ACR Meeting Abstracts

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  • Abstract Number: 907 • 2017 ACR/ARHP Annual Meeting

    Five-Year Evolution of the Center of Excellence in Musculoskeletal Care and Education: A National Resource for the Continuum of Health Professions Education and Scholarship

    Andrea Barker1, J. Peter Beck2, Grant Cannon3, Marissa Grotzke4, Scott Swasey5,6, Curry L. Koening7, Dorota Lebiedz-Odrobina6, Yasuharu Okuda8 and Michael J. Battistone1, 1Veterans Affairs Salt Lake City Health Care System and University of Utah School of Medicine, Salt Lake City, UT, 2Orthopaedics, Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 3Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 4Division of Endocrinology, Veterans Affairs Salt Lake City Health Care System and University of Utah School of Medicine, Salt Lake City, UT, 5Salt Lake City VA Medical Center, Salt Lake City, UT, 6University of Utah, Salt Lake City, UT, 7Rheumatology, University of Utah, Salt Lake City, UT, 8VHA SimLEARN National Center, Orlando, FL

    Background/Purpose: In 2011, the Veterans Affairs (VA) Office of Academic Affiliations funded the creation of the Center of Excellence (COE) in Musculoskeletal (MSK) Care and…
  • Abstract Number: 908 • 2017 ACR/ARHP Annual Meeting

    Impact of a National Training Program on Primary Care Providers Utilization of Knee MRI

    Erica Jaffe1, Andrea Barker2, J. Peter Beck3, Grant Cannon4 and Michael J. Battistone2, 1Internal Medicine, Veterans Affairs Salt Lake City Health Care System and University of Utah School of Medicine, Salt Lake City, UT, 2Veterans Affairs Salt Lake City Health Care System and University of Utah School of Medicine, Salt Lake City, UT, 3Orthopaedics, Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 4Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT

    Background/Purpose: The US Department of Veterans Affairs (VA) has developed a national continuing professional development program to train primary care providers (PCPs) in the care…
  • Abstract Number: 909 • 2017 ACR/ARHP Annual Meeting

    Two-Year Impact of a Continuing Professional Education Program to Train Primary Care Providers to Perform Arthrocentesis

    Michael J. Battistone1, Andrea Barker1, J. Peter Beck2, Phillip Lawrence3 and Grant Cannon4, 1Veterans Affairs Salt Lake City Health Care System and University of Utah School of Medicine, Salt Lake City, UT, 2Orthopaedics, Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 3Salt Lake City VA Medical Center and Roseman University of Health Sciences, Salt Lake City, UT, 4Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT

    Background/Purpose: Initial reports of a local continuing professional education (CPE) program designed for primary care providers (PCPs) described an increase in in the number of…
  • Abstract Number: 910 • 2017 ACR/ARHP Annual Meeting

    Training Adult Rheumatology Fellows in Young Adult Transition and Transfer Skills

    Rebecca Sadun1, Gary Maslow2, Richard Chung3 and Lisa Criscione-Schreiber4, 1Rheumatology Adult and Pediatric, Duke University Medical Center, Durham, NC, 2Psychiatry and Pediatrics, Duke University Medical Center, Durham, NC, 3Internal Medicine and Pediatrics, Duke University Medical Center, Durham, NC, 4Internal Medicine, Duke University Medical Center, Durham, NC

    Background/Purpose: The transition from pediatric to adult healthcare is a vulnerable time for adolescents and young adults (AYA) with chronic conditions. EULAR and the Pediatric…
  • Abstract Number: 911 • 2017 ACR/ARHP Annual Meeting

    How Well Do Rheumatology Fellows Manage Acute Infusion Reactions?  a Pilot Curricular Intervention

    Jason Weiner1, Amanda M. Eudy2 and Lisa Criscione-Schreiber3, 1Department of Medicine, Division of Rheumatology and Immunology, Duke University Medical Center, Durham, NC, 2Duke University Medical Center, Chapel Hill, NC, 3Internal Medicine, Duke University Medical Center, Durham, NC

