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  • Abstract Number: 442 • 2017 ACR/ARHP Annual Meeting

    Early Treatment with Hydroxychloroquine Is Associated with Better Long-Term Outcomes in a Group of Hispanic Patients with Rheumatoid Arthritis

    Franchesca Cruz-Pérez1, Mariangelí Arroyo-Ávila1, Ruth Fred-Jiménez2, Naydi Pérez-Ríos3, Noelia Rodríguez-Pérez1, Grissel Ríos4 and Luis M. Vilá5, 1Department of Medicine, Division of Rheumatology, University of Puerto Rico Medical Sciences Campus, San Juan, PR, 2Division of Rheumatology, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico, 3Puerto Rico Clinical and Translational Research Consortium, University of Puerto Rico Medical Sciences Campus, San Juan, PR, 4Rheumatology, University of Puerto Rico Medical Sciences Campus, San Juan, PR, 5Department of Medicine, Division of Rheumatology, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico

    Background/Purpose: Hydroxychloroquine (HCQ) has a disease-modifying effect in rheumatoid arthritis (RA) patients but also it is associated with improved lipid profile, and decreased risk for…
  • Abstract Number: 443 • 2017 ACR/ARHP Annual Meeting

    Methotrexate Treatment Strategies in an Early Rheumatoid Arthritis Cohort

    Sasha Bernatsky1, Orit Schieir2, Cristiano S. Moura3, Marie-France Valois4, Susan J. Bartlett5, Carol A Hitchon6, Janet E. Pope7, Gilles Boire8, Boulos Haraoui9, Edward C. Keystone10, Diane Tin11, Carter Thorne12 and Vivian P. Bykerk13, 1Divisions of Rheumatology and Clinical Epidemiology, Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 2Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada, 31Division of Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada, 4McGill University, Montreal, QC, Canada, 5Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 6University of Manitoba, Winnipeg, MB, Canada, 7Department of Medicine, Division of Rheumatology, University of Western Ontario, St Joseph's Health Care, London, ON, Canada, 8Rheumatology Division, Centre Hospitalier Universitaire de Sherbrooke and Universite de Sherbrooke, Sherbrooke, QC, Canada, 9Institute de Rheumatologie, Montreal, QC, Canada, 10Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 11The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 12University of Toronto, Newmarket, ON, Canada, 132-005, Mt Sinai Hospital, Toronto, ON, Canada

    Background/Purpose: Methotrexate (MTX) is recommended as part of initial therapy in early RA, but practices range widely. The objective of this analysis was to describe…
  • Abstract Number: 444 • 2017 ACR/ARHP Annual Meeting

    Do Rheumatoid Arthritis Clinical Disease Activity Index Based Treat-to-Target Treatment Decisions Always Correspond to Usual Care Treatment Decisions at Point of Care?

    Rajesh Gopalarathinam1, Maryann Kimoto2 and Tarun S. Sharma3, 1Internal Medicine, Allegheny General Hospital- Allegheny Health Network, Pittsburgh, PA, 2Internal Medicine, Allegheny General Hospital - Allegheny Health Network, Pittsburgh, PA, 3Rheumatology, Lupus Center of Excellence, Allegheny Health Network, Pittsburgh, PA

    Variables Concordant decisions (71%, n=22) Discordant decisions (29%, n=9) PtGA >50% of CDAI calculation (68%, n=21) Age (mean, years) 49 51 48 Sex (%, females)…
  • Abstract Number: 445 • 2017 ACR/ARHP Annual Meeting

    FLARE-RA Instrument Detects RA Flares Independent of Disease Activity

    Taysir G. Mahmoud1, Michelle Frits2, Christine Iannaccone3, Gabriela Maica4, Vivian P. Bykerk5, Michael Weinblatt6 and Nancy A. Shadick7, 1Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 2Brigham and Women's Hospital, Boston, MA, 3Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 4Department of Rheumatology, Allergy, and Immunology, Brigham and Women's Hospital, Boston, MA, 52-005, Mt Sinai Hospital, Toronto, ON, Canada, 6Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 7Rheumatology Immunology & Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Background/Purpose: Clinicians often associate the occurrence of a recent rheumatoid arthritis (RA) flare with an increase in overall disease activity. However, previous studies have shown…
  • Abstract Number: 446 • 2017 ACR/ARHP Annual Meeting

