ACR Meeting Abstracts

ACR Meeting Abstracts

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  • Abstract Number: 2948 • 2018 ACR/ARHP Annual Meeting

    Deconstructing the in Situ Myeloid Cell Microenvironment in Human Lupus Nephritis Tissue

    Paul Hoover1,2, Tony Jones2, Cianna Leatherwood3, Sushrut Waikar4, Karen Costenbader3 and Nir Hacohen5, 1Division of Rheumatology, Allergy, Immunology, Brigham and Women's Hospital, Boston, MA, 2Broad Institute, Cambridge, MA, 3Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 4Renal, Brigham and Women's Hospital, Boston, MA, 5Harvard Medical School, Boston, MA

    Background/Purpose: The cell-types and pathways driving lupus nephritis (LN) are incompletely understood. The Accelerating Medicine Partnership lupus network Pathway Exploration and Analysis in RenaL disease…
  • Abstract Number: 2949 • 2018 ACR/ARHP Annual Meeting

    African American and European American SLE Patients with Variable Disease Activity Reveal Distinct Differences in B Cells and TLR7/8 Pathways

    Samantha Slight-Webb1, Miles C. Smith1, Holden T. Maecker2, Paul J. Utz3, Joel M. Guthridge1 and Judith A. James4, 1Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 2Stanford University, Stanford, CA, 3Medicine, Stanford University School of Medicine, Stanford, CA, 4Arthritis & Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK

    Background/Purpose: Systemic lupus erythematosus (SLE) is an autoimmune disorder with a heterogeneous clinical presentation and periods of waxing and waning disease. Heterogeneity in SLE is…
  • Abstract Number: 2950 • 2018 ACR/ARHP Annual Meeting

    10X Genomics-Based Single-Cell RNA-Seq Analysis Identifies a Transcriptional Landscape of Inflammation and Fibrosis in Lupus Nephritis​

    Hemant Suryawanshi1, Evan Der2, Pavel Morozov1, Robert M. Clancy3, Beatrice Goilav4, H. Michael Belmont3, Peter M. Izmirly5, Nicole Bornkamp6, Nicole Jordan7, Ming Wu3, Judith A. James8, Joel M. Guthridge9, Soumya Raychaudhuri10, Jill P. Buyon3, Chaim Putterman2 and Thomas Tuschl1, 1Howard Hughes Medical Institute and The Rockefeller University, New York, NY, 2Albert Einstein College of Medicine, Bronx, NY, 3NYU School of Medicine, New York, NY, 4Division of Nephrology, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY, 5Rheumatology, NYU School of Medicine, New York, NY, 6Medicine, NYU School of Medicine, New York, NY, 7Division of Rheumatology, Albert Einstein College of Medicine, Bronx, NY, 8Oklahoma Medical Research Foundation, Oklahoma City, OK, 9Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 10Harvard Medical School, Boston, MA

    Background/Purpose: Renal histology remains a primary tool for classification and treatment decisions in lupus nephritis (LN). Single-cell RNA-seq (scRNA-seq) analysis may provide mechanistic insights into…
  • Abstract Number: 2951 • 2018 ACR/ARHP Annual Meeting

    Ustekinumab Treatment Response in SLE Is Associated with Changes in Type II but Not Type I Interferons

    Jarrat Jordan1, Kristen Sweet2, Matteo Cesaroni1, Keying Ma2, Carol Franks2, Loqmane Seridi2, Jessica Schreiter3, Robert Gordon2, Peter E. Lipsky4, Shawn Rose2, Frédéric Baribaud2, Matthew Loza2 and Kim Campbell2, 1Janssen Research and Development, LLC., Spring House, PA, 2Janssen Research & Development, LLC, Spring House, PA, 3Estrela Lupus Venture, Janssen Research and Development, LLC., Spring House, PA, 4AMPEL BioSolutions, Charlottesville, VA

    Background/Purpose: We previously reported that treatment with ustekinumab (UST), an anti-IL-12/23 p40 neutralizing monoclonal antibody, improved global and organ-specific measures of disease activity in a…
  • Abstract Number: 2952 • 2018 ACR/ARHP Annual Meeting