    Background/Purpose: Infusible DMARDs are commonly prescribed in rheumatology and other fields. There are no published formal educational curricula rheumatology fellowship programs can use to teach…
  • Abstract Number: 912 • 2017 ACR/ARHP Annual Meeting

    Has the Attractiveness of a Career in Rheumatology Changed for the Better? Comparison of Trends in the Rheumatology Fellowship Match from 2014 to 2017 with 2008 to 2013

    Huynh Tran1 and Richard Panush2, 1Special Project Manager, University of Southern California, Los Angeles, CA, 2Rheumatology, Program Director, University of Southern California, Los Angeles, CA

    Background/Purpose:             Rheumatology has been a less attractive career choice than most other medical subspecialties for many years. The 2015 American College of Rheumatology (ACR)…
  • Abstract Number: 913 • 2017 ACR/ARHP Annual Meeting

    High Erythrocyte Levels of the n-6 Polyunsaturated Fatty Acid Linoleic Acid Are Associated with Lower Risk of Subsequent Rheumatoid Arthritis in a Southern European Nested Case-Control Study

    Paola de Pablo1, Dora Romaguera2,3, Helena Fisk4, Philip Calder4, Anne-Marie Quirke5, Alison Cartwright5, Salvatore Panico6, Amalia Mattiello6, Diana Gavrila7, Carmen Navarro7, Carlotta Sacerdote8, Paolo Vineis2,9, Rosario Tumino10, William Ollier11, Dominique Michaud2,12, Elio Riboli2, Patrick Venables5 and Benjamin Fisher13, 1University of Birmingham, Birmingham, United Kingdom, 2Imperial College London, London, United Kingdom, 3CIBER-OBN (Fisiopatología de la Obesidad y Nutrición), University Hospital Son Espases, Palma, Spain, 4University of Southampton, Southampton, United Kingdom, 5Kennedy Institute of Rheumatology, University of Oxford, Oxford, United Kingdom, 6Federico II University of Naples, Naples, Italy, 7Murcia Regional Health Council, Murcia, Spain, 8Città della Salute e della Scienza University-Hospital, Turin, Italy, 9Human Genetics Foundation, Turin, Italy, 10"Civic - M.P.Arezzo" Hospital, Ragusa, Italy, 11Division of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom, 12Tufts University Medical School, Boston, MA, 13Rheumatology Research Group, University of Birmingham, Birmingham, United Kingdom

    Background/Purpose: Long-chain n-3 (also known as omega-3) polyunsaturated fatty acids (PUFA), especially eicosapentaenoic acid (EPA; 20:5n-3) and docosahexaenoic acid (DHA; 22:6n-3), have long-been considered to…
  • Abstract Number: 914 • 2017 ACR/ARHP Annual Meeting

    Occupational Exposure to Combustion Products and Risk of Developing Rheumatoid Arthritis

    Anna Ilar1, Pernilla Wiebert1,2, Saedis Saevarsdottir3, Johan Askling4,5, Per Gustavsson1,2 and Lars Alfredsson1,2, 1The Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden, 2Stockholm County Council, Centre for Occupational and Environmental Medicine, Stockholm, Sweden, 3Rheumatology Unit, Department of Medicine, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden, 4Rheumatology unit, Department of Medicine, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden, 5Unit of Clinical Epidemiology, Department of Medicine, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden

    Background/Purpose: Studies have suggested a potential association between traffic pollutants and rheumatoid arthritis (RA), but findings have been inconclusive. We therefore assessed the risk of…
  • Abstract Number: 915 • 2017 ACR/ARHP Annual Meeting

    Pesticide Exposure and Risk of Systemic Lupus Erythematosus in an Urban Population of Predominantly African-American Women

    Jessica Williams1, Shun-Chiao Chang1, Corine Sinnette1, Susan Malspeis2, Christine G. Parks3, Elizabeth Karlson1, Patricia Fraser1 and Karen H. Costenbader1, 1Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 2Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 3Epidemiology Branch, National Institute of Environmental Health Sciences, NIH, Durham, NC

    Background/Purpose: Several studies have reported an association between exposure to pesticides and the risk of systemic lupus erythematosus (SLE). However, this association has not yet…
  • Abstract Number: 916 • 2017 ACR/ARHP Annual Meeting