    Methotrexate Use and Fatigue in Rheumatoid Arthritis Patients: Results from a National Patient Registry

    Huifeng Yun1, Shuo Yang2, W. Benjamin Nowell3, Cooper Filby1, Lang Chen1 and Jeffrey R. Curtis4, 1University of Alabama at Birmingham, Birmingham, AL, 2Division of Clinical Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Global Healthy Living Foundation, Upper Nyack, NY, 4Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Methotrexate (MTX), a synthetic disease-modifying antirheumatic drug (DMARD), is the most commonly used medication for rheumatoid arthritis (RA). Considerable variations between patients taking MTX…
  • Abstract Number: 447 • 2017 ACR/ARHP Annual Meeting

    Tocilizumab Had Acceptable Retention Rate in Both Randomized Controlled Trials and Observational Studies: Systematic Review of Rheumatoid Arthritis

    Levent Kilic1, Orhan Kucuksahin2, Zeynep Ozbalkan3, Cemal Bes4, Veli Yazisiz5, Ayten Yazici6, Dilek Solmaz7, Timucin Kasifoglu8 and Umut Kalyoncu9, 1Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 2Rheumatology, Yildirim Beyazit University Faculty of Medicine, Ankara, Turkey, 3Rheumatology, Ankara Numune Education and Research Hospital, Ankara, Turkey, 4Rheumatology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey, 5Rheumatology, Akdeniz University Faculty of Medicine, Ankara, Turkey, 6Department of Rheumatology, Kocaeli University, Faculty of Medicine, Kocaeli, Turkey, 7Rheumatology, Katip Çelebi University Faculty of Medicine, İzmir, Turkey, 8Rheumatology, Eskisehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey, 9Department of Internal Medicine, Divison of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey

    Background/Purpose: In general, retention rate in biological DMARDs represent both efficacy and safety. Tocilizumab (TOC) is a humanized monoclonal antibody that binds to the interleukin-6…
  • Abstract Number: 448 • 2017 ACR/ARHP Annual Meeting

    Predicting Remission at 6 Months in Early Rheumatoid Arthritis Treated with Conventional Synthetic Dmards

    Michael D Wiese1, Robert Metcalf2, Mihir D Wechalekar3, Llew Spargo2, Leah McWilliams4, Michael James4,5, Catherine Hill6 and Susanna Proudman7, 1School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, Australia, 2Rheumatology Unit, Royal Adelaide Hospital, South Australia, Adelaide, Australia, 3Royal Adelaide Hospital, Adelaide, Australia, 4Department of Rheumatology, Royal Adelaide Hospital, Adelaide, Australia, 5Department of Medicine, University of Adelaide, Adelaide, Australia, 6The Queen Elizabeth Hospital, Adelaide, Australia, 7University of Adelaide, Adelaide, Australia

    Background/Purpose: Initial treatment of RA with triple csDMARD therapy can achieve remission in a proportion of patients. Others respond poorly yet must wait at least…
  • Abstract Number: 449 • 2017 ACR/ARHP Annual Meeting

    Medical Bugs for Pain Relief in Patients with Rheumatoid Arthritis, a Systematic Review

    Rongqiang Zhang1, Puwei Yuan2, Jia Li3, Bo Dong1, Wulin Kang3, Stephanie Hyon4, Raveendhara R. Bannuru5, William F. Harvey4 and Chenchen Wang4, 1Shaanxi University of Chinese Medicine, Xianyang 712046, China, Xianyang, China, 2Shaanxi University of Chinese Medicine, Xianyang 712046, China, XianYang, China, 3Shaanxi University of Chinese Medicine, Xianyang, China, 4Rheumatology, Center of Integrative Medicine and Division of Rheumatology, Tufts Medical Center, Boston, MA, Boston, MA, 5Center of Integrative Medicine and Division of Rheumatology, Tufts Medical Center, Boston, MA, Boston, MA