    Major NSAID Toxicity: Derivation and Internal Validation of a Simple Clinical Risk Score

    Daniel Solomon1, Ming Shao2, Katherine E Wolski3, Steven E Nissen4, M. Elaine Husni5 and Nina Paynter6, 1Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 2Cleveland Clinic Foundation, Cleveland, OH, 3Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, 4Cardiovascular Medicine, Chair, Cleveland Clinic, Cleveland, OH, 5Orthopedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH, 6Medicine, Harvard University, Boston, MA

    Background/Purpose: NSAIDs and Coxibs represent one of the most commonly prescribed drugs by rheumatologists and are used regularly by >10 million Americans. While most patients…
  • Abstract Number: 2953 • 2018 ACR/ARHP Annual Meeting

    Disappearance of Autoantibodies in RA: Does It Occur with Current Treatment Strategies? a Long-Term Follow-up Study in Patients That Achieved DMARD-Free Sustained Remission

    Debbie M. Boeters1, Leonie E. Burgers1, René E.M. Toes1 and Annette H.M. van der Helm-van Mil1,2, 1Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Department of Rheumatology, Erasmus Medical Center, Rotterdam, Netherlands

    Background/Purpose: Disease modifying antirheumatic drug (DMARD)-free sustained remission, the sustained absence of arthritis after cessation of all DMARD-therapy, is increasingly achievable with current treatment strategies.…
  • Abstract Number: 2954 • 2018 ACR/ARHP Annual Meeting

    Factors Related to Initiation of TNF Inhibitor Versus Triple Therapy in Rheumatoid Arthritis Patients

    Yinzhu Jin1, Eun Ha Kang2, Angela Tong1, Rishi J. Desai3 and Seoyoung C. Kim4,5, 1Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 2Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea, Republic of (South), 3Division of Pharmacoepidemiology and Pharmacoeconimics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 4Division of Pharmacoepidemiology and Pharmocoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 5Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA

    Background/Purpose: While efficacy of triple therapy [methotrexate (MTX), sulfasalazine (HCQ), and sulfasalazine (SSZ)] and TNF inhibitor (TNFi) plus MTX was similar in a previous clinical…
  • Abstract Number: 2955 • 2018 ACR/ARHP Annual Meeting

    Risk of Neurological Adverse Events during Tumour Necrosis Factor Inhibitor Treatment for Arthritis: A Population-Based Cohort Study from Danbio and the Danish National Patient Registry

    Lene Dreyer1, Tine Iskov Kopp2, Rikke Kart Jacobsen3, Melinda Magyari2, Else Helene Ibfelt3, Henning Locht4, Finn Thorup Sellebjerg2, Dorte Vendelbo Jensen5 and René Cordtz6, 1Departments of Rheumatology and Clinical Medicine, Aalborg University Hospital and Aalborg University, 9000 Aalborg, Denmark, 2Danish Multiple Sclerosis Center, Department of Neurology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark, 3Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark, 4Department of Rheumatology, Frederiksberg Hospital, Copenhagen, Denmark, Copenhagen, Denmark, 5The DANBIO registry and the Danish Departments of Rheumatology, Copenhagen, Denmark, 6Center for Rheumatology and Spine Diseases, Gentofte-Rigshospitalet, Hellerup, Denmark

    Background/Purpose: Tumor necrosis factor alpha inhibitors (TNFi) have successfully been used for the treatment of immune-mediated inflammatory disorders including rheumatoid arthritis (RA), psoriatic arthritis (PsA)…
  • Abstract Number: 2956 • 2018 ACR/ARHP Annual Meeting

    Changing Trends and Prescribing Patterns in Opioid-Treated Primary Care Patients with Non-Cancer Pain over a 10-Year Period

    Meghna Jani, Belay Birlie Yimer, Therese Sheppard, Mark Lunt and William G Dixon, Arthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, United Kingdom

    Background/Purpose:  The opioid epidemic in the U.S. has led to similar concerns about prescribed opioids in the U.K. In new users, the rate of escalation…
  • Abstract Number: 2957 • 2018 ACR/ARHP Annual Meeting