    Long Term Effects of Early Childhood Thymectomy: A Population-Based Cohort Study of Association with Autoimmune Disease, Cancer, Infectious and Atopic Diseases

    Judith Gudmundsdottir1,2, Jonas Söderling3, Håkan Berggren4, Sólveig Óskarsdóttir5, Martin Neovius6, Olof Stephansson3 and Olov Ekwall7,8, 1Dept of Rheumatology and Inflammation Research, The Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 2Children's Medical Center, Landspítali University Hospital, Reykjavík, Iceland, 3Clinical Epidemiology Unit, Dept of Medicine, Karolinska Institute, Stockholm, Sweden, 4Dept of Molecular and Clinical Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 5Dept of Pediatrics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 6Department of Medicine, Clinical Epidemiology Unit, Karolinska Institutet, Stockholm, Sweden, 7Dept. of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy University of Gothenburg, Göteborg, Sweden, 8Dept of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden

    Background/Purpose: The thymus is the site of T cell maturation and selection and thus of vital importance for the development of immunological tolerance. Early thymectomy…
  • Abstract Number: 917 • 2017 ACR/ARHP Annual Meeting

    Prospective Association of Metabolic Syndrome with Incident Symptomatic Interphalangeal Osteoarthritis but Not Thumb Based or Erosive Hand Osteoarthritis

    Charles Eaton1, Lena Franziska Schaefer2, Ida K. Haugen3, Mary Roberts4, Bing Lu5, Stacy Smith6, Jeffrey Duryea2, Jeffrey B. Driban7 and Timothy E. McAlindon8, 1Family Medicine and Epidemiology, Warren Alpert Medical School, School of Public Health, Brown University, Providence, RI, 2Radiology, Brigham & Women's Hospital/ Harvard Medical School, Boston, MA, 3Diakonhjemmet Hospital, Oslo, Norway, 4Center for Primary Care and Prevention, Memorial Hospital of Rhode Island, Pawtucket, RI, 5Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 6Radiology/Division of Musculoskeletal Imaging & Intervention, Brigham & Women's Hospital/ Harvard Medical School, Boston, MA, 7Rheumatology, Tufts Medical Center, Boston, MA, 8Division of Rheumatology, Tufts Medical Center, Boston, MA

    Background/Purpose: Symptomatic Hand Osteoarthritis (SxHOA) is a painful, destructive and deforming polyarticular disorder that is highly prevalent. The epidemiology of incident SxHOA and its association…
  • Abstract Number: 918 • 2017 ACR/ARHP Annual Meeting

    Development and Validation of a Clinical Rule to Facilitate Recognition of Clinical Arthritis By General Practitioners

    Robin M ten Brinck1, Bastiaan T van Dijk2, Hanna W van Steenbergen1, Saskia le Cessie3, Mattijs E Numans4 and Annette H.M. van der Helm-van Mil1, 1Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 3Medical statistics and Epidemiology, Department of Medical Statistics and Epidemiology, Leiden University Medical Center, Leiden, Netherlands, 4Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose: Early treatment of rheumatoid arthritis requires the early detection of arthritis. This is generally done by joint examination and difficult for general practitioners (GPs).…
  • Abstract Number: 919 • 2017 ACR/ARHP Annual Meeting

    HLA Type Imputation in the Genome Research in African American Scleroderma Patients (GRASP) Cohort Reveals Strong Associations of African Ancestry MHC Class II Types with Scleroderma and Lack of Class I HLA Type Associations

