, 7Uppsala University, Uppsala, Sweden, Jonkobing, Sweden, 8Hospital for Children and Adolescents, University of Helsinki, Finland, Helsinki, Finland, 9Dep. Clin. and Mol. Med., Dept. Clin. and Mol. Med., NTNU, Norway, Trondheim, Norway, 10Department of Pediatrics, Dept. of Pediatrics, St. Olavs Hospital, Norway, Trondheim, Norway, 11Department of Pediatrics, Dept. of Pediatrics, Copenhagen University Hospital, Denmark, Copenhagen, Denmark, 12Sahlgrenska Academy, University of Gothenburg, Sweden, Gothenburg, Sweden, 13Uppsala University, Uppsala, Sweden, Uppsala, Sweden, 14Departments of Pediatrics, Dept. of Pediatrics, University Hospital of North Norway, Tromsø, Norway, 15Department of Clinical Medicine, Dept. of Clin. Med, UIT The Arctic University of Norway, Tromsø, Norway, 16Dept. of Pediatrics, Aarhus University Hospital, Aarhus N, Denmark

    Background/Purpose: Innovative changes towards targeted treatment have improved the outcome dramatically for juvenile idiopathic arthritis (JIA) but the question remains how well these patients perform…
  • Abstract Number: 1850 • 2018 ACR/ARHP Annual Meeting

    A Population Based Study of High School Academic Outcomes in Individuals with Childhood-Onset Chronic Rheumatic Diseases in Manitoba, Canada

    Siok Hoon Lily Lim1,2, Ruth Ann Marrie3, Okechukwu Ekuma4, Marni Brownell4, Christine A. Peschken5, Carol A Hitchon6, Kerstin Gerhold7,8 and Lisa Lix9, 1Children's Hospital Research Institute of Manitoba, University of Manitoba, Winnipeg, MB, Canada, 2Pediatrics, University of MAnitoba, Winnipeg, MB, Canada, 3Internal Medicine, University of Manitoba, Winnipeg, MB, Canada, 4Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada, 5RR 149G, University of Manitoba, Winnipeg, MB, Canada, 6University of Manitoba, Winnipeg, MB, Canada, 7Pediatrics, University of Manitoba, Winnipeg, MB, Canada, 8Faculty of Health Sciences, Children's Hospital Research Institute of Manitoba, Winnipeg, MB, Canada, 9Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada

    Background/Purpose: Childhood-onset chronic rheumatic diseases (ChildCRD) are rheumatic diseases with onset <18 years old, including juvenile arthritis (JA) and systemic autoimmune rheumatic diseases (SARD). ChildCRD…
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