    Background/Purpose: Medical bugs, a term used to describe insects and arthropods for medical treatment, have been widely used in the past centuries for pain relief.…
  • Abstract Number: 450 • 2017 ACR/ARHP Annual Meeting

    Disease Duration and Withdrawal of Biologic Agents Predict Radiological Progression in a Cohort of Rheumatoid Arthritis Patients in Latin America. a Real World Study

    Rocio V. Gamboa-Cardenas1,2, Manuel Ugarte-Gil3, Francisco Zevallos4, Mariela Medina4, Claudia Elera-Fitzcarrald4, Victor Pimentel-Quiroz4, Cristina Reategui-Sokolova4, Omar Sarmiento-Velasquez4, Zoila Rodriguez-Bellido4, José Alfaro4, Mariano Cucho-Venegas4, Cesar A. Pastor-Asurza4 and Risto Perich-Campos5, 1Rheumatology, Hospital Guillermo Almenara, EsSalud, Lima, Peru, 2Universidad Nacional Mayor de San Marcos, Lima, Peru, 3Peru, GLADEL, Lima, Peru, 4Rheumatology, Hospital Guillermo Almenara Irigoyen. EsSalud, Lima, Peru, 5Rheumatology, Hospital Guillermo Almenara Irigoyen, Lima, Peru

    Background/Purpose: Optimal management of Rheumatoid Arthritis (RA) based in identification of patients with risk factors for Joint Damage (JD) progression, is a main strategy, but…
  • Abstract Number: 451 • 2017 ACR/ARHP Annual Meeting

    A Matrix Risk Model for Prediction of Radiographic Progression in Early Rheumatoid Arthritis Based on Treatment Response at 3 Months

    Pooneh S. Akhavan1, Daming Li1, Sahar Tabatabvakili1 and Edward C. Keystone2, 1Mount Sinai Hospital, Toronto, ON, Canada, 2University of Toronto, Toronto, ON, Canada

    Background/Purpose: The present study aimed to develop a matix to predict risk of radiographic progression in patients with early rheumatoid arthritis. The focus of this…
  • Abstract Number: 452 • 2017 ACR/ARHP Annual Meeting

    Time to First Treatment Is Associated with a Refractory Course of Rheumatoid Arthritis

    Manuel Bécède1, Farideh Alasti2, Lukas Haupt3, Lisa Hütter3, Andreas Kerschbaumer4, Uriel Landesmann1, Gabriela Supp4, Josef S. Smolen4,5 and Daniel Aletaha6, 1Department of Internal Medicine III, Division of Rheumatology, Medical University of Vienna, Vienna, Austria, 2Rheumatology, Medical University of Vienna, Vienna, Austria, 3Department of Medicine, Hietzing Hospital, Vienna, Austria, 4Medical University Vienna, Division of Rheumatology, Department of Internal Medicine III, Vienna, Austria, 5Department of Internal Medicine, Hietzing Hospital, Vienna, Austria, 6Department of Medicine III, Division of Rheumatology, Medical University of Vienna, Vienna, Austria

    Background/Purpose: It is an ongoing matter of research, whether the course of rheumatoid arthritis (RA) can be altered by an early intervention, a concept historically…
  • Abstract Number: 453 • 2017 ACR/ARHP Annual Meeting

    The Therapy with Tocilizumab Is Not Associated with Periarticular Demineralisation and Finger Joint Space Narrowing in Rheumatoid Arthritis

    Alexander Pfeil1, Ottar Gadeholt2, Joachim Böttcher3, Diane Renz4, Peter Oelzner1 and Gunter Wolf1, 1Department of Internal Medicine III, Jena University Hospital, Jena, Germany, 2Rheumatology/Immunology, Medical Clinic II, University Clinic Wuerzburg, Wuerzburg, Germany, 3Institut of Interventional and Diagnostic Radiology, SRH Waldklinikum Gera, Gera, Germany, 4Institute of Diagnostic and Interventional Radiology, Jena University Hospital, Jena, Germany