    Elaine F. Remmers1, Pravitt Gourh2, Steven Boyden3, Nadia D. Morgan4, Ami A. Shah4, Adebowale Adeyemo1, Amy Bentley1, Mary A. Carns5, Settara C. Chandrasekharappa1, Lorinda Chung6, Lindsey A. Criswell7, Chris T. Derk8, Robyn T. Domsic9, Ayo Doumatey1, Heather Gladue10, Avram Goldberg11, Jessica K. Gordon12, Vivien M Hsu13, Reem Jan14, Dinesh Khanna15, Maureen D. Mayes16, Thomas A. Medsger Jr.17, Paula S. Ramos18, Marcin A. Trojanowski19, Lesley A. Saketkoo20, Elena Schiopu15, Victoria K. Shanmugam21, Daniel Shriner1, Richard M. Silver22, Virginia D. Steen23, Antonia Valenzuela24, John Varga25, Charles Rotimi1, Fredrick M. Wigley26, Francesco Boin27 and Daniel L. Kastner28, 1National Institutes of Health (NIH), National Human Genome Research Institute, Bethesda, MD, 2NIAMS-Rheumatology, National Institutes of Health (NIH), National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, MD, 3National Institutes of Health (NIH), National Institute on Deafness and Other Communication Disorders, Bethesda, MD, 4Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 5Northwestern University, Feinberg School of Medicine Scleroderma Program, Chicago, IL, 6Rheumatology, Stanford University Medical Center, Palo Alto, CA, 7Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA, 8Rheumatology, University of Pennsylvania, Philadelphia, PA, 9Rheumatology, University of Pittsburgh, Pittsburgh, PA, 10Rheumatology, Arthritis and Osteoporosis Consultants of the Carolinas, Charlotte, NC, 11NYU Langone Medical Center, New York, NY, 12Rheumatology, Hospital for Special Surgery, New York, NY, 13University of Medicine and Dentistry of New Jersey--Robert Wood Johnson Medical School, New Brunswick, NJ, 14Medicine, Rheumatology, University of Chicago, Chicago, IL, 15University of Michigan, Ann Arbor, MI, 16University of Texas McGovern Medical School, Houston, TX, 17Department of Medicine/Rheumatology, University of Pittsburgh, Pittsburgh, PA, 18Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, 19Boston University School of Medicine, Boston, MA, 20Rheumatology, Tulane University School of Medicine, New Orleans, LA, 21Rheumatology, The George Washington University, Washington, DC, 22Division of Rheumatology and Immunology, Department of Medicine, Medical University of South Carolina, Charleston, SC, 23Rheumatology, MedStar Georgetown University Hospital, Washington, DC, 24Stanford University School of Medicine, Stanford, CA, 25Rheumatology and Dermatology, Northwestern University, Feinberg School of Medicine Scleroderma Program, Chicago, IL, 26Rheum Div/Mason F Lord, Johns Hopkins University, Baltimore, MD, 27Rheumatology, University California, San Francisco, San Francisco, CA, 28Inflammatory Disease Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD

    Background/Purpose: The Genome Research in African American Scleroderma Patients (GRASP) consortium was created to obtain a collection of African American (AA) scleroderma patients to facilitate…
  • Abstract Number: 920 • 2017 ACR/ARHP Annual Meeting

    Area-Level Predictors of Medication Nonadherence Among U.S. Medicaid Beneficiaries with Lupus: A Multilevel Study

    Candace H. Feldman1, Karen H. Costenbader2, Daniel H. Solomon3, S.V. Subramanian4 and Ichiro Kawachi5, 1Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 2Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 3Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 4Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, 5Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA

    Background/Purpose: Among lupus patients, adherence to hydroxychloroquine (HCQ), the backbone of therapy, remains suboptimal. Individual-level factors, including younger age, poverty, and black race, have been…
  • Abstract Number: 921 • 2017 ACR/ARHP Annual Meeting

    Discordant Patient-Physician Assessments of Disease Activity and Its Persistence Adversely Impact Quality of Life and Work Productivity in United States Hispanics with Rheumatoid Arthritis

    George Karpouzas1, Sera Ramadan2, Chelsie Cost3, Taylor Draper4, Elizabeth Hernandez3 and Sarah Ormseth3, 1Division of Rheumatology, Harbor-UCLA Medical Center, Torrance, CA, 2Internal Medicine, Dignity Health St. Mary Medical Center, Long Beach, CA, 3Rheumatology, Harbor-UCLA Medical Center, Torrance, CA, 4Psychology, Loma Linda University, Loma Linda, CA

    Background/Purpose: The impact of discordant patient-physician assessments of rheumatoid arthritis (RA) activity on quality of life is largely unknown. We examined the prevalence and stability…
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