    Socioeconomic Differences in Opioid Use By People with Inflammatory Arthritis

    Ashley Fletcher1,2, Marissa Lassere3, Rachel Black4,5, Claire Barrett6, Graeme Carroll7, Susan Lester8,9, Bethan Richards3, Lyn March10, Rachelle Buchbinder11,12 and Catherine Hill5,13,14, 1Monash Department of Clinical Epidemiology, Cabrini Institute, Melbourne, Australia, 2Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia, 3University of New South Wales, Sydney, Australia, 4Rheumatology, Royal Adelaide Hospital, Adelaide, Australia, 5Medicine, The University of Adelaide, Adelaide, Australia, 6Redcliffe Hospital, University of Queensland, Redcliffe, Australia, 7Adult Rheumatology and Osteoarthritis, University of Notre Dame, Mount Lawley WA, Australia, 8Rheumatology Unit, The Queen Elizabeth Hospital, Adelaide, Australia, 9Discipline of Medicine, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia, 10Department of Rheumatology, Northern Clinical School, Institute of Bone and Joint Research, Kolling Institute, University of Sydney & Department of Rheumatology, Royal North Shore Hospital, St Leonards, Sydney, Australia, 11Cabrini Institute, Victoria, Australia, 12Monash University, Melbourne, Australia, 13The Queen Elizabeth Hospital, Adelaide, Australia, 14Rheumatology Unit, Royal Adelaide Hospital, Adelaide, Australia

    Background/Purpose: Internationally, prescription opioid use is often higher among patients of lower socioeconomic status (SES). In addition, despite improved treatments for inflammatory arthritis, opioid use…
  • Abstract Number: 2958 • 2018 ACR/ARHP Annual Meeting

    Multi-Site Study Evaluating Performance on Lupus Nephritis Quality Measures

    Ishita Aggarwal1, Laura Trupin2, Jing Li3, Lisa Gaynon4, Nancy Liu5, Chris Schlechter6, Louise Murphy7, Maria Dall'Era6 and Jinoos Yazdany6, 1University of California San Francisco, San Francisco, CA, 2Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA, 3Medicine, UC San Francisco, San Francisco, CA, 4Internal Medicine, California Pacific Medical Center, San Francisco, CA, 5Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 6University of California, San Francisco, San Francisco, CA, 7Arthritis Program, Centers for Disease Control and Prevention, Atlanta, GA

    Background/Purpose: Lupus nephritis (LN), seen in up to 60% of individuals with SLE, progresses to end stage renal failure in 10-30% of patients within 15…
  • Abstract Number: 2959 • 2018 ACR/ARHP Annual Meeting

    Development of a Set of Potentially Preventable Adverse Conditions Specific to Lupus: A Delphi Consensus Study

    Candace H. Feldman1, Cameron Speyer1, Rachel Ashby2, Bonnie L. Bermas3, Shamik Bhattacharyya4, Eliza Chakravarty5, Brendan Everett6, Elizabeth Ferucci7, Aimee O. Hersh8, Francisco Marty9, Joseph F. Merola10, Rosalind Ramsey-Goldman11, Brad Rovin12, Mary Beth Son13, Laura Tarter14, Sushrut Waikar15, Jinoos Yazdany16, Joel Weissman17 and Karen Costenbader1, 1Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 2Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA, 3Rheumatology, UT Southwestern, Dallas, TX, 4Neurology, Brigham and Women's Hospital, Boston, MA, 5Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 6Cardiology, Brigham and Women's Hospital, Boston, MA, 7Alaska Native Medical Center, Anchorage, AK, 8Pediatrics/Rheumatology, University of Utah, Salt Lake City, UT, 9Infectious Disease, Brigham and Women's Hospital, Boston, MA, 10Medicine, Rheumatology and Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 11FSM, Northwestern University, Chicago, IL, 12Ohio State University Wexner Medical Center, Columbus, OH, 13Boston Children's Hospital, Harvard Medical School, Brookline, MA, 14Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 15Renal, Brigham and Women's Hospital, Boston, MA, 16University of California, San Francisco, San Francisco, CA, 17Brigham and Women's Hospital, Boston, MA

    Background/Purpose: The U.S. Agency for Healthcare Research and Quality developed a set of general ambulatory care-sensitive conditions that may result acute care use (hospitalizations and…
  • Abstract Number: 2960 • 2018 ACR/ARHP Annual Meeting