    Background/Purpose: Digital X-ray Radiogrammetry (DXR) and Computer-Aided Joint Space Analysis (CAJSA) are established computer based techniques for the quantification of metacarpal bone mineral density and…
  • Abstract Number: 454 • 2017 ACR/ARHP Annual Meeting

    Soluble Urokinase Plasminogen Activator Receptor (suPAR) Correlates with Disease Activity in Early Rheumatoid Arthritis and Reflects Joint Damage over Time

    Helena Enocsson1, Alf Kastbom1, Tanja Lukic1, Christopher Sjöwall2, Thomas Skogh1 and Jonas Wetterö1, 1Rheumatology, Division of Neuro and Inflammation Sciences, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden, Linköping, Sweden, 2Department of Clinical and Experimental Medicine, Linköping University, Sweden, Linköping, Sweden

    Background/Purpose: The urokinase plasminogen activator receptor (uPAR) is expressed on various cell types and plays important roles in proteolysis, migration and adhesion. Receptor shedding yields…
  • Abstract Number: 455 • 2017 ACR/ARHP Annual Meeting

    Analysis of Real-World Treatment Patterns in a Matched Sample of Rheumatology Patients with Continuous Infliximab Therapy or Switched to Biosimilar Infliximab

    Lorie A. Ellis1, Ismail Simsek2, Lin Xie3, Adesuwa Ogbomo3, Dennis Parenti4, Kavitha Goyal4 and Yusuf Yazici5, 1Janssen HECOR Immunology, Horsham, PA, 2Guven Hospital, Ankara, Turkey, 3STATinMED Research Inc., Ann Arbor, MI, 4Janssen Scientific Affairs, LLC, Horsham, PA, 5New York University School of Medicine, New York, NY

    Background/Purpose: Biosimilar infliximab (CT-P13) was first approved in Europe in 2013.This study compared treatment (tx) patterns of Turkish pts with a diagnosis of rheumatoid arthritis(RA)…
  • Abstract Number: 456 • 2017 ACR/ARHP Annual Meeting

    Time from First Symptom Onset to First Advanced Therapy Amongst RA Patients in Latin America

    Ivanio Pereira1, Valderilio F Azevedo2, Wilson Bautista-Molano3, Julio Casasola4, Generoso Guerra5, David Vega-Morales6, Enrique R Soriano7, Diana Rocio Gil8, José Antonio Maldonado-Cocco9, Leandro Aldunate10 and Steve Lobosco11, 1Rheumatology, Universidade Federal de Santa Catarina, Hospital Universitário, Divisão de Reumatologia.Brazil, Florianopolis, Brazil, 2Adjunct Professor of Rheumatology, Federal University of Paraná; Brazil, Curitiba, Brazil, 3School of Medicine, Universidad Militar Nueva Granada and Rheumatology Department Hospital Militar. Colombia, Bogotá, Colombia, 4Rheumatology, Hospital General de Mexico, Mexico, Mexico, 5Centro Médico Paitilla Internal Medicine and Rheumatology Department. Panama, Panama City, Panama, 6Universidad Autónoma de Nuevo León. Rheumatology Service, Internal Medicine Department, Hospital Universitario "Dr. José Eleuterio González". Mexico, Monterrey, Mexico, 7Argentina, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina, 8ART Medica - Hospital Universitario Mayor MEDERI Internal Medicine and Rheumatology. Colombia., Bogota, Colombia, 9Buenos Aires University, Consulting Professor of Rheumatology, Buenos Aires University. Argentina, Buenos Aires, Argentina, 10Immunology, Janssen Latin America, Buenos Aires, Argentina, 11Adelphi, Immunology Director- Adelphi Group, Manchester, United Kingdom

    Background/Purpose: To understand the RA patient pathway in Latin America from first symptom onset; including time to diagnosis and to first advanced treatment. Methods: Data…
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