    Evaluation of Performance Measures Reveals Delays and Sub-Optimal Access to Rheumatology Care and Treatment

    Claire Barber1, Diane Lacaille2, Peter Faris3, Dianne P. Mosher4, Steven J. Katz5, Joanne Homik6, Jatin Patel7, Sharon Zhang7, Cheryl Barnabe8, Glen Hazlewood9, Vandana Ahluwalia10, Natalie J. Shiff11, Vivian P. Bykerk12, Marinka Twilt13, Susanne Benseler14, Jennifer Burt15 and Deborah A. Marshall16, 1Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 2Arthritis Research Canada/University of British Columbia, Medicine/Rheumatology, Richmond, BC, Canada, 3Alberta Health Services, Alberta, AB, Canada, 4Med, University of Calgary, Calgary, AB, Canada, 5Rheumatology, University of Alberta, Edmonton, AB, Canada, 6University of Alberta, Edmonton, AB, Canada, 7Alberta Health Services, Calgary, AB, Canada, 8Medicine, University of Calgary, Calgary, AB, Canada, 9Departments of Medicine and Community Health Sciences, University of Calgary, Calgary, AB, Canada, 10William Osler Health Center, Brampton, ON, Canada, 11University of Florida, Gainesville, FL, 12Deptartment of Rheumatology, Hospital for Special Surgery, New York, NY, 13University of Calgary, Calgary, AB, Canada, 14Pediatric Rheumatology, University of Calgary, Alberta Children's Hospital, Calgary, AB, Canada, 15St. Clare's Mercy Hospital, Eastern Health, St. John's, NF, Canada, 16Community Health Sciences, University of Calgary, Calgary, AB, Canada

    Background/Purpose: Early diagnosis, treatment and ongoing care are critical to optimize RA outcomes. The purpose of the study was to evaluate key elements of RA…
  • Abstract Number: 2961 • 2018 ACR/ARHP Annual Meeting

    Differences in Healthcare Transition Views, Practices, and Barriers Among North American Pediatric Rheumatology Providers from 2010 to 2018

    Kiana Johnson1, Cuoghi Edens2, Peter Chira3, Aimee O. Hersh4, Y. Ingrid Goh5, Joyce Hui-Yuen6, Rebecca E. Sadun7, Nora G. Singer8, Lynn R. Spiegel9, Jennifer N. Stinson10, Patience H. White11 and Erica Lawson12, 1Department of Pediatrics, East Tennessee State University, Johnson City, TN, 2Division of Pediatric Infectious Diseases and Rheumatology and Division of Rheumatology, Rainbow Babies and Children's Hospital and University Hospitals Cleveland Medical Center, Cleveland, OH, 3Pediatric Rheumatology, Rady Children's Specialists of San Diego, San Diego, CA, 4Pediatrics/Rheumatology, University of Utah, Salt Lake City, UT, 5Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada, 6Pediatric Rheumatology, Cohen Children's Medical Center, New Hyde Park, NY, 7Adult and Pediatric Rheumatology, Duke University Medical Center, Durham, NC, 8Departments of Medicine and Pediatrics, Division of Rheumatology, MetroHealth Medical Center, Cleveland, OH, Cleveland, OH, 9Rheumatology/Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada, 10Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada, 11Department of Medicine, Division of Rheumatology, George Washington University School of Medicine and Health Sciences, Washington, DC, 12Pediatrics/Rheumatology, University of California, San Francisco, San Francisco, CA

    Background/Purpose: Healthcare transition is the “purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions from child-centered to adult-oriented health care…
  • Abstract Number: 2962 • 2018 ACR/ARHP Annual Meeting

    Diagnostic Accuracy of Gout in Electronic Health Records and the Role of Rheumatology Electronic Consults

    Juliana Chang1 and Maida Wong2, 1Internal Medicine, University of California, Irvine, School of Medicine, Orange, CA, 2Rheumatology, Tibor Rubin VA Medical Center, Orange, CA

    Background/Purpose: Gout is the most prevalent inflammatory arthritis globally. Despite treatment advances, it still has a significant effect on quality of life and healthcare costs.